1. What recent assessment her Department has made of the humanitarian situation in the Sahel and northern Nigeria.
This year we have significantly increased our support, providing a further £80 million of humanitarian aid to support more than 9 million people affected across the region. I can assure my hon. Friend that we are working to tackle poverty and the crisis in the region at source, rather than waiting for the consequences to reach us domestically.
There are more than 2.6 million displaced people in the area, 6.4 million people are facing food insecurity, and a public health emergency has been declared in four countries, together with the Central African Republic, in response to a polio outbreak, yet United Nations appeals are only one third funded or less. What more can the UK Government do to bring this crisis to the world’s attention?
My hon. Friend is right to draw attention to an appalling situation facing the region, and more must be done to meet the humanitarian needs. The UN needs that help to increase its capacity and develop. As to what more can be done, we encourage Governments across the world in the donor community to step up their contributions, just as we have, because the humanitarian response required must be funded now. With my hon. Friend and with the UK Government, we are challenging everyone to step up and do more.
I welcome the Government’s additional £80 million committed at the UN General Assembly for the humanitarian crisis. This goes some way towards addressing the imbalance between development assistance and humanitarian aid. However, relief agencies are unable to reach up to 2 million people in north-east Nigeria. Can the Secretary of State provide an update on how her Department is leading an effective, strong UN-led response while also ensuring that DFID funding goes to a range of actors, including by channelling more funding bilaterally through non-Government organisations?
I thank the hon. Lady for raising the issue. She is right. In addition to addressing the emergency humanitarian needs, DFID is investing in partnership working—yes, at a bilateral level, but also through the multilateral organisations that we are working with. Long-term resilience, support and capacity building are required. Our humanitarian programme is laying the foundations for these long-term outcomes through, for example, social transfers and access to health services, and importantly, focusing on the right interventions that can both help in the long term and provide the emergency relief required now.
The UK has excellent links through the Anglican Communion to the Churches in Nigeria. Would the Secretary of State welcome the willingness of the Churches to help with the humanitarian situation to address some of the underlying causes, particularly corruption?
My right hon. Friend is right about the power and the support of the Anglican community and Churches in Nigeria in particular. We have to work with grassroots organisations and religious organisations as well. We welcome the support and the focus on capacity building in particular, and the awareness-raising that is required on many of these challenging issues.
Aid without security in northern Nigeria is meaningless. I welcome the deployment of British troops to support the Nigerians in the north-east. Will the Secretary of State review official development assistance rules to make sure that that type of deployment is ODA-eligible for the people of northern Nigeria?
My hon. Friend will be clear about ODA rules from his previous role in the Foreign Office. He highlights the importance of a united and strategic approach, which can be seen in the UK’s work to support the Nigerian Government in their overall undertaking. The cross-Government work that is taking place is the right approach to tackle the severe issues that Nigeria is trying to cope with.
Looking at the immunisation of children in northern Nigeria, it appears that the coverage is very thin. In the past, some of the figures for coverage have been shown to be completely false. Can the Department work with the Government of Nigeria to ensure that there is total transparency, and work more with NGOs to ensure that more children are immunised throughout northern Nigeria?
My hon. Friend is right about the importance of immunising children. I recognise the outstanding work that the agencies undertake in very difficult conditions as they try to reach communities to immunise children. More data and more transparency are needed, and we are driving much of that data transparency requirement through the support that we provide to organisations on the ground delivering those vital immunisations.
2. What steps her Department is taking to support education for girls in the developing world.
Providing education for girls is a priority for this Government and this Department. In the last Parliament, we helped over 5 million girls to get the education that they need and deserve. In this Parliament we continue that work. The girls’ education challenge is the largest programme of its type in the world. Over the course of this Parliament, we will see 11 million children or more supported into education because of the work of the UK.
In Afghanistan, adult women are more than twice as likely as men to be illiterate, with a literacy rate of just 24%, compared with 51% for men. Does the Minister agree that there is much work to be done to close the gap between girls and boys in developing countries, and that it is in Britain’s interests that we continue our world-leading efforts to close that gap?
I absolutely agree with my hon. Friend. We will continue our efforts and continue our commitment. The UK Government are supporting 300,000 girls in Afghanistan to complete a full cycle of education. The drop-out rate for girls in Afghanistan is running at around 50%. We have to do what we can to tackle that—to help countries develop, to help address these imbalances and to secure a better future for those who live there, but for UK interests as well.
15. Seventy-five per cent. of girls enter primary school in sub-Saharan Africa, but only 8% finish secondary school. What can DFID do to change that?
The hon. Gentleman makes a very important point. We need to ensure that people get the education they need and can benefit from, so that those economies can grow and those countries that have often suffered so much can develop their way out of poverty with our support. In this Parliament, the Government will be supporting over 11 million children—including, separately, 6.5 million girls—into education, including in sub-Saharan Africa. There is more work that needs to be done, but we are focused on the task at hand, and we shall ensure that we get the maximum value and benefit from the work that UK taxpayers contribute to.
HIV/AIDS continues to be the largest killer of girls in the developing world. If they cannot go to school because they are ill, they cannot fulfil their potential. What more can the Government do to ensure that girls stay healthy?
I thank my hon. Friend for his question. I met him only a few weeks ago in his capacity as chair of the all-party parliamentary group on HIV and AIDS, and we discussed the contribution the UK makes to the global health fund. I was delighted that, shortly thereafter, my right hon. Friend the Secretary of State announced a significant contribution from the UK. We remain a world leader in combating HIV/AIDS, as well as many other terrible diseases that affect girls and boys, and we are determined to play our part in ensuring these diseases are tackled, and ultimately eliminated, in the best and swiftest way possible.
This morning I was with Monir Mustafa of the White Helmets, who was absolutely clear that Assad’s bombs are targeting schools in Syria and the girls inside them. Has the Minister made representations to the Prime Minister and the Foreign Secretary to come to this House and bring forward a strategy to protect schools, hospitals and civilians?
We are discussing education for girls in developing countries, which was, I am sure, what the hon. Lady had very much in the forefront of her mind.
Whether it is in developing countries or those that are, sadly, impacted by some of the terrible conflicts we see across the globe today, I am proud that the Government are working with their international partners and the global community to fight those who look to do ill, and to protect those who need protecting most. In no small part, that includes those girls and boys who, so often, are the innocent victims of conflict. We are continuing to do what we can to support those who are suffering in Syria. The Department is making a very significant contribution, as is the UK taxpayer, but there is so much more that needs to be done, and I accept the point the hon. Lady makes.
When the Secretary of State appeared before the International Development Committee in September, she said she was working across Government on the implementation of sustainable development goals, but she was unable to give any details. Can she now provide an update on how her Department is leading the way to ensure that that important international framework is being fully implemented through DFID’s development work and here in the UK?
I have, indeed, as I mentioned at my last appearance at the IDC, been working across Government —I am working with the Cabinet Office as well—to ensure that all Government Departments, via their single departmental plans, will be meeting all of the SDGs. There will be an update forthcoming; I cannot give a date, but it will be quite soon, and I am sure it will be of interest to the hon. Lady when we publish it.
3. What steps the Government are taking to support the people of Mosul; and what plans her Department has for such support once the Iraqi-led counter-Daesh operation has concluded.
5. What steps the Government are taking to support the people of Mosul; and what plans her Department has for such support once the Iraqi-led counter-Daesh operation has concluded.
The UK is at the forefront of efforts to tackle Daesh and has led the way in supporting the Government of Iraq with humanitarian and stabilisation work as part of the response in Mosul. It is not enough simply to defeat Daesh on the battlefield; we have to ensure that we support the victims of barbarous regimes to get access to humanitarian support as events unfold in Mosul.
In such a complex and sensitive environment, how will DFID use its leadership role to ensure that other aid providers work together and take a united approach, to maximise the effectiveness and value for money that we can achieve from investment in this critical area?
My hon. Friend is right to highlight the issue not only of Mosul and stabilisation, but of the humanitarian response. DFID and the British Government are leading the way and working through our membership of the humanitarian country teams. We are working closely with the UN, donors, NGOs and, of course, the Iraqi and Kurdish Governments, to deliver a co-ordinated, targeted and effective response.
I welcome my right hon. Friend’s response to the urgent humanitarian needs. What are the UK Government doing to support the Government of Iraq in preparing for securing the peace and stabilising the city of Mosul once we get it back?
Stabilising newly liberated areas and helping people to return to their homes in a safe and secure environment is a central priority of the Government of Iraq. We are working alongside them and the UN coalition. Britain’s support for the stabilisation efforts is helping the UN to clear lethal explosives, repair water supplies, restore power networks and reopen schools. Those stabilisation efforts have already helped more than 700,000 people to return home across Iraq.
There is concern across the House about Daesh’s brutal treatment of minorities, including Yazidis and Christians. What approach will DFID take on that question, and will the Secretary of State speak to the Home Secretary about the potential for a medical evacuation or resettlement programme for Iraqi minorities, similar to that which we have for Syria?
The hon. Gentleman is right to raise the persecution of minorities by brutal regimes such as Daesh. He is also right to highlight the cross-Government approach that we have taken. I absolutely acknowledge his points. I will reflect on them and work with my colleagues across Government to pick up on them.
Does the Secretary of State agree that women have a key role to play, and that we need to do whatever we can to support them? Women have been doing so much to help protect civil infrastructure in Syria. If the Government do not have a plan, will they kindly consider putting in place a women-specific plan?
The hon. Lady is right to highlight the role of women. Not enough attention is given to the role that they play in peacekeeping and stabilisation. We hear much about the consequences of conflict for women, but they can play a significant role and that will be part of our ongoing dialogue with the Government of Iraq.
As winter creeps in across Iraq, thousands are expected to be exposed to temperatures close to zero as they flee for their life from Mosul. This is the worst time for the UNHCR to experience a funding shortfall in its winter assistance plan. What steps is the Secretary of State taking to guarantee that the UK and others meet their humanitarian obligations and address that shortfall?
The hon. Gentleman is absolutely right to raise not only the humanitarian issue, but the contributions required. The UK’s efforts are meeting in full our commitments to Iraq. The hon. Gentleman will recall that, at the UN General Assembly, we were the first, in terms of our pledges and commitment, for preparedness before the operation in Mosul. On the question of what more can be done, I and other colleagues in the donor community need to step up. I constantly engage with the donor community, pressing for a greater sense of urgency in getting funds, preparing for winter and, importantly, ensuring that shelter, food and emergency equipment are put in place sooner rather than later.
4. How much and what proportion of UK Government aid is delivered by third-party providers.
As the hon. Gentleman will be aware, almost all our Department’s work is done in partnership with third-party providers. Our Department provides the policy and the monitoring. In a humanitarian situation, it will be UN agencies delivering on the ground, and in a development situation, NGOs and partner Governments will work alongside us.
How exactly are we going to promote our democratic values in cases where our aid budget is being delivered by a third party, such as a foreign Government, and neither the people nor the Government in the recipient country have a clue that it is UK money going in?
I absolutely agree that we need to make sure that when UK taxpayers are contributing, that is clear to the people receiving the money. That is also why the Secretary of State has focused hard, with all these third-party providers, on securing value for money and ensuring that the UK national interest is served and UK taxpayers get the credit.
Isn’t it great that we have so many excellent NGOs in the UK to help us to deliver our aid programme? Does the Minister agree, however, that there is still too much competition, overlap and duplication between some of our NGOs, and that a measure of streamlining and collaboration would be most welcome?
That is absolutely right. Co-ordination is vital, particularly in an extreme humanitarian situation. It is terrible when people require assistance if we are wasting money duplicating effort. That is why DFID staff and UN staff are working so closely together, and that is why co-ordination is central to our multilateral aid review.
Does the Minister recognise the role of civil society organisations in delivering the sustainable development goals, which the former Prime Minister helped to draft? If so, why do the sustainable development goals not even appear in the recent civil society partnership review?
The sustainable development goals are central, and the UK Government played a very important role in bringing them forward, but this is a cross-Government effort and we will be bringing forward a cross-Government response.
6. What steps her Department is taking to promote economic development in Africa.
Last month in Kenya, I saw the life-saving impact of UK aid on the ground when it comes to combating drought, hunger and disease. I also saw how innovation can not only result in UK aid reaching more people, but help people to look at the long-term economic opportunities to tackle poverty and bring economic growth.
Does my right hon. Friend agree that working in partnership with Governments, businesses and investors around the world to transform economies and trading relationships, particularly in developing countries, should be a vital part of our UK diplomatic effort and our long-term prosperity strategy, especially as we approach Brexit?
My hon. Friend is absolutely right. No country can defeat poverty without economic growth. Jobs, trade and investment are central to that, and the United Kingdom will be at the forefront of championing economic development and helping the poorest in the world to work their way out of poverty.
9. The current inquiry by the all-party group on Africa into trade and economic development has highlighted the critical role of agriculture and agribusiness in supporting economic development, and the importance that many African Governments place on that. What is the Department doing specifically to support that and to encourage British manufacturing to support Africa’s growing agribusiness?
I am delighted that the hon. Lady raises these important sectors. She is right to do so, because of the youth dividend across Africa and the enormous potential for those sectors. DFID is leading the way when it comes to agri-development and investing through CDC and other organisations. British firms are playing a strategic role here, too. This comes back to the point that no country can defeat poverty without economic growth, and these are the core sectors that are crucial to the delivery of prosperity and jobs across Africa.
14. Economic development in Africa is very reliant on tourism. What does the Secretary of State feel about the continued slaughter of elephants and the fact that it will have a devastating effect on the tourist business?
My hon. Friend raises a very important and controversial issue. The protection of wildlife in Africa is a priority for the Government, and we have a strategy to address it. Tourism is of course important across Africa. I have visited not just Kenya, but Sierra Leone, another country that needs to get back to investing in tourism, and that is something we can help with in the long run.
What steps is the Secretary of State taking to ensure that UK taxpayers are reassured about the way in which our money is spent, and that accountability mechanisms are in place to ensure proper value for money?
The hon. Gentleman is right to raise the whole issue of value for money, which we in DFID will champion on behalf of British taxpayers. It is right that money goes to the right countries and the right people, because every pound that is not spent in the right way means that people do not get access to life-saving treatment or poverty reduction. Our mission in the Department is to ensure that we can eradicate poverty, but also to make sure that the money goes exactly where it needs to go.
T1. If she will make a statement on her departmental responsibilities.
No country can defeat poverty without sustained economic growth. Later today, the Government will introduce the Commonwealth Development Corporation Bill, which will raise the limit on the level of financial support that the Government can provide to the CDC. By doing so, we will be able to help to create more jobs and to boost economic growth in Africa and south Asia, so that people can lift themselves out of poverty and leave aid dependency behind. I will write to colleagues with further information.
Will my right hon. Friend outline what humanitarian relief the Government are providing to support those affected by the conflict in Yemen?
My hon. Friend is absolutely right to raise the appalling scenarios we are seeing in Yemen right now. There is a deteriorating situation and a humanitarian crisis, with an increasing number of Yemenis facing food shortages and suffering malnutrition. There has been a recent outbreak of cholera as well. The UK is the fourth largest donor, and has committed to spending £109 million in Yemen, helping more than 1.3 million Yemenis—[Interruption.]
Order. There are far too many very noisy private conversations taking place while we are discussing the fate of some of the most vulnerable people on the planet. The message is quite clear: hush or, alternatively, leave the Chamber.
Last year, we helped more than 1.3 million Yemenis to get access to food, medical supplies and water. My hon. Friend will know that we have recently helped to raise over £100 million, via the UN, to strengthen humanitarian support for people in Yemen.
T3. Does the Secretary of State understand the frustrations felt by DFID’s partners in civil society organisations and in the wider world about the continued delay in the publication of the bilateral and multilateral aid reviews? When will they be published, and will there be a statement or a chance to debate the proposals in this place?
I have recently spent much time with civil society organisations, non-governmental organisations and the great organisations doing life-saving work on the ground. We have recently published the “DFID Research Review” and the “Civil Society Partnership Review”. With regards to the development aid reviews—the multilateral and bilateral aid reviews—I can tell the hon. Gentleman that they will be coming by the end of the month.
T2. I welcome the work the Secretary of State is doing to ensure that UK aid to the Palestinian Authority does not directly fund payments to terrorist prisoners, but will she assure the House that she is doing everything possible to ensure that the aid does not indirectly fund such payments by freeing up resources that would otherwise be spent on day-to-day PA activities?
We have made it clear that our focus will be very much targeted on health, education and co-existence projects. We ensure that any support going in is carefully vetted, with an independent auditor, and directed to what will provide value for money; and, above all, that it will benefit the Palestinian people.
T4. Will the Secretary of State agree to put people before profit, following the publication of her Department’s “Civil Society Partnership Review”, and therefore ensure that any private sector involvement in the provision of UK development aid is driven by operational necessity, not the pursuit of profit?
As I have mentioned, we have published the “Civil Society Partnership Review”, on which I spent time speaking to many of the great organisations involved in the delivery of aid and humanitarian work around the world. We make sure that British aid—UK taxpayers’ money—goes to the right causes via the right organisations, and DFID will continue to pursue that. We are championing taxpayer value, while delivering poverty reduction and humanitarian support and assistance.
T7. The scenes of the war crimes committed by Daesh in the Assyrian capital of Nimrud are, on top of their human carnage, truly depressing and a wake-up call to the world that we need to work together to protect the world’s cultural heritage. Will the Secretary of State commit to continuing to play our part within UNESCO, notwithstanding the reservations she may have about the organisation’s finances?
My hon. Friend raises an important point about the destruction of cultural and heritage sites around the world. I have been clear that, in funding international organisations, we wish to see reform in the system to make sure that money is spent in the right way. We will continue to deliver value for money. DFID will publish the reviews that reflect on UNESCO towards the end of the month and he will see the approach we are taking.
T5. Further to an earlier question, will the Minister commit to fast-track the review of aid for the families of Palestinian prisoners, in the knowledge that any reduction in that aid will bankrupt the Palestinian Authority, undermine politicians who are working for a peaceful solution and play into the hands of those, like Hamas, who want to pursue a course of violence?
The Department remains entirely committed to the following principles. First, anything we do must encourage a two-state solution by ensuring that the Palestinian people are served with proper services. Secondly, we must make sure that the money goes in the right way to the right people. That is all about auditing, vetting and making sure that the real beneficiaries are there. Of course we will ensure that the review is done as efficiently as possible to serve the interests of the Palestinian people and the stability of the region.
Q1. If she will list her official engagements for Wednesday 16 November.
I am sure that the whole House will join me in expressing our condolences to the families and friends of the seven people who lost their lives and to those who were injured in the tragic tram incident in Croydon last Wednesday. We all thank those involved in the rescue operation This morning I had meetings with ministerial colleagues and others. In addition to my duties in this House, I shall have further such meetings later today.
Will the Prime Minister join me in welcoming today’s news that the unemployment rate has fallen to an 11-year low? Will she join me in thanking all those businesses that create jobs, such as Jennifer Ashe & Son, whose funeral home on Brownhills High Street in my constituency I was kindly asked to open last weekend?
I absolutely agree with my hon. Friend. I am pleased to say that in the last year, employment in her constituency of Aldridge-Brownhills has gone up by 88,000. It is good to hear of companies that are providing new jobs. The employment figures show the strength of the fundamentals of our economy: the employment rate has never been higher and the unemployment rate is lower than it has been in more than a decade. I am sure that Members from all parts of the House will welcome yesterday’s news that Google will create another 3,000 jobs.
I concur with the remarks the Prime Minister made about the disaster in Croydon last week. We send our sympathies to all those who lost loved ones and express our solidarity with the emergency workers who went through such trauma in freeing people from the wreckage It appears from press reports that the Chagos islanders who were expelled from their homes over 40 years ago will suffer another injustice today with the denial of their right of return. Yesterday, the Foreign Secretary told European media that Brexit would “probably” mean leaving the customs union. Will the Prime Minister confirm whether that is the case?
I think the right hon. Gentleman was trying to get two issues in there. On the issue of the Chagos islanders, there will be a written ministerial statement to the House later today, so everybody will be able to see the position the Government are taking On the whole issue of the customs union and the trading relationships we will have with the European Union and other parts of the world once we have left the European Union, we are preparing carefully for the formal negotiations, but—[Interruption.] We are preparing carefully for the formal negotiations. What we want to ensure is that we have the best possible trading deal with the European Union once we have left.
I asked the Prime Minister, actually, about the Foreign Secretary’s remarks about leaving the customs union. He is only a few places down from her. Mr Speaker, would it be in order for the Foreign Secretary to come forward and tell us what he actually said? I am sure we would all be better informed if he did Earlier this week, a leaked memo said that the Government are “considerably short of having a plan for Brexit…No common strategy has emerged…in part because of the divisions within the Cabinet.” If this memo is, as the Prime Minister’s press department says, written by ill-informed consultants, will she put the Government’s plan and common strategy for Brexit before Parliament?
I have to say to the right hon. Gentleman that, yes, we do have a plan. Our plan is to deliver the best possible deal in trading with and operating within the European Union. Our plan is to deliver control of the movement of people from the European Union into the United Kingdom. Our plan is to go out there across the world and negotiate free trade agreements around the rest of the world. This Government are absolutely united in their determination to deliver on the will of the British people and to deliver Brexit. The right hon. Gentleman’s shadow Cabinet cannot even decide whether it supports Brexit.
Well, the word does not seem to have travelled very far. I have to say, I sympathise with the Italian Government Minister who said this week, about the Prime Minister’s Government: “Somebody needs to tell us something, and it needs to be something that makes sense.” Is not the truth that the Government are making a total shambles of Brexit, and nobody understands what their strategy actually is?
Of course those in the European Union whom we will be negotiating with will want us to set out at this stage every detail of our negotiating strategy. If we were to do that, it would be the best possible way of ensuring that we got the worst result for this country. That is why we will not do it.
Talking of worst results, the Foreign Secretary has been very helpful this week, because he informed the world that “Brexit means Brexit”—we did not know that before—and that “we are going to make a titanic success of it.” Taking back control, if that is what Brexit is to mean—[Interruption.] The Prime Minister is getting advice from the Foreign Secretary now; can we all hear it? Taking back control clearly requires some extra administration. Deloitte has spoken, saying: “One Department estimates it needs a 40% increase in staff to cope with its Brexit projects”, and that overall expectations are of an increased headcount of between 10,000 and 30,000 civil servants. If that estimate is wrong, can the Prime Minister tell the House exactly how many extra civil servants will be required to conduct these negotiations? Her Ministers need to know—they are desperate for an answer from her.
I repeat for the right hon. Gentleman that we are doing the preparations necessary for the point at which we will start the complex formal negotiations with the European Union. I have set up a Department for Exiting the European Union, and my right hon. Friend the Secretary of State is doing an excellent job there in making those preparations I have to say to the right hon. Gentleman that from the confusion that he has on his Benches in relation to the issue of Brexit, it seems to be yet another example from Labour of how where they talk, we act. They posture, we deliver. We are getting on with the job, he is not up to the job.
Well, Mr Speaker—[Interruption.] That was exciting, wasn’t it? Mr Speaker—[Interruption.]
Order. There is far too much noise in the Chamber. I say to the hon. Member for Kingston and Surbiton (James Berry), calm yourself, man. You should seek to imitate the calm and repose of your right hon. and learned Friend the Member for Rushcliffe (Mr Clarke), who is setting an example for all Members of the House.
I do not wish to promote any further division on their Benches, Mr Speaker These are the most complex set of negotiations ever undertaken by this country. The civil service has been cut down to its lowest level since the second world war. The Prime Minister’s main focus surely ought to be coming up with a serious plan. May I ask her to clarify something? If, when the Supreme Court meets at the beginning of December, it decides to uphold the decision of the High Court, will the Lord Chancellor this time defend our independent judiciary against any public attacks?
As the right hon. Gentleman knows, there have been two cases in the UK courts on the prerogative power and its use. The Northern Ireland court found in favour of the Government; the High Court found against the Government. We are appealing to the Supreme Court. We have a good argument, and will put the case to the Supreme Court. I believe and this Government believe in the independence of our judiciary, and the judiciary will consider that decision and come to their judgment on the basis of the arguments put before them. But we also believe that our democracy is underpinned by the freedom of our press.
My question was on defending the independence of the judiciary. We should all be doing that. We have an International Development Secretary who is opposed to overseas aid, a Health Secretary who is running down our national health service, a Chancellor with no fiscal strategy, a Lord Chancellor who seems to have difficulty defending the judiciary, a Brexit team with no plan for Brexit and, as has just been shown, a Prime Minister who is not prepared to answer questions on what the actual Brexit strategy is. We need a better answer than she has given us.
I will tell the right hon. Gentleman what we have got. We have an International Development Secretary delivering on this Government’s commitment to spend 0.7% of gross national income on international development, a Health Secretary delivering on £10 billion of extra funding for the health service and a Chancellor of the Exchequer making sure we have the stable economy that creates the wealth necessary to pay for our public services. And what we certainly have got is a Leader of the Opposition who is incapable of leading.
Q6. The Prime Minister understands that we are a one nation party or we are nothing, something our political opponents consistently underestimate, to their cost. In the autumn statement next week will she continue to pursue that agenda with all the resource and vigour she can muster, including by increasing significantly further the personal allowance, so that the lower paid disproportionately benefit?
They do the absolute opposite!
Order. It is always interesting to hear the thoughts of the right hon. Member for Slough (Fiona Mactaggart) but they should not be articulated from a sedentary position and will have to wait for another occasion.
Before I answer my hon. Friend’s question, may I wish his wife all the very best in the treatment she is going through at the moment? The thoughts of the House are with her My hon. Friend is right. We have a manifesto commitment to increase the personal allowance. By increasing it from £6,475 in 2010-11 to £11,000 in 2016-17 and £11,500 next year, we have cut income tax for more than 30 million people and have taken 4 million people out of paying income tax altogether. That is important. It has helped people at the lower end of the income scale.
We join the Prime Minister and the Leader of the Opposition in extending our condolences following the tragedy in Croydon and in paying tribute to the emergency services The Institute for Government, which has close ties to the civil service, has published a report saying that the UK Government’s approach towards Brexit is “chaotic and dysfunctional”, that Brexit poses an “existential threat” to operations in Whitehall Departments, that the Prime Minister has a “secretive approach” towards Brexit, and that the present situation is “unsustainable”. Does the Prime Minister plan to carry on like this regardless?
The right hon. Gentleman will not be surprised when I tell him what the Government are doing in relation to Brexit. As I said earlier, the most important thing for the Government to do is calmly and carefully to get on with the job of preparing for complex negotiations. One of the most important things we can do is to make sure that we are not giving a running commentary on those negotiations and on our stance, because that would be the best way to get the worst deal for this country.
On the day we hear that “post-truth” has become the international word of the year, we have a running commentary from the Foreign Secretary. He is prepared to tell the media in the Czech Republic that the United Kingdom is likely to leave the EU customs union post-Brexit, but that it still wants to trade freely afterwards. In response, his colleague from the Netherlands said that that option “doesn’t exist” and is “impossible”. Both those things cannot be correct, so will the Prime Minister confirm today, to Parliament and to the country, whether the UK is likely to leave the EU customs union post-Brexit—yes or no?
The right hon. Gentleman does not actually seem to understand that the customs union is not just a binary decision, but let us set that to one side. Let us look at what we need to do: get the best possible deal for access to, trading with and operating within the single European market. He stands up time and again in Prime Minister’s questions and says to me that he wants access to the single European market. I might remind him that it was only a couple of years ago that he wanted to take Scotland out of the single European market by making it independent. [Interruption.]
Order. [Interruption.] Order. Mr Docherty-Hughes, you are in a very emotional condition. I normally regard you as a cerebral denizen of the House. Try to recover your composure, man!
Q15. In Southend, crimes such as burglary and vehicle theft are down, but knife crime is on the increase, particularly that perpetrated by drug dealers and drug users. Can my right hon. Friend confirm that this will be a priority for Her Majesty’s Government? Specifically, is there anything more that she can do to help police and crime commissioners such as Roger Hirst to deal with this very big challenge?
I thank my hon. Friend for raising an issue that is very important for everybody in the House. Certainly the Government will do all they can to support police and crime commissioners such as Roger Hirst, who is already doing an excellent job in Essex. Since 2009, knife crime figures have fallen overall, but I recognise my hon. Friend’s concerns. That is why the Home Office has been supporting police forces such as Essex in conducting weeks of action against knives under Operation Sceptre. We have legislated to ban dangerous knives, including zombie knives. We are putting tough sentences in place and making sure that offenders are punished. We should send a very clear message that we will not tolerate knife crime in this country.
Q2. Many people in this country visit the United States every year to study, on business, or simply to enjoy one of the greatest countries on earth. What action will the Prime Minister take if the new President-elect carries through his campaign promise to discriminate against our citizens on the basis of their religion? Will she give a commitment that the special relationship which she believes her Government have with the US presidency will be conducted on the basis of respect for the dignity of all our citizens, irrespective of their race or religion?
I am happy to say to the hon. Gentleman that our special relationship with the United States is, I think, very important to both the United States and the United Kingdom. We will continue to build on it, as was clear from the conversation that I had with President-elect Trump shortly after his election, and of course we want to ensure the dignity of our citizens. It is up to the United States what rules it puts in place for entry across its borders, but we will ensure that the special relationship continues, and does so in the interests of both the UK and the US.
Last Tuesday, I attended an infection prevention and control summit that highlighted the great work done by the Department of Health, the NHS and other organisations dramatically to decrease MRSA infection rates, yet also raised the growing threat of E. coli and sepsis. Will my right hon. Friend join me in commending such events and outline the Government’s strategy for combatting superbugs?
I absolutely join my hon. Friend, who raises a very important issue, in commending such events. It true that the DOH, Public Health England and the NHS are doing vital work to decrease infection rates. We have already seen some very good results—a 57% reduction in MRSA bloodstream infections since 2010 and a 47% reduction in C. diff infections—but of course there is more to do, which is why we are setting bold objectives to halve gram-negative blood infections by 2020, and why last week we announced a new national infection lead to champion and oversee this effort. This is an important issue and I am grateful to my hon. Friend for raising it.
Q3. Free trade is vital to our future prosperity, and Brexit does not mean rejecting globalisation. Will the Prime Minister ensure that any new trade deals with the wider world after Brexit are based on the mutual recognition of standards, not on the kind of over-elaborate, prescriptive, top-down regulatory regime that underpins the European single market?
I welcome the hon. Gentleman’s support for free trade. He is absolutely right that as we leave the EU we will be looking for opportunities to develop flexible trading relationships around the world that suit the United Kingdom. Given the strength of our economy, I believe that we can go out there and be a global leader in free trade, and I welcome his support for that.
Last Wednesday, seven people tragically died and 50 were injured in a tram accident in Croydon. I am sure that the whole House will join the Prime Minister, the Leader of the Opposition and the leader of the SNP in extending our heartfelt condolences to the bereaved families. Three investigations—by British Transport Police, the Office of Rail and Road, and the Rail Accident Investigation Branch—are under way. Will the Prime Minister assure the House and the families that any recommendations to improve safety on trams in Croydon and across the country that are made by those investigations will be rapidly implemented by the Government?
I join my hon. Friend in once again sending our condolences to the families and friends of the seven people who died in this terrible incident, in expressing our sympathies for those injured and affected, and in thanking our emergency services. It is important that we allow these investigations to continue and that they can come up with recommendations in due course; we will, of course, look very seriously at them. We can never be complacent about safety and security regarding such issues, so we need to make sure that if there are lessons to be learned, they are indeed learned.
Q4. If she will postpone proposed reductions to employment and support allowance and universal credit; and what recent discussions she has had with the Secretary of State for Work and Pensions on those reductions.
The Government are committed to protecting the most vulnerable in society, including disabled people and those with health conditions, and people currently receiving employment and support allowance will continue to receive the same level of financial support. We are ensuring that the support is concentrated on those most in need, and that it is available not just through benefits, but as part of a wider package to help those who could get into the workplace reach the point where they can get into the workplace.
This week, the Prime Minister said: “Change is in the air. And when people demand change, it is the job of politicians to respond”, so how does she respond to the 70 disability organisations that want these cuts stopped, or indeed to Conservative Members who have supported my cross-party motion calling for these cuts to be halted, which will be debated tomorrow? Surely she must respond accordingly.
As I have said, we are focusing support on those most in need. For those in the support group for ESA, support has gone up, and we are giving extra support to help those in the work-related group who could at some stage get into the workplace to do so. It is important that we do not view this solely as an issue of benefits; it is about the whole package that is available, which includes the personal independence payments that provide for the living costs of disability. Let me gently remind the hon. Gentleman that if he is concerned about the levels of payment in Scotland, he might wish to talk to the Scottish Government about the new powers that they have, whether they intend to use them and how they would fund them.
Following the election of Mr Trump, and given the very welcome progress made in our society by women and those from ethnic minorities, what message of reassurance does the Prime Minister have for fat, middle-aged white men, who may feel that we have been left behind?
That is a very interesting point. Perhaps my hon. Friend would like to come up and see me some time.
Q5. In its state of the nation report, the Government’s Social Mobility Commission today issued a damning verdict on progress: things are getting worse. The commission concluded that the key drivers of social mobility—quality in early education, narrowing the educational attainment gap, and access to work and housing—are all going backwards on the Prime Minister’s watch. When will she come forward with a real strategy for opportunity for all, instead of fixating on creating an even more elite education for those who are already elite?
I note that the Social Mobility Commission has recorded today that more working- class youngsters are benefiting from higher education than at any point in our history. The Government have invested record amounts in childcare and the early years, and the attainment gap, as the report acknowledges, has actually narrowed. The hon. Lady refers to the education system and the reintroduction of grammar schools, so I refer her to the report commissioned by a Labour council in Knowsley to look at how it could improve educational achievement there. That report said: “Re-introducing grammar schools is potentially a transformative idea for working class areas”.
Today the BBC World Service announced its biggest expansion since the 1940s, including 11 new services in different languages, bringing the total number of languages covered around the world to 40. Does the Prime Minister agree that this is an excellent example of soft power and a lifeline to many people around the world?
I absolutely agree with my hon. Friend. The service that the BBC provides through its World Service and the independent journalism that that brings to millions of people around the world is very important, including by bringing that to people in places where free speech is often limited. It is important to support the BBC World Service, which is why we are investing £289 million over the next four years so that it can provide accurate and independent news to some of the most remote parts of the world.
Q7. The University of St Andrews in my constituency gets 25% of its research funding from the EU. It has benefited from freedom of movement, which brings some of the finest researchers to St Andrews and elsewhere. What guarantees can the Prime Minister give about research funding and freedom of movement for academics, particularly after 2020?
The hon. Gentleman will know that we have already given guarantees about the research funding available from the EU and those contracts that will be signed. He will know, too, that within the immigration rules for people outside the EU, we are already able to ensure that the brightest and the best can come to the United Kingdom. I remind the hon. Gentleman, however, as I reminded his right hon. Friend the Member for Moray (Angus Robertson), that it was not that long ago since he was campaigning to come out of the European Union and come out of free movement.
In a Committee yesterday, I learned that the Iraq Historic Allegations Team had placed serving members and veterans under surveillance in this country. I also learned that, despite everything we have said, we have paid for chasing lawyers to go out and collect evidence in theatre. I know of the Prime Minister’s commitment to this agenda. Does she agree that we need to work harder to close the gap between what we say and how things actually feel for our servicemen and women?
My hon. Friend raises an important point. I recognise the concern that has been expressed by a number of my hon. Friends about the impact of the IHAC on servicemen and women. It important that we ensure that it conducts its inquiries within a reasonable timescale, which it is now set to do, and that it weeds out what could be described as the more frivolous cases. I am sure that my hon. Friend will accept that credible allegations of criminal activity should be investigated properly, but I am conscious of the need to ensure that our servicemen and women, who do such a good job for us around the world and keep us safe and secure, have the support that they need.
Q8. When she next plans to meet the First Minister of Scotland.
I recently met the First Minister and leaders of the devolved Administrations at the Joint Ministerial Committee. Its next meeting is planned for early in the new year. Of course, the United Kingdom Government engage regularly with the Scottish Government on a range of issues.
There is a question that is, I am sure, vexing not just the First Minister but the whole of Scotland. On 22 June, Ruth Davidson stated that those supporting the leave campaign “won’t tell us what they will replace the single market with.” Now that the Prime Minister is part of a Government who are dragging Scotland out of the European Union against its sovereign will, can she answer Ruth Davidson?
And on 23 June, the people of the United Kingdom voted to leave the European Union, and that is what the Government will deliver. [Interruption.]
Order. Members should not seek to shout down the Prime Minister. The question was asked, and the answer has been provided.
It is right that the Prime Minister has latitude to enter into negotiations with the EU. However, the Vote Leave campaign was very clear that the rights of EU citizens would not be affected if this country voted to leave. My parents are Italian. They have never naturalised and have been in this country for 50 years. Can the Prime Minister assure me that she will never instruct me to vote in the Lobby to take away the rights of my parents and those of millions of other EU citizens?
I recognise the personal passion with which my hon. Friend raises this issue. I want, intend and expect to be able to guarantee the rights of EU citizens living in the United Kingdom, but I also want the rights of UK citizens living in EU member states to be guaranteed. As I have said previously, I hope that this is an issue that we shall be able to discuss with my European colleagues at an early stage.
Q9. Dementia is the single greatest health crisis faced by this country. New figures published by the Office for National Statistics reveal that dementia and Alzheimer’s disease are now the leading cause of death. In Bradford, however, there can be up to four months between referral and diagnosis. Will the Prime Minister pledge today to bring about parity in end-of-life care for people with dementia, and commit to introducing a specialist end-of-life service for those who are diagnosed with Alzheimer’s disease?
I commend the hon. Lady for raising an issue that I know is a personal concern for her. It affects the constituents of Members in all parts of the House. We have set ourselves the ambitious target of 4 million dementia friends by 2020; we already have 1.6 million. We have doubled research spending on dementia and invested in the development of a dementia research institute. We are determined to transform end-of-life care, which is why we have created the national end-of-life care programme board, which will help to implement the commitment to high-quality, personalised end-of-life care for all. I am grateful to the hon. Lady for raising this important issue and assure her that it is something on which the Government are focusing.
At the same time as the Government are rightly restoring hundreds of millions of pounds of funding to the BBC World Service, there are no current plans to restore the very modest £20 million a year it costs to run BBC Monitoring. Former members of the Intelligence and Security Committee such as Lord Menzies Campbell and I are dismayed that the BBC is proposing to cut the monitoring service further, to close Caversham Park and to break the colocation with its American counterparts. Will the Prime Minister agree to meet us and have a discussion before this disaster is visited on an incomparable source of open-source information on which so many Government Departments and intelligence agencies depend?
My right hon. Friend raises an important issue. Of course the staffing and provision for the monitoring service are matters for the BBC, but we are clear about the importance of the service. It provides high-quality reporting for the Foreign Office, the Ministry of Defence and other parts of Government, and of course for the BBC itself. As part of the charter renewal process, we are talking to the BBC about a new agreement in relation to the BBC monitoring role that we believe will result in an improved service for Government, not a reduced one.
Q10. The Prime Minister does not seem to have very much control over world events, but she should at least be able to get a grip on the child abuse inquiry that she set up. In two years, it has lost not only three chairs, but now eight senior lawyers, the latest citing further concerns about competency and leadership. The Prime Minister will surely be as aware as me that further serious allegations that have been made to the inquiry panel have gone uninvestigated, so will she tell us whether she shares the full confidence in the inquiry that her Home Secretary expressed some moments ago, and if so, why?
I recognise the importance of this issue to the hon. Lady. It is one on which she has campaigned, and she champions the cause of the victims and survivors. Of course, like her, it is the victims and survivors whom we must always keep at the forefront of our minds. That is why it is important that this inquiry is able to continue, and I agree. This point was made this morning by the right hon. Member for Normanton, Pontefract and Castleford (Yvette Cooper), the new Chairman of the Home Affairs Committee. We owe it to the survivors and victims for the inquiry to continue. I have to say that, having seen the work that Professor Alexis Jay did in the Rotherham inquiry, I have absolute confidence in her ability to undertake this inquiry.
During the United States election, President-elect Trump stated that Britain should not be at the back of any trade queue, but should be at the front. Now that he has been elected President, what action will the Prime Minister’s Government be taking to ensure that the already very good trading conditions between the USA and the United Kingdom further improve?
My hon. Friend is absolutely right. I mentioned earlier the special relationship between the UK and the USA. We now have an opportunity in our trading relationship with the USA, and that is something I will want to discuss with President-elect Trump at a very early stage.
Q11. Too often social media is the weapon of choice of those who seek to bully and intimidate others. It was the weapon used against my young constituent, Declan Duncan, when his bullies tried literally to run him out of his own hometown, making his life a misery. Will the Prime Minister agree to meet Declan and me to discuss how companies such as Facebook and Twitter can be held to account for their platforms being too easily used by those who try to harass and bully others?
The hon. Gentleman raises an important issue. Social media is overall a good that is used for good intents—it is even used by political parties for campaigning and in other ways—but it can also be abused and ill-used by people who wish to bully others, and there are Members of this House who have suffered significantly as a result of bullying and trolling on social media. The Home Office is well apprised of this issue. Over the years—I did this when I was Home Secretary—it has been talking to the companies about their responsibilities. The issue is best addressed through the terms and conditions of the companies themselves, and I am sure that the Home Secretary has listened very carefully to the hon. Gentleman’s point.
In the teeth of opposition from the Conservative party, the last Labour Government changed the law to make sure that all prisoners were released halfway through their sentence, irrespective of whether they had misbehaved in prison or still posed a threat to the public—[Hon. Members: “Rubbish!”]
Order.
That must have contributed to the upsurge in violence in our prisons. Does the Prime Minister agree with the previous Labour Government that prisoners should be released halfway through their sentence, irrespective of how badly they have behaved or the threat they pose to the general public, or does she agree with me that this is an outrage that flies in the face of public opinion and must be reversed?
The important point, as my hon. Friend indicates, is that when decisions are taken about the release of prisoners, proper consideration is given to the impact of that release on the wider community. That is why this issue has been looked at, and I can assure him that it was an issue of concern when I was Home Secretary. But this is not just about the conditions under which prisoners are released; it is actually about how we ensure that we have measures in place to rehabilitate ex-offenders. That is why the work that has been done by previous Justice Secretaries, which is being continued by the current Justice Secretary, is important to ensure that we reduce reoffending by prisoners when they are released.
Q13. Can the Prime Minister confirm or deny that there have been official conversations at any level about giving Nigel Farage a peerage?
All I can say to the hon. Gentleman is that such matters are normally never discussed in public.
Will my right hon. Friend the Prime Minister join me in welcoming the announcement of phase 2 of High Speed 2 from Crewe to Manchester airport and into Manchester Piccadilly, bringing jobs and prosperity to Weaver Vale, to Cheshire and to the north-west region including north Wales, thereby closing the north-south divide?
I know that my hon. Friend has championed the cause of HS2 for a long time, and he is absolutely right. I welcome the Government’s announcement about this. It shows that we are willing to take the big decisions that will help to support our communities and our economy. Crucially, as he says, HS2 will support the economy in the part of the country that he represents.
Q14. The very special relationship between the UK and the Republic of Ireland has flourished over the years. Holyhead in my constituency plays a major part in that, thanks to freedom of travel, which both countries have enjoyed within the European Union, which we both joined in 1973. Now that the UK has voted to leave the European Union, can the Prime Minister assure us that there will be no extra barriers at Welsh ports that could threaten trade, tourism and that special relationship?
The hon. Gentleman refers to free movement arrangements being in place since 1973, but the common travel area was actually started 50 years earlier, in 1923, so it existed for some considerable time before we were in the European Union. I repeat what I have said in the House before when asked about this issue: we are working with the Government of the Republic of Ireland and with the Northern Ireland Executive, and we are very clear that we do not want a return to the borders of the past. We recognise the importance of movements of trade and people to those on both sides of that border.
On a point of order, Mr Speaker.
On a point of order, Mr Speaker.
Order. I say to expectant hon. Members who are itching to raise points of order that points of order come after urgent questions. I am sure that they can restrain their appetites for a period.
(Urgent Question): To ask the Secretary of State for the Home Department if she will make a statement on the Calais children and the guidance document published by her Department for section 67 of the Immigration Act 2016.
The Home Secretary updated the House on 24 October on how the Government were supporting the French authorities in the humanitarian operation to clear the camp in Calais. That statement outlined the Government’s absolute commitment to bring eligible children from France to the UK. That included those with close family links under the Dublin regulations and those unaccompanied refugee children who met the wider criteria of the Dubs amendment to the 2016 Act. These children are the very youngest, those assessed as being at a high risk of sexual exploitation, and those likely to be granted refugee status in the UK. On Monday, my Department published further details of the policy, including our intention to prioritise the youngest We remain absolutely committed to bringing all eligible children to the UK as soon as possible. More than 300 children have been transferred from France since 10 October. Transfers were resumed over the weekend, and another 19 girls assessed as being at high risk of sexual exploitation were brought to Scotland. It is important to note that all the children previously in the camp in Calais are now in the care of the French authorities. Staff from the UK supported the French operation to move the children from the container area in the camp to specialist centres across France, where they are receiving the care and protection they need Home Office staff, interpreters and social workers are currently visiting the centres to carry out the necessary assessments to determine whether it is in the best interests of the child to be transferred to the UK. The Government have continued to seek every opportunity to expedite this process, but as has previously been made clear we must work alongside the French and with their permission. I am grateful for the support of the local authorities that have stepped forward to accommodate the children and look forward to continuing to work closely with those authorities to ensure we do not place an unnecessary burden on them The Government are getting on with the job of bringing eligible children over to the UK, working closely with the French authorities to ensure that both Governments are working in the best interests of these children. I hope that the whole House will join me in supporting that.
The chaotic demolition of the Calais camp, which abandoned some children on the street, leaves upwards of 1,000 children in basic and temporary care facilities in France. In the days running up to the demolition, the Home Secretary made statements that pointed to the UK offering a home for up to half of the children in the camp. It is unclear how that will be achieved given the criteria in the guidance document, so I hope that in answering my questions the Government will be able to explain how that will be done. What progress has the Home Secretary and her Department made with local authorities on agreeing the number of vulnerable children the UK will take from Calais and other European camps? Will the guidance and the criteria apply to other European countries, such as Italy and Greece? When will the criteria for those countries be produced? Why has the Home Office limited one of the criteria to Sudanese and Syrian unaccompanied children? Why are Eritrean children excluded? Can the Minister explain why they have chosen to exclude 16 and 17-year-old children from the eligibility criteria in Calais given the universal recognition that they are still children and still vulnerable? Given the Government’s commitment to tackling modern slavery and exploitation at home and across the globe, will the Minister clarify why the vulnerability of these child victims is not included in the “at risk” criteria? Finally, what guarantees can the Minister give that the children who will eventually be allowed into the UK will not be deported on reaching the age of 18 This House agreed to the Dubs amendment and our Government must now set out how they are going to honour its letter and spirit.
It was absolutely right that, during the final days of the camp clearance, there was a pause. As the right hon. Gentleman said, there were some chaotic scenes, but they were not as chaotic as some of the scenarios that we had planned for, including violence, possible injury and even death, during that clearance. Now that the children have been transported to the reception centres—or welcome centres as the French call them—around the country, we can now assess them under the criteria of the Dubs amendment. More than 300 children have already been transferred to the UK, and we expect several hundred more to be transferred under both the Dubs amendment and the Dublin regulations The right hon. Gentleman talks about the numbers. Under the Dublin regulations, there is no limit on numbers—if the children meet the criterion of having family here, they will be brought across. That applies not just to France, but to Italy, where we have Home Office people working, and to Greece, where things are slightly more difficult, but where we hope to make progress The right hon. Gentleman talks about the Syrians and the Sudanese. It is absolutely important that the children we bring across are those who are more likely to qualify for asylum. He mentioned the Eritreans. I know that there are particular issues with Eritrea—I have been taking an interest in that country, particularly in the open-ended nature of the national service there—but we did update our country guidance in October to reflect the court judgment. The threshold that we have put in place is based on overall grant rates for the year ending June 2016, and the nationalities that have a grant rate of 75% or higher are the Sudanese and the Syrians. Yes, he is absolutely right that when children arrive in the UK they should claim asylum, and they will be processed in the usual way.
What is the average age of the children?
The demographics of the children in the camp are that 90% were male and 60% of them were in the age group of 16 and above. We are determined to assess the most vulnerable children, as they are the ones whom the Dubs amendment suggests that we assess. That includes those who are 12 and under; those who are 15 and below whose nationalities are likely to qualify them for refugee status; and those at high risk of sexual exploitation, including particularly the girls who could be trafficked.
The qualifying eligibility criteria for children from Calais are a disgrace. The children have to meet one of the following criteria: they are aged under 12; they have been referred by the French authorities as being at high risk of sexual exploitation; they are aged under 15 and are Syrian or Sudanese; and they are aged under 18 and the sibling of a child in one of the former categories. They must also all meet the following criteria: it must be in the best interests of the child; they must have been in Calais on or before 24 October 2016; and they must have been in Europe before 20 March 2016. The criteria are a disgrace, and are certainly not in the spirit of the Dubs amendment On the basis of the criteria, it seems that any child at medium or moderate risk of sexual exploitation is on their own. A child is a child until the age of 18, and it is wrong to restrict children’s right to transfer based on their age. It is not clear what the basis or authority for determining the additional criteria are, or whether there is any appeals procedure The arbitrary dates mean that children who came to Europe after 20 March are on their own, whatever their age, and that children who came to Europe after 24 October are on their own. Children are at risk of all kinds of exploitation, including trafficking, forced labour and modern slavery, but this Government do not care. [Interruption.] If Members are not comfortable with what I am saying, that is not my problem. Without a proper asylum process, we risk pushing children into taking dangerous journeys to the UK in order to get a fair hearing for their asylum claim. None of this meets the Dubs amendment, which is that any child who would benefit from asylum in the UK should be granted it—up to 3,000 children. Will the Government now meet the full demands of section 67 of the Immigration Act 2016 as voted for in this House?
The hon. Lady has gone completely over the top. I am proud that the United Kingdom is the second biggest donor in the region. I am proud that the United Kingdom has agreed to take 20,000 people from the region and an additional 3,000 people, including children from the wider area. I am proud of the work that we are doing and I am proud that we are meeting our obligations under the Dublin regulations and the Dubs amendment. If she reads the Dubs amendment, she will understand that the number we bring across should be able to be accommodated by our local authorities I have been working very closely with local authorities. I met representatives of the local authorities at their summit on 13 October and I spoke at their conference on 3 November. We are working very closely with them to ensure that the children we bring across can be accommodated, and, as I have said, 118 local authorities are doing that I remind the hon. Lady that the children we do not bring across are not in Syria, but in France, which is a civilised country with a developed social system. Those children are being well supported and well looked after in France. The children about whom I am most concerned are those who are still in Syria—they are the ones we are endeavouring to help The reason why we do not consider children who arrived in Europe after 20 March is, simply that we do not want to introduce a pull factor that will incentivise parents to pay people traffickers to help their children make that hazardous journey across the Sahara, across the Mediterranean and, in many cases, end in a watery grave. That is why that date has been chosen and why we do not want to do anything to introduce a pull factor that would increase the number of people drowning in the Mediterranean or the Aegean.
Let me tell the hon. Member for Swansea East (Carolyn Harris) that I know that this Minister is absolutely committed to safeguarding and protecting unaccompanied refugee children I have constituents who have been working as volunteers in the Jungle, and they have contacted me—I have also contacted the Department about them—because they still have some concerns about the children who have been scattered across France. They are still in direct contact with those children by mobile phone. What would be the best way for my constituents to contact the Department to give real-time and up-to-date information about these vulnerable children who they believe have a right to come to the UK?
First, let me pay tribute to the non-governmental organisations that have been working in France. I am talking about not only the French NGOs such as France terre d’asile, but British charities that have been working in the camp, giving the children much-needed help, and the United Nations High Commissioner for Refugees, which is one of our partner organisations working in France and the wider region. Anyone who is in contact with a child in France should tell them to apply for asylum in France. That child’s claim will be considered and they will be looked after in France. One problem that we faced during the Calais camp situation was that the people traffickers and the organised criminals were advising people not to apply for asylum. That is the wrong advice to give. It is important that they do apply for asylum in France, which is a safe country for them to be in.
The debates that we had in this House on the Dubs amendment were among the most passionate that I have seen since my election 18 months ago. How section 67 of the Immigration Act 2016 is now implemented is important to this House and deserves the greatest scrutiny. Surely the Government will agree to a proper debate in this Chamber on the content of the guidance that they have issued, because restrictions appearing in the guidance were certainly never contemplated during the Dubs debates My party shares the uneasiness about the exclusion of any children aged 16 and 17. Of course 16 and 17-year-olds can be, and are often, vulnerable. I ask the Minister is this a hard and fast rule, or will discretion be applied? Similarly, we are very troubled with the restrictions on nationality. For example, the exclusion of Eritreans is utterly inappropriate given that Home Office decision making in this area has been torn to pieces in the tribunals. Surely, the grant rate will soon be back through the 75% threshold mentioned. Again, will some discretion be applied in this area? We share UNICEF’s concerns that eligibility is restricted to those “at risk of sexual exploitation.” I have not yet heard an explanation of why those at risk of trafficking, forced labour and modern slavery are not to be included as well. As the hon. Member for Swansea East (Carolyn Harris) said, this guidance relates to children in France. What input did the French Government have in setting these criteria, and when will we see guidance for other countries, especially Greece and Italy Finally, in relation to children and the Immigration Act, may I ask when the Secretary of State intends to extend the scope of the scheme for transferring responsibility for relevant children in order to include Scotland, under section 73 of the Immigration Act?
May I suggest that the hon. Gentleman closely reads section 67, the Dubs amendment, as it makes it quite clear that it applies to refugee children? The reason why we are choosing these particular nationalities is that they are more likely to qualify for refugee status. He also talks about vulnerability. That is why we are addressing the issue of younger children. Indeed, we go further to make it clear that we must work with local authorities and, I am pleased to say, the devolved Governments around the country, to ensure that the capacity is there. This is all in the Dubs amendment, which is why we are discharging that amendment within not only the letter of the law, but the spirit as well.
In order to ensure that we are helping the most vulnerable children, can the Minister tell us whether those 300 who are coming over or have come over have undergone a proper age assessment and, if so, whether the results of that will be made available to Members of this House?
The more than 300 children who have arrived since 10 October include 60 girls. Two hundred of those children would qualify under Dublin, of whom half have been reunited with family members here in the UK, and the other 100 would be Dubs children. Of the further children being transferred, a greater proportion will be Dubs children. When the children arrive at the assessment centre in Croydon or elsewhere, they will be assessed for age. There will have been an initial assessment based on appearance and demeanour, but if necessary a further age assessment can be undertaken using a Merton compliant process, a well-established process that social workers are used to using. Two social workers would have to refer a child for that process.
The Minister will know that I have supported him and the Home Secretary in the important work they have done to bring the first few hundred children over from Calais and from France, but not on this. I remember the debates on the Dubs amendment and we did not discuss ruling out 13-year-old or 14-year-old Eritreans on an arbitrary basis. If this was simply priority guidance because we were going to prioritise the youngest children, people would understand, but why is he basing this on strict eligibility rules? I urge him to think again, turn this back into priority guidance, not eligibility guidance, and tell the House how many children he now thinks are going to come from France, because the number sounds considerably lower than the previous numbers that he and I discussed.
We certainly expect many hundreds more children to be brought across from France under the criteria that we have set out. I must repeat that the Dubs amendment specifically refers to refugee children. Many of the children who may currently be in France would not qualify for refugee status, which is why for the older children we have set that criterion. For the other children, the risk of sexual exploitation indicates that they are likely to be the most vulnerable, as are the youngest children. Again, the children that we are bringing across as part of the 20,000 from Syria are the most needy children, in my view.
rose—
I am very glad that the hon. Member for Kingston and Surbiton (James Berry), after his earlier consternation and excitement, is now displaying veritably a Buddha-like calm.
Thank you, Mr Speaker. Will my hon. Friend congratulate Kingston Council on being the first council to call for every council to take 50 Syrian refugees and on already meeting its quota of vulnerable minors? Does not that compassionate attitude on the part of Kingston and other Conservative councils show how ill-judged and wrong the bombastic comments of the hon. Member for Swansea East (Carolyn Harris) were?
I congratulate not only Conservative councils throughout the country but, to be fair, councils of all political affiliations that have stepped up to the mark. It is great that they understand their responsibility. There is potential in the legislation to mandate councils to take children. That has not been the case and I do not believe it will be. I am pleased that so many local authorities have entered into the spirit of this great humanitarian need and helped with children up and down the country.
When this matter was last before the House, I asked the Home Secretary about reports that the number of Home Office officials who were dealing with bringing these children to the United Kingdom had been doubled from one to two. She was not able to tell me whether that was correct, so can the Minister say today how many Home Office officials are dealing with bringing these children to the United Kingdom?
We have dozens of Home Office officials on station. On the buses that were taking the children from the camp in Calais to the reception centres there were two Home Office officials, supported by interpreters and social workers. We have stepped up the numbers that we have operating in Italy and Greece. We currently have 70 officials who have been allocated to Greece and 54 are already on station there.
At the Dover and Kent frontline, our communities are looking after 750 unaccompanied asylum-seeking children—a quarter of the total. That is five times more than the whole of Scotland and 12 times more than the whole of Wales, while Wakefield is looking after just 22. Is it not time for either mandatory dispersal or more help for Kent?
The national transfer scheme is working well. We have had 160 transfers. I do understand the pressure that Kent has been facing and I have met the leader of my hon. Friend’s county council to discuss that. In response to concerns from local government, we have increased the rates that we give for the children being looked after, in some cases by as much as 33%. Some councils have been very helpful in opening up their books. We believe now that the funding that we have made available is sufficient to cover their additional costs.
I welcome the Minister’s statement that he wants to increase support for Syrian children in Syria. May I press him on that? What specifically does he intend to urge on his ministerial colleagues in other Departments? Will he be urging aid to be transported into the berm—the no man’s land between Syria and Jordan? Will he be urging the reopening of the border at Jarablus? What more will he be doing to make sure that aid gets to Syrians, who are so desperate?
I was in Jordan last week, where I visited the Azraq refugee camp and met some of the people who had been transported from the berm. The Jordanian Government have concerns about some of the security aspects in the berm, particularly following the recent attack on their police forces. We continue to work with the Jordanians and others in the region to ensure that we can put people into a place of safety and, at the same time, maintain security. We have allocated £2.3 billion to assistance in the area, and I am proud of what we as a Government are doing as the second-biggest humanitarian donor in that region.
Running through the Home Office guidance on the interpretation of section 67 is the legal test of the best interests of the children. Does my hon. Friend agree that in addition to that legal test, there is a wide-ranging assessment of the children, including their age, health needs, emotional needs, whether they have been victims of trafficking or trauma and any other family links? That is a reflection of the compassion and pragmatism that this Government are showing to these vulnerable children.
My hon. Friend is absolutely right. The priority is to ensure that the best interests of the children are served. We need to demonstrate to the French authorities that, by bringing these children across to the UK, their best interests will be served. A number of criteria, including the ones that she mentioned, are taken into account.
The Minister referred in his statement to the NGO work that was going on, particularly by volunteers, to help to resolve the issue. Have they reported to him any difficulty with the French authorities, as they try to ensure that children at risk are sheltered and helped as they try to make their way to the UK?
I have not received any concerns about the facilities available in the 60 or so welcome centres that have been set up around France. Indeed, the conditions there are unbelievably better than the dreadful conditions that many people had to endure in the camps. I am pleased that in the interim, while these children’s cases are being looked at and while we assess them against the Dubs and the Dublin criteria, they are in a place of safety and are being well looked after.
Will my hon. Friend update the House on the lead that this Government are taking in tackling the vile trade of people trafficking?
Yes, indeed. Much of that dreadful trade is fuelled by the fact that the people traffickers seem to have no regard for people’s safety. During the summer, I was in Nigeria talking to the authorities there, and they are very concerned about the way that people are putting their children’s lives at risk by putting them into the hands of people traffickers. If and when the children arrive in Europe, the nightmare continues, particularly when they are pressed into modern slavery, or even worse in the case of some of the girls.
In the run-up to the closure of the so-called Jungle camp at Calais, there were reports of a thousand or more people disappearing from the camp and melting into the countryside. What work is the Minister doing with his counterparts in France to ensure that when the French authorities identify people who melted away from the Calais jungle and who have vulnerable children, they too can be included in this programme?
I certainly received reports of some people leaving the camps as the clearance started. I also received reports of people coming back into the camps as they saw how that clearance was taking place. Indeed, some children who had been elsewhere in France arrived at the camps, hoping that they would be part of the scheme and could be relocated and considered under the Dubs and Dublin regulations. Unfortunately, those late arrivals were not considered in the same way. The advice that we always give to people is to claim asylum in the first safe country that they reach, and if not so, then to claim asylum in France, where they can be adequately processed.
May I commend the Minister for the evidence he gave to the International Development Committee this week? Opposition parties might benefit from reading it, because he was very open and honest about what is happening. Will he confirm that any action taken by the Home Office in France must be approved by the French? Is it right that, until relatively recently, the French did not want Britain to take any children under the Dubs amendment for fear of creating a pull factor?
I have to say that the French have been excellent partners in working through this. Of course, it was very difficult while the children were in the camp, and the clearance of the camp has been the opportunity we were all waiting for to make sure that those children who could be looked after and considered for relocation to the UK could be considered. I am full of admiration for the way that the French have worked with us in partnership, and I hope and feel sure that the children who are not coming to the UK will have a long and successful life in France, should their asylum claims be granted.
What provision is being made for counselling services for children who have experienced trauma and perhaps seen and experienced things that our own children have not?
The hon. Lady is absolutely right: many of these children have experienced traumatic situations, not only perhaps in their host country, but certainly as part of their journey and their life in the camp. On 1 November, my hon. Friend the Minister for Vulnerable Children and Families and I issued a joint written ministerial statement on the safeguarding strategy for these children. The strategy includes a number of measures, including transfer procedures, safeguarding for family reunion, the information given to these children and revising the statutory guidance under the Dublin III arrangements. We will give regular updates to right hon. and hon. Members on how that is working out.
Does my hon. Friend think it extraordinary that, for months, the Labour party has not had a shadow Immigration Minister?
I think that Labour has had a number of problems in that regard, but I will not revisit those issues.
As a proud city of sanctuary, Sheffield is doing everything it can to house these very vulnerable children, but it is being held up by Home Office incompetence around the central assessment process. Will the Minister ensure that funding is released urgently to all local authorities and that concerns around the central assessment process are addressed?
We certainly have addressed the funding issues. As I pointed out, there have been considerable increases. For example, children under the age of 16 will receive a 20% increase—that is £114 a day. The 16 and 17-year-olds will receive £91 a day. That is in response to the concerns raised by local authorities about the funding we have given. We are working with the Local Government Association, and we are content that the funding is appropriate to the expenditure authorities are being asked to make.
I was pleased to hear the Minister’s comments about the welcome centres in France. It cannot be in the interests of France, the UK or future refugees that the Calais Jungle and the dreadful conditions there get re-established. Does he believe that that can be prevented?
Certainly, the French are absolutely determined that new camps will not spring up. As we saw, the conditions in the Jungle, and previously in Sangatte, are not ones that anybody should be expected to live in. The French do, I believe, have adequate resource to enable people who claim asylum to be looked after properly—particularly the children.
My local authority, Hammersmith and Fulham, which has taken a lead on this, has not received the number of children it either offered to take or was told by the Home Office it would receive, because the Government have dragged their feet. Can the Minister give us some idea of how quickly assessments will take place of the children who are now dispersed across France, so that they can come here, because there are places for them to go to?
It is great to know that there are places available. We must not forget that, despite the fact we have had around 318 children from France, in the year to June 2016, we had 3,472 unaccompanied asylum-seeking children arriving in the UK by other means. A lot of that has meant that local authorities, particularly in the areas where these children arrive—in the south-east, in particular—have had to rise to that challenge. I am pleased that we have made 160 transfers under the national transfer scheme. I know that local authorities that have capacity will use it as they see fit.
The Minister will be aware that, last week, the Public Accounts Committee had a very interesting discussion about the support the Government have been offering as part of the relocation programme and about its effectiveness, and the shadow Minister might benefit from looking at that. Yesterday, a constituent emailed me offering to provide a home—as has the right hon. Member for Normanton, Pontefract and Castleford (Yvette Cooper)—to relocate a child. What work is the Home Office doing to make sure that such offers are taken up?
Specifically, we have launched the community sponsorship scheme. In fact, my right hon. Friend the Home Secretary and the Archbishop of Canterbury launched it at Lambeth Palace—indeed, two Syrian families currently reside there. The community sponsorship scheme is more about local community groups working together with their local authorities to make sure people can be looked after than about people going into somebody’s spare bedroom. If those people who wish to help could become engaged with, perhaps, a faith group or another group in their area, I am sure that they would be able to put forward a bid under the community sponsorship scheme.
Citizens UK has warned that the new guidelines make it impossible for the Government to fulfil their promise to take half the unaccompanied children from the former camp. Is it correct that that promise will be met in full? If not, what proportion of those children do the Government now expect to take into this country?
As I pointed out, we are assessing children against the criteria we have laid out, and we expect to bring several hundred more children here, as is our responsibility under section 67 of the Immigration Act 2016.
Contrary to the bluster from the Opposition Front Bench, my hon. Friend the Minister is working tirelessly on this issue, as indeed did his predecessor. Knowing that we have a severe lack of carers, and particularly foster carers, in our area of Yorkshire, will my hon. Friend explain what the Government are doing to ensure that there is a fair distribution of caring responsibilities for unaccompanied children right across the UK?
Some of the bluster we have heard from the Opposition Front Bench is not reflected in the very practical and constructive way that Labour local authorities have been working up and down the country. One aspect of the safeguarding strategy we launched on 1 November was, indeed, looking at the demand for foster care and its availability. Many local authorities have raised concerns that they do not have sufficient capacity for fostering, and they have had to place children out of area, which has incurred additional costs, particularly if agencies are being used. We do need to improve the capacity for fostering, and I would say to anybody out in the country who fancies a career in fostering that it is a very rewarding career and one we would be very pleased to see more people stepping forward to take up.
Can the Minister explain how he determines which children are at risk of sexual exploitation? What criteria are used? Who does the assessment? How confident is he about its reliability? I should have thought that any of the children we are discussing today would be at risk of sexual exploitation.
The main criterion we would look at is gender, as we know that girls are more likely to be victims of sexual exploitation, but if any other individuals were in that category, they would also be considered.
How many criminal gangs that have been exploiting these young people in Calais have been stopped due to our co-operation with France? What have we learned from those arrests in terms of the future safety of our borders?
There have been a number of interceptions in France of these criminal gangs, and I am pleased to say that the number of interceptions has increased. Indeed, we have also had arrests in the United Kingdom, some of which have come to court. This is something we are very determined to address. These criminal gangs profit from people’s misery, and they must be prevented from doing so.
Amnesty International has found that children as young as 16 have been indefinitely conscripted into the army in Eritrea. I would gently suggest to the Minister that that is not a pull factor in terms of the attractiveness of the United Kingdom, so will he urgently review the arbitrary decision to exclude Eritreans over the age of 12 from these criteria?
I have already mentioned the criteria we use, but I am well aware of the conscription situation. A number of EU countries, as well as our Home Office officials, continue to look at that situation, which is not a good one, in Eritrea.
I add my thanks to the Minister for his statement and update. I also echo the comments of my hon. Friend the Member for Mid Derbyshire (Pauline Latham), who is no longer in her place, and recommend that people read the Minister’s evidence to the International Development Committee yesterday. In working closely with the French to accelerate the process of identifying and bringing eligible children to the UK, will he confirm that the appropriate security checks will continue to be undertaken?
The assessment that takes place when children are processed includes a security assessment. Indeed, in terms of the children and families who we are bringing across from Syria, that is a central part of what we do to ensure that we are kept safe, while addressing the real humanitarian need in the region.
Will the Minister re-explain the rationale about not accepting unaccompanied 16 and 17-year-olds under Dubs? Will he reassure us that that is not a reaction to his Back Benchers making outrageous demands for teeth examinations?
The criteria that we use look particularly at vulnerability. In terms of sexual exploitation, that is gender-neutral. People are referred to us by the French, and their process is gender-neutral as well.
On a point of order, Mr Speaker. On two occasions during Prime Minister’s questions, the Prime Minister suggested that the Scottish National party campaigned during the independence referendum to leave the European Union single market. That is untrue. We campaigned to remain in the EU, including the single market. That is not a matter of speculation or debate; it is a matter of fact. What powers do you have, Mr Speaker, to ensure that no one in this House, including the Prime Minister, can mislead the House, however inadvertently, when the facts are clear?
I am grateful to the hon. Gentleman, both for his point of order and for his characteristic courtesy in giving me advance notice of it. I have heard what he has said and my response is as follows: it is the responsibility of each and every Member of the House faithfully to communicate what he or she regards as facts and to take responsibility for their own statements. I hope that the hon. Gentleman will understand that I do not think that it is right for me to be drawn into the matter any further. I understand entirely what he has said. I think that I also understand the Prime Minister’s position in relation to Scotland’s status within the United Kingdom and what the alternative to that status might entail. Therefore, notwithstanding the hon. Gentleman’s insistence that the matter is a straightforward one of facts, as with many things the situation lends itself to a number of different interpretations. If any Minister, including the Prime Minister, thinks that she has erred and needs to correct the record, it is incumbent on the Member to do so. Meanwhile, the hon. Gentleman can go about his business with an additional glint in his eye and spring in his step, in the safe knowledge that he has articulated his concerns and that they are on the record, both for the people of Scotland and for the world to see.
On a point of order, Mr Speaker. Today’s calendar of business shows no Government business for Monday 21 November. Rumour has it that it will be the Higher Education and Research Bill and the Clerks have been told that the amendment deadline is tonight. Members are gifted, but they are not psychic. Can you do anything, Mr Speaker, to clarify what is clearly an unsatisfactory situation?
I am grateful to the hon. Gentleman. Members are gifted, but, as he rightly observes, they are not psychic. However, I hope that he will not take great umbrage if I remind the House and communicate to the world the fact that he does at least have the advantage of being a noted philosopher. That may aid him in seeking to decipher matters, or it may not avail him. We shall see I had not heard bruited what apparently has winged its way to the hon. Gentleman about the likely business for next Monday. Admittedly, I had not inquired about that business. It may be so. In general terms, it is clearly desirable for the House to have the maximum possible notice of upcoming business. It is, in all likelihood, going to fall to the Leader of the House at business questions on Thursday to specify Monday’s business. What I will say to the hon. Gentleman in respect of the point about the deadline for amendments is this: I, from the Chair, always seek, within such powers as I have, to facilitate the House. If the House ends up being disadvantaged by lack of notice, it is open to the Chair to consider, exceptionally, manuscript amendments. I make the point and I am sure that the hon. Gentleman, who is a sagacious and perceptive fellow, will have got it.
On a point of order, Mr Speaker. Could you advise me on how it would be in order to put on the record the widespread anger felt in Torbay at the theft over the weekend of poppy boxes belonging to the Torquay branch of the Royal British Legion? While thousands attended remembrance services, some light-fingered thieves stole boxes that had been positioned in a number of shops in the centre of Torquay. It is the actions of the thousands of people who supported the appeal, the hundreds of people who helped to with the collection and the people who diligently run the Torbay poppy appeal that should be remembered, not the actions of a handful of thieves.
That is not a point of order, as the barely concealed grin of the hon. Gentleman in raising the matter eloquently testifies. Nevertheless, what I will say to the hon. Gentleman, who is certainly a quick learner in the House, because he entered only last year, is that, as he knows, he has now found his own salvation. I have a feeling that his clarification in the Chamber may well communicate itself, or be communicated, to media outlets across Torbay and possible elsewhere.
On a point of order, Mr Speaker. At Prime Minister’s Question Time, the Prime Minister alluded to a written ministerial statement to be published later today on the fate of hundreds of UK citizens—in other words, on whether or not the Chagos islanders will finally be granted their right to return. That written statement has yet to make an appearance, but the Government’s decision has been reported all over the morning papers, and apparently that decision is to maintain the 40-year injustice. Is it in order for us to read about Government policy in the papers before it has been reported to this House? What opportunities are available to us to question Ministers on such disappointing decisions?
The short answer is that it is up to the Government to decide whether the matter warrants an oral statement or a written statement, and that is not for the Chair to judge. What I will say to the hon. Gentleman, however, is that it is highly undesirable for there to be a significant time lag between public disclosure and parliamentary opportunity. He will know that other business has so far occupied us today. But that is true of today. The written statement that he legitimately anticipates has not yet been made. Doubtless it will be, and that may well lead Members to want to raise the matter in coming days, particularly if there has been no substantial parliamentary discussion of it beyond the brief exchange at Prime Minister’s questions. I am sure that the hon. Gentleman will be ready to explore what utensils are available to him.
On a point of order, Mr Speaker. Are you able to give me any advice regarding incidents in my constituency? I have been contacted by a number of my constituents regarding letters that they have received from the hon. Member for Morecambe and Lunesdale (David Morris) about the Boundary Commission’s proposals. Some of my constituents have been left confused, given the subject matter, believing that their MP has already changed under boundary changes. Given that the hon. Gentleman gave me no notice of his activities in my constituency, may I seek your guidance, Mr Speaker?
I am grateful to the hon. Lady for her point of order, and for notifying me in advance of her intention to raise it. Moreover, I gather that she did notify the hon. Member for Morecambe and Lunesdale (David Morris), who is in his place. He can hear what I have to say, and we can judge whether it requires any further comment today What I will say to the hon. Lady is that this is not a point of order relating to conduct in the Chamber. That said, as Members who have been here for a long time know, the Speaker will always encourage Members to observe the usual courtesies in informing others if they intend to visit, for political purposes, other colleagues’ constituencies, and they should do so in a timely way. I think the point about visiting is also applicable to communication with another Member’s constituents. The truth of the matter is that, especially in the run-up to potential boundary changes, there have often been, if I may put it this way—I do not mean this disobligingly—spats of this kind. It is much better if such spats are avoided, and the whole House and all its Members benefit if these courtesies are observed If the hon. Gentleman particularly wants to say anything—I am not sure that the nation needs to hear it—as I have heard from the hon. Lady, I am happy briefly to hear him as well.
Further to that point of order, Mr Speaker. The nation may not want to hear this, but my constituents will do. I have not written to the hon. Lady’s constituents by name or used parliamentary paper, resources or a portcullis emblem. I also did not deliver any of the letters personally, as I was away on parliamentary business out of the country at the time. I have therefore not breached any protocol. As far as the views that have been expressed are concerned, they are the views of my constituents and I am representing them as their Member of Parliament. Their responses to the letter concur with the opinion of both sides, which is that we should keep Morecambe and Lancaster separate.
I am grateful to the hon. Gentleman for his response. I note what he says about not using parliamentary notepaper and so on. We are certainly most grateful for that, because that would have been very wrong. I thank him for being characteristically up-front What I would say to the hon. Gentleman, for the benefit of all Members, is that we have to take responsibility for conduct in our name by our staff or volunteers who are, or might reasonably be thought to be, acting on our behalf. Beyond that, I have no wish to intrude into this matter, and I hope that people of good will who represent neighbouring constituencies and who are doing their honest best can try to observe these courtesies. I have a sense that that is what the public would expect of us, or—let me put it this way—that that is what the public would like to be able to expect of us.
Say sorry!
Mr Turner, your chuntering from a sedentary position, “Say sorry!” does at least represent a welcome change from your usual sedentary utterance, which several times a week, as you know, tends to be: “Shocking! It is a disgrace.” That does not render it any more orderly, however. We will leave the matter there for now, and I thank colleagues for what they have said. Bills Presented Commonwealth Development Corporation Bill Presentation and First Reading (Standing Order No. 50) Secretary Priti Patel, supported by the Prime Minister, Mr Chancellor of the Exchequer, Mr David Gauke, Rory Stewart and James Wharton, presented a Bill to amend the amount of the limit in section 15 of the Commonwealth Development Corporation Act 1999 on the Government’s financial assistance Bill read the First time; to be read a Second time tomorrow, and to be printed (Bill 93) with explanatory notes (Bill 93-EN). Clean Air Bill Presentation and First Reading (Standing Order No. 57) Geraint Davies presented a Bill to require the Secretary of State to set, measure, enforce and report on air quality targets; to require that vehicle emissions targets and testing reflect on-road driving conditions; to make it an offence to remove permanently devices that reduce vehicle emissions; to provide powers for local authorities to establish low diesel emissions zones and pedestrian-only areas; to restrict the use of diesel vehicles in urban areas; to make provision about the promotion of electric and hydrogen powered vehicles and for the development of sustainable public, private and commercial transport by road, rail, air and sea; and for connected purposes Bill read the First time; to be read a Second time on Friday 16 December, and to be printed (Bill 94).
I beg to move, That leave be given to bring in a Bill to control advertising and promotion of feeding products for babies and children; to establish arrangements to set standards for the efficacy of products and to measure claims against those standards; to make provision about penalties for advertisers and promoters who do not meet the standards; and for connected purposes We all expect the food we consume to be safe. We would like to hope that the standard of that food is monitored and that the advertising that tries to encourage us to buy it is accurate; should that not be the case, we would hope that the companies involved would be punished for misleading us. We expect our health professionals to be knowledgeable, and we expect them to be able to give impartial advice on foods from a position of expertise. We expect parents to have access to information so that they can make informed choices about how they feed the most vulnerable and precious people in our society: babies and young children Unfortunately, that is not the case. The present means of regulating products intended for babies and children—the infant formula and follow-on formula regulations—has loopholes and is not enforced in any meaningful way. That is the reason why I have brought this ten-minute rule Bill to the House, and it is why I seek the support of hon. and right hon. Members today The Bill I wish to bring in would tighten controls on the advertising and promotion of infant and young child formula. Under the present regulations, the advertising of formula intended for babies under six months is not permitted, so formula manufacturers have instead focused their efforts on promoting follow-on milks. Such products are heavily promoted on TV and in the media with soft-focus visuals of cute babies. Looking at the products on a supermarket shelf, it is clear that they are branded in a similar way so that parents get the impression that a child will progress from one to the next. They are numbered from one through to three or four. The branding is very distinctive and attractive—golden, with shields, crowns and cute animals. This is a growing market, and competition is fierce Dr Nigel Rollins from the Department of Maternal, Newborn, Child & Adolescent Health at the World Health Organisation recently predicted that the market value of the formula industry would reach US $70.6 billion by 2019. The majority of growth in the sector comes from follow-on and toddler milks, but the truth is that those products are not necessary. They have emerged because of the tightening of regulations around formula intended for babies aged zero to six months. They are marketed on TV, in print and online as important for child development, but many agencies globally are concerned about their high sugar content, and young children will receive all the nutrients they require from a healthy, balanced diet. I am concerned that parents are not hearing that message and that there is an impact on family budgets as a result. Infant formula milks are not cheap. The size of the containers is getting smaller while the cost is increasing. As a rough guide, the price of a tin of infant formula can range from £8.50 to £14. Ready-prepared milks are even more expensive, and using one of the brand leaders in the first week of life could cost a family more than £100. Certain heavily advertised niche brands can cost nearly £23 for 900 grams of powdered formula. For a baby in the first six months of life, one of those tins of formula might last around a week As hon. Members can imagine, the cost can have a significant impact on household budgets. If families do not have access to impartial information about the content and merits of infant and young child formula, they make the decision on which product to choose by the way in which formula is presented on the shelves and by the marketing produced by formula companies. They might well consider the most expensive formula to be the best. I do not believe that formula companies are providing good enough and transparent enough information to allow parents to make an informed decision. That is being left to small charities such as First Steps Nutrition Trust, which has excellent guides to infant formula on its website. We do not have any independent analysis to check whether the information provided by the companies about their products is accurate The Mintel baby food and drink report from April 2016 notes that one of the main factors determining parental choice of milk is “brand”. It is not well enough known that all formula milks have to be of a very similar composition to comply with the requirements set by the EU, and claims are made primarily for unnecessary ingredients. Most of the rest of the difference is simply in the label and the branding, which parents are paying for: companies spent about £23 for every baby born in the UK on marketing follow-on formula in 2015. Given the disproportionate prevalence of bottle feeding in less affluent areas, the poorest families in our society are losing out the most. The Government should act to protect their interests This is an area in which one might expect health professionals to be able to help. Unfortunately, their ability to do so is constantly undermined by formula companies and by the lack of support, funding and leadership from Government in protecting them via legislation. There is a significant loophole in the regulations, which means that all infant formulas, for use from birth, can be advertised “in a scientific publication, or…for the purposes of trade prior to the retail stage, in a publication of which the intended readership is other than the general public” That includes adverts in professional medical and health journals that health professionals will read. Dr Helen Crawley of First Steps Nutrition Trust, who is doing a great deal of work in this area, recently published a report called “Scientific and Factual? A review of breastmilk substitute advertising to health professionals”, which analysed some of the claims made in advertising to healthcare professionals. Many of the headline health claims made cannot be substantiated. The sources they cite are not in line with health policy, graphs set out to mislead and the adverts may fail to meet the Government’s requirement for such claims to be supported by peer-reviewed work. Even more frustratingly, the adverts cannot be challenged, as they could be in any other publication, by taking the matter to the Advertising Standards Authority, and that is just not fair. The intent of these adverts is to influence health professionals, who are the first line of support to families, but families need proper, independent information. The Bill would aim to tighten up this loophole and protect the integrity of health professionals from misleading claims The Bill proposes arrangements for controlling claims. Claims in adverts are challenged successfully and regularly by organisations such as Baby Milk Action. At present, claims can be made by formula companies for ingredients that are not necessary. For example, there is a global trend at the moment to add probiotics to formula, and for many years companies in this country have made claims about prebiotics in formula, which scientific authorities say have no benefit. There may also be issues with the degrading of formula composition over time, but we just do not have any information about that. Formulas can sit on the shelf for years, and we do not know what the impact of that is. There is no independent verification of formula composition or of claims. Furthermore, the Government take no formal national role in testing and monitoring all infant formulas to ensure that the products are safe and meet compositional regulations. I think parents would be quite shocked to find out that this is the case. These products are chosen with care to give to our youngest citizens in this country, and I propose that the Government give serious consideration to making improvements in this area Lastly, I wish to turn to penalties. There have been no prosecutions under the current regulations since 2003, despite numerous flagrant breaches. Under the present regulations, contravention or failure to comply is an offence liable, on summary conviction, to a fine not exceeding level 5 on the standard scale, which is a fine of up to £5,000. Given the size and scale of the companies and of the industry, that level of fine barely registers. We should contrast this with Romania, which has recently signalled its intent to bring in a new law banning the promotion of infant formula products for children up to the age of two. Breaching the rules will constitute a criminal offence, with fines of up to 100,000 Romanian new leu, the equivalent of about £19,000. This would be a step in the right direction and would put down a marker to formula companies that failure to comply is not going to lead to a mere slap on the wrists The World Health Assembly resolution adopted in May 2016 clarified that all infant milks marketed as a breastmilk substitute in the first three years of life should be covered by the WHO code, the international code of marketing of breastmilk substitutes, including follow-on formula, toddler milks and other milks. The House has an opportunity today to make progress on this important public health recommendation I am grateful to colleagues from both sides of the House who have put their names to this Bill for their support. I would be glad to have the opportunity to consider other aspects of this issue should the House give me leave to bring in the Bill Question put and agreed to. Ordered, That Alison Thewliss, Dr Sarah Wollaston, Mrs Flick Drummond, Dr Philippa Whitford, Jim Shannon, Caroline Lucas, Patrick Grady, Julie Elliott, Mark Durkan and Kirsty Blackman present the Bill Alison Thewliss accordingly presented the Bill Bill read the First time; to be read a Second time on Friday 24 February 2017, and to be printed (Bill 95).
I inform the House that Mr Speaker has selected the amendment in the name of the Prime Minister.
I beg to move, That this House notes with concern the £3.4 billion reductions to the work allowance element of universal credit and the £1.4 billion reductions to employment and support allowance; calls on the Government to reverse those reductions; and further calls on the Government to reintroduce detailed distributional analysis for the Autumn Statement and all further Financial Statements, as was done between 2010 and 2015 On a solemn note, I wish to send my condolences to the family and friends of Debbie Jolly. Some Members may have known Debbie, who was a disability campaigner. Over the years, she provided briefings for many Members of the House of Commons and, through Disabled People Against Cuts, was involved in many of the various lobbies of Parliament. She passed away last week, and I would like to send our condolences to her family and all her friends. We all hoped she would survive long enough at least to see this debate. I pay tribute to her for the work she did I want to explain the genesis of the motion that I and my right hon. and hon. Friends have tabled for today’s debate. As we all know, the autumn statement is a week today. Traditionally, we would have held an Opposition day debate and used it to have a wide-ranging debate, second-guessing and commenting on what we predicted would be contained in the autumn statement This year, we want to try something different. We want to break radically with that tradition, because next week could be the last chance to head off what is shaping up to be quite a harmful disaster for many low earners and many vulnerable people in our society. For our debates today, we have taken two significant issues that are contained in the Budget plans announced earlier this year by the Chancellor’s predecessor, and which the new Chancellor has the ability and opportunity to intervene upon and, we hope, reverse. The first is the plan to cut the work allowance element of universal credit and employment and support allowance, and for the later debate we have chosen the issue of funding social care We believe that the Chancellor, by withdrawing the proposed cuts to ESA and universal credit, would dramatically beneficially impact upon the lives of many, many of our fellow citizens, who are, yes, low earners, but many of whom, through their disability, are also often the poorest and most vulnerable in our society. We want to see today and, yes, over the next week, whether we can assemble across the House a coalition of pressure that can decisively influence the Chancellor to think again. I welcome the Back-Bench debate that has been secured for tomorrow, which I believe will contribute to forming that coalition; I certainly believe and hope that we can succeed in doing so. So the appeal to hon. Members today and in the coming week is to do all we can to prevail upon the Chancellor to halt the policy of cuts to universal credit and ESA contained in the Budget introduced by the former Chancellor, which are planned to come into effect on 1 April Before I come to the grounds for making this appeal to the Chancellor, it is important to understand the origins of the proposals, and this goes to the heart of the autumn statement process. I believe their origins lie in the mistake by the last Chancellor of imposing a fiscal framework on his colleagues that was simply impractical, given the economic circumstances that we were facing, and certainly what we are about to face. If the fiscal framework is wrongly set and, importantly, if it is so inflexible that it cannot reflect the realities and challenges of the economy, decisions on both tax and spending equally fail to reflect the economic realities and meet the new economic priorities. I believe that in this instance, the fiscal framework imposed by the former Chancellor was so inflexible, and unworkable in the end, that it totally failed to meet the economic targets he set for it. It is also vital to understand that the former Chancellor’s fiscal framework imposed on his colleagues’ Departments unrealistic constraints that are undermining their ability to achieve their own policy goals.
The reality is that the fiscal framework did see a significant reduction in the annual deficit. That is a good thing for this country. I have not seen anything from Labour Members to suggest that they would have been able to do anything like that.
The hon. Gentleman clearly has not been listening. We introduced a fiscal credibility target, which would have built in the flexibility that we need—and actually, which his colleagues would have benefited from as they sought to deliver the goals set out in the manifesto upon which they were elected. That is the critical problem—that this fiscal target has become unworkable. Next week, most probably, we will see that not only will it be reset, but large elements of it will be scrapped; and some of those political disputes within the Government will be seen to have been completely unnecessary if only the Chancellor, at that stage, had listened not just to us, but to some of his own colleagues On the Government’s own economic metrics, the fiscal framework has failed. I remind the hon. Member for Horsham (Jeremy Quin) that the former Chancellor’s target was to eliminate the deficit by 2015. The deficit remained at over £45 billion in the first six months of this financial year. I remind the House that his target was to reduce the debt. The debt now stands at £1.7 trillion and has increased over the past six years, according to the latest estimate, by £740 billion. I believe that the biggest failure was to ignore the needs of the real economy and use the fiscal framework to constrain investment. The failure to invest on the scale needed to modernise our economy resulted in stagnating productivity In the face of all the evidence that the fiscal framework was not working and not achieving its target, the decision to set a target for the framework not just to eliminate the deficit, but to produce a multibillion-pound surplus by 2019-20 demonstrated to many of us how far the former Chancellor’s politics was overriding sound economics. The result of his setting targets even more removed from reality was that he imposed on his own colleagues the task of scrambling round to find a scale of cuts that, in many instances, undermined what chance they had to implement the policies on which they were elected and their long-standing ambitions, some of which could have secured cross-party support That was no more evident than at the Department for Work and Pensions. For the Treasury to demand cuts to universal credit that would take, on average, £2,100 out of the incomes of people who were doing all that was asked of them—working all they could to come off benefits, bringing up their families, contributing to society—flew in the face of all that the universal credit system was meant to be about. The same can be said of the cuts of nearly £30 a week to employment and support allowance. That is an extremely significant cut to the incomes of disabled people who are also doing all that has been asked of them—seeking work to lift them off benefits, and overcoming their disabilities and conditions.
On the ESA cut, does my right hon. Friend recall that at the time it was being taken through the House, we were assured that the Government would introduce an ambitious plan to reduce—indeed, to halve—the disability employment gap by 2020? Does he share my dismay that that goal has been abandoned completely?
I recall my right hon. Friend advising the Government of the unreality of their proposals at the time. What worried us all was that, on the one hand, benefits were being reduced, but the support was not being put in place by which those people could gain work and supplement their incomes I understood the motivation of the right hon. Member for Chingford and Woodford Green (Mr Duncan Smith) when he resigned. The overriding demands of the Treasury were undermining the policy goals he was seeking to implement. He rightly objected to a further burden being placed on the social security budget, especially at a time when new, long-planned systems were at the early stages of introduction. I understood then his sense of frustration, and I understand now why he and many of his hon. Friends have called on the new Chancellor to look again at the burden that is being placed on the welfare budget and the threat, above all else, that it poses to the successful roll-out of universal credit and the policy of supporting disabled people into work The planned cuts are more than a threat to the implementation of policies long advocated and cherished by many Government Members. More importantly, they are a threat to the livelihoods, living standards and quality of life of millions of low earners and some of the poorest and most vulnerable people in our communities. The Government have sought to judge themselves on their own set of economic metrics: eliminating the deficit, reducing the debt and adhering to a cap on welfare spending. On all their own metrics, they have failed. However, there is an alternative and very basic set of metrics on which a Government should be judged—whether they ensure that their population is adequately fed, decently housed and kept warm in winter, and has sufficient income through employment or a support safety net to have a decent quality of life.
My right hon. Friend is laying out a powerful case for the need to make some very different decisions next week in the interest of all our futures. There is clearly a combined moral and economic rationale for an urgent focus on disability employment. The 30% disability employment gap makes that even more important. Does my right hon. Friend agree that people with disabilities and their families deserve so much more from the Government, who should be on their side, rather than pursuing a strategy characterised by cuts to ESA, the tragic failure of work capability assessments and no strategy for fairness?
I fully agree with my hon. Friend. There is a week in which we can overturn at least an element of that brutality. This week, we need to seize upon the chance as best we can, across parties, to deliver change From our privileged position in this House, I firmly believe that before we consider cuts to basic support for low earners and disabled people, we have a moral duty, as my hon. Friend said, to fully appreciate the plight of many of our fellow citizens and the impact that any changes that are forced upon them could have. There are some basic facts that we need to face up to—basic facts that depict the harsh reality of the lives of so many members of our community. Nearly 4 million of our children are living in poverty. The scandal is that two thirds of them live in families where someone is working. Thanks to low wages, zero-hours contracts and forced or bogus self-employment, which has been exposed today, the promise that work will lift people out of poverty is a broken one for many If a basic responsibility of the Government is to ensure that their population is adequately fed and housed, they are failing. A million emergency food parcels were given out by food banks last year to families who did not have sufficient income to feed themselves. The latest reports confirm that the numbers are rising. This year, 200,000 children in our country will be dependent on a food bank to get a decent meal at Christmas. One survey reported that more than 20% of parents had regularly not eaten so that their children could eat. Others report the frequent choice between eating and heating. This is 2016 On the duty of the Government to ensure that people are adequately housed, they are failing again. Rough sleeping has doubled in recent years. The equivalent of 100 households a day are evicted from rented homes—a near-record 40,000 in the year to date. Some 1.2 million households are stuck on council housing waiting lists. In my constituency tonight, there will be families sleeping in beds in sheds that have been rented to them As for the Government’s responsibility for disabled people, as the UN report concisely summed it up, the Government have—and I quote—systematically or gravely violated the rights of disabled people. Independent research suggested that Government efforts to push people off claiming disability benefits have been associated with more than 500 people committing suicide in three years Three years ago, I led a debate following the presentation of the War on Welfare petition, which highlighted the call for an overall impact assessment of the Government’s policies on disabled people. I cited the immense human suffering caused by the brutal implementation of the work capability assessment and the latest round of cuts to benefits and care services. I cited examples of people who had tragically taken their own lives in despair following the WCA and the penalisation through sanctions. We now know that those suicides were not isolated examples, but that there have been hundreds.
Of course, there is a double whammy, because people who are suffering and being punished in that way are not likely to get access to good mental health services or NHS services, because those are being cut and wound down across the country as well.
I have listened carefully to the Prime Minister’s responses to a number of questions about cuts to mental health services at Prime Minister’s Question Time. I hope that her commitment to social justice will result in the reversing of some of those cuts, particularly to mental health walk-in services, which were raised at the Prime Minister’s questions session before last.
The shadow Chancellor mentioned what happened three years ago. He will probably remember, as I do, that the hon. Member for Leeds West (Rachel Reeves), who was the Labour party’s spokesman at the time, pledged that Labour would be “tougher than the Tories” on benefits Bringing things more up to date, many people in the ESA work-related activity group have told me that the current support package—a visit to the jobcentre once every six months—is completely inadequate. Does the shadow Chancellor agree that that shows a system that urgently needs reform?
I fully agree with the hon. Gentleman. There needs to be more support, and that was promised but has not been delivered. At the same time, benefits have been taken away, so as my hon. Friend the Member for Stoke-on-Trent South (Robert Flello) said, there has been a double whammy in the impact on disabled people. That demoralises people who are under pressure, losing benefits and not getting support, which pushes them into an even worse position I have raised this issue before, but we now have better figures than we had two or three years ago. We now know that between 2011 and 2014, more than 2,000 people who were assessed in a work capability assessment as being capable of work died before they could even take up that work. Surely we have to learn the lessons from that evidence, and surely one lesson is that if we impose further cuts on people who are already struggling, not only will we increase the deprivation and suffering that they endure, but many of them will see no light at the end of the tunnel and will simply despair The WOW debate was intended simply to ensure that any impact of decisions on benefits was properly assessed. We called for a cumulative impact assessment to be published, and we asked for a detailed impact assessment of every policy to be published for the House before a final decision was made. In a supposed post-truth environment, I still believe that evidence-based policy making is worth aiming for. That is why it is critical that the Government also restore the distributional analysis of their proposals, and ensure that it is intelligible and usable Before scrapping that analysis entirely, the Chancellor’s predecessor took to publishing figures that disguised the real impact of his policies. That accusation is not mine but that of one of his old colleagues, the former Chief Secretary to the Treasury, the former Member for Inverness, Nairn, Badenoch and Strathspey. If the Treasury is to restore public trust, it must not just let the House know when it will publish the distributional analysis, but ensure that the figures are published clearly and without any attempts to massage or spin them. Only in that way will we be able to test the fairness and equity of policy proposals In my view and that of many Members, when the cuts were first introduced they reflected a grotesque unfairness, because at the same time the Government were cutting taxes for some of the wealthiest in our country and for large corporations. [Interruption.] Capital gains tax, inheritance tax—how many more examples do we need? That was a strange priority to many Members on both sides of the House. As the Resolution Foundation has pointed out, reversing just some of those tax cuts could render the cuts to benefits unnecessary. The last Chancellor also had a penchant for absorbing budget gaps at various times There is a real opportunity next week for the Chancellor to live up to the Prime Minister’s spoken commitment to tackle social injustice. We believe that the Chancellor will reset the fiscal framework in next week’s autumn statement. He has already adjusted it. That will allow him the flexibility he needs to reverse the cuts. I appeal to hon. Members throughout the House to help us lift the threat of further cuts from families and disabled people. We have a week to achieve that, and we can start today by supporting the motion.
I beg to move an amendment, to leave out from “House” to the end of the Question and add: “notes the role of universal credit in ensuring that work pays; welcomes the £60 million package of additional employment support announced in the Summer Budget 2016 available to new claimants with limited capability for work from April 2017 and set out in the recent Work and Health Green Paper; further welcomes the proposals for employment support for disabled people and those with health conditions set out in that green paper; and notes the comments by the Chancellor of the Exchequer to the Treasury Committee on 19 October 2016 on his intention to publish distributional analysis at the forthcoming Autumn Statement.” Since 2010, we have been working to get the country’s finances in order while continuing to provide proper financial and practical support to those who need it. We will have to wait until next week to hear the Chancellor’s plans, but we can note today the significant progress on which the autumn statement will build. In 2010, we faced an economy that was barely growing, investment that was low, unemployment that was high, and a deficit at a level not seen since the second world war. In 2009-10, the then Labour Government were borrowing an annually recurring amount of nearly £6,000 for every household in the country—an unsustainable situation. Since then, Conservative-led Governments have taken the tough decisions needed to reduce the deficit, and it is working. Over the past six years, we have cut the deficit by almost two thirds from its 2009-10 post-war peak of 10.1% of GDP to 4% last year.
It is funny, because I remember being in the House and being told that the deficit was going to be cut—wiped out, gone—by 2015, and Labour’s plan to halve it by 2015 being dismissed as nonsense. Does the Minister have the same recollection?
The hon. Gentleman, who is a man of great memory, will also remember the Opposition Front-Bench spokesman shouting “Too far, too fast” over and over. We embarked on a determined programme to get our nation’s finances back in order, which the Opposition opposed at every turn. They voted against essentially all the substantial measures to get us there.
I also remember, in the run-up to 2008, Conservative Members saying from the Opposition Benches that the Labour Government needed to spend more on hospitals, spend more on schools—spend more, spend more, spend more. Funny how they have forgotten that.
They have not forgotten that, and it is because we are getting our nation’s finances back in order that we can afford to increase our funding for the national health service by £10 billion, in line with what the NHS itself has deemed necessary in the five year forward view, a plan that it would never have been possible to realise had the Labour party been in government The Opposition claim that the poorest in our society have borne the brunt of the reductions in the deficit, but that is not the case. It is undeniable that when we face a deficit of almost £6,000 for every family in the country, we have to do some difficult things, but people throughout society have contributed to getting our finances back in order. We have never seen tackling the deficit as just an option. It is a matter of social justice, because when Governments lose control of the public finances, with all that flows from that, it is invariably those who have the least who stand to lose the most.
Is it not the case that a distributional analysis cannot capture the impact that things such as capital gains tax cuts have on the wider economy by encouraging entrepreneurs to create jobs and wealth so that we can pay our way in the world, which is what we have to do if we are to afford schools, hospitals and all the rest of it?
My hon. Friend is of course right. There is always a dynamic effect of changes in taxation. I will come on to the question of the distributional analysis, because when we look at it we see that it is rather different from what the shadow Chancellor suggested.
May I remind the Minister of what the Institute for Fiscal Studies said about the Government’s changes? It stated that the long-run effect of tax and benefit changes in last year’s autumn statement, which were translated into the Budget, would be percentage losses around 25 times larger for those in the bottom decile than for those in the top decile.
The programme of deficit reduction has always been done in a fair as well as a determined way. At the end of this decade, the best-off fifth of households—the best-off quintile—will be paying a greater proportion of total taxes than in 2010-11; in fact, they will be paying more in tax than the rest of the households put together. That means that those with the broadest shoulders are, quite rightly, paying their fair share towards fiscal consolidation. Meanwhile, the plans the Government have set out lead to a projected distribution of public spending between the income groups that is essentially the same as in 2010. As the distributional analysis published alongside the last Budget showed, the poorest will continue to receive a share of spending on benefits in 2019-20 similar to that in 2010-11. I reassure the House that the Chancellor has committed to publishing a distributional analysis alongside the forthcoming autumn statement Government reforms to incentivise work and enable those who are just about managing to keep more of their pay packet include the national living wage, increases to the personal allowance, the doubling of free childcare, action on council tax and freezes to fuel duty. Although we have had to make difficult decisions on welfare spending, we have never lost sight of the fact that the most sustainable route out of poverty and just managing is to get into and progress in work. The introduction of the national living wage means that lower-paid workers are now seeing record increases to their earnings.
Will the Minister explain to our constituents how the introduction of the “pay to stay” policy will help incentivise people to get into work?
I was in the middle of talking about how wages have been rising. If the hon. Lady will forgive me, I thought that she was challenging me on that point, so I will continue to make it. According to recent data on earnings from the Office for National Statistics, the lowest 5% of workers saw their wages grow by more than 6% in 2016, the highest growth for that group since that statistical series began nearly 20 years ago. Based on the Office for Budget Responsibility’s forecast at the Budget, almost 3 million low-wage workers are expected to benefit directly by 2020, with many more benefiting from the ripple effect on income distribution At the same time, universal credit is transforming the welfare system to ensure that it always pays to work more and to earn more. That is in stark contrast with the pre-2010 system, in which in-work poverty increased by 20% between 1998 and 2010, despite welfare spending on people in work increasing by £28 billion. Evidence is already showing that people move into work faster under universal credit; for every 100 people who found work under the old jobseeker’s allowance system, 113 universal credit claimants have moved into a job. We estimate that universal credit will generate around £7 billion in economic benefit every year and boost employment by up to 300,000 once fully rolled out Most important of all, universal credit will drive progression, delivering sustainable outcomes for low-income families. Unlike tax credits, with the 16-hour cliff edge, it supports part-time and flexible working—as well as full-time working—adjusting on a month-by-month basis according to household income. The work allowances are just one element of a much wider system of support and incentives. The personalised work coach support, the smooth taper rate and the reimbursement of 85% of childcare costs as soon as someone starts working, even for a small number of hours, are all key to making work pay for universal credit recipients In this morning’s employment figures, we saw that the employment of disabled people is up by 590,000 in the past three years. The disability employment rate has gone up by 4.9% in that time, and the gap has been narrowed by two percentage points. We were talking about this earlier, and it is welcome news, but there is much, much more to be done, as only half of people with disabilities are in work, compared with 80% of the non-disabled population.
I am glad that the Minister has raised the question of the disability employment gap. Former Ministers—two of them, the right hon. Member for Chingford and Woodford Green (Mr Duncan Smith) and the hon. Member for North Swindon (Justin Tomlinson), are in their places this afternoon—promised that a quid pro quo for the cuts in employment and support allowance would be halving the disability employment gap by 2020. That was in his party’s manifesto, and the former Prime Minister, David Cameron, committed to halving the gap by 2020. Why has that promise now shamefully been abandoned?
We are committed to working towards halving the disability employment gap. The right hon. Gentleman is reading somewhat more into things than he can or should. We are absolutely committed to doing that, but there is a long way to go, and he will know better than most how hard it will be. But the figures we have announced this morning show that the employment rate for people with disabilities is up by almost 5%. That is welcome news that I had hoped would receive a more positive response from the Opposition.
I am not reading any more into the promise that was made than what was set out very clearly. In the election campaign David Cameron made it clear that the commitment was to halve the disability employment gap by 2020. There was a press release in the name of former Minister for Disabled People, the hon. Member for North Swindon, saying that it would be by 2020. Why has that promise now been so shamefully abandoned?
We are working hard on this. When my colleague the Minister for Disabled People, Health and Work sums up at the end of the debate, she will no doubt elaborate on that more. To be able to do everything we can as a Government, we need employers to do more as well, as the right hon. Gentleman will recognise. A whole-society approach is required to address this great challenge. Progress is being made but more is needed. He should have no doubt about the Government’s commitment to doing everything possible to achieve that One reason why so much more needs to be done is that we still have that yawning gap despite all the progress that has been made—despite the regulatory reform, the medical advances, the advances in assistive and adaptive technology, and, critically, the fact that we know that so many people with disabilities want to move into work and that so much talent is not currently being fully utilised. We know that being in work can have wider benefits for the individual, beyond the purely financial. There is clear evidence that work is linked to better physical and mental health, and to improved wellbeing. That is a key theme in our recently published Green Paper “Improving Lives”, and a driver behind the changes to the employment and support allowance and universal credit that were announced in last summer’s Budget ESA was originally introduced—I am happy to acknowledge the bipartisan parts of this debate—in 2008 by the then Labour Government. The expectation at that time was that the Atos-run assessment process would place the clear majority of claimants into the work-related activity group, leaving a relatively smaller number in the support group. Over time it became clear that that was not the case, with around three times as many people in the support group as in the work-related activity group. At the same time, fewer than 1% of people were leaving that benefit for work each month That is why we are introducing changes to encourage and support claimants to take steps back to work and to fulfil their full potential. From next April we will no longer include the work-related activity component for new ESA claims, or the equivalent element for people on universal credit with a health condition or disability. I stress that that is for new claims after April next year; there will be no cash losers among those already in receipt of ESA or its universal credit equivalent, and there will be further safeguards meaning that they will not lose the extra payments even if reassessed after April and placed in the work-related activity group.
I very much welcome the Green Paper, which many of us have been looking forward to for some time. It sets the direction of travel, providing a much more joined-up approach for this group of very vulnerable people. On the notional cash loss for new WRAG claimants, could there be support from the financial support grant in the Green Paper—
The flexible support fund.
Yes, the flexible support fund, which could provide some flexibility and relief for those particular needy groups.
I am grateful to my hon. Friend, and to the former Secretary of State for Work and Pensions, to whom I pay tribute for bringing forward the universal credit system and so much else that goes with it. The flexible support fund is part of the package of support there is, through the Jobcentre Plus network and other means, to help people into work. It is the case—I will come on to this in a moment—that more money will go into those support packages to help people into work, or, as some people have very significant barriers and some distance to go, to get closer towards work. About 47% of people in the work-related activity group also receive the personal independence payment, which is, of course, exempt from the benefit freeze, and there will be no change to the support group supplement. In the Green Paper consultation, we are consulting on whether we should decouple the support group rates from the type of support people can receive, so that those in the support group can seek help that goes towards their getting work without worrying about their benefit entitlement being at risk The amount we are spending on disability benefits, at £50 billion, is not going down: it is going up. In real terms, it will be higher at the end of this decade than it was at the beginning. We believe that the change in the work-related activity group, working in tandem with the new employment support package announced in the Green Paper, will help to provide the right incentives and support to assist new claimants who have limited capability for work. We believe that this package—representing £60 million of funding in 2017-18, rising to £100 million a year in 2020-21 and developed with external stakeholders, including groups and charities expert in addressing the barriers that can come with disability—can have a much bigger and lasting effect on people’s prospects and their livelihoods than the work-related activity component itself. In addition to the funding package, we are introducing £15 million for the Jobcentre Plus flexible support fund in 2017-18 and 2018-19 to help claimants with limited capability for work. From next April, we are also removing the 52-week permitted work limit that exists in ESA, to allow claimants to continue to undertake up to 16 hours’ part-time paid work and, currently, earn up to £115.50 per week I trust that hon. Members will recognise the value in our approach. Today’s employment figures show unemployment at 4.8%—a decade low. Average wages are rising at 2.4%, which in real terms is 1.7%. Since 2010, we have seen a 2.8 million rise in the number of people in a job, 865,000 fewer workless households and 62,000 fewer households where no one has ever worked. Income inequality has fallen and average incomes are the highest on record. There are 300,000 fewer people and 100,000 fewer children in relative low income. This morning’s figures show that the rate of young people who have left full-time education and are not in work is at a new low, and the biggest drop in unemployment was among the long-term unemployed We introduced the national living wage—a £900 a year pay rise already for a full-time person on the previous minimum wage, with more to come. We have taken millions out of income tax. We have extended free childcare to disadvantaged two-year-olds and we are upping childcare spend by £1 billion a year. We are being ambitious on skills through school reforms and a dramatic increase in apprenticeships, so that more people can share in the opportunities of the new world economy. We are transforming social security through universal credit. We are stabilising the nation’s finances, and ensuring that low-income families and those with health conditions and disabilities have the support they need to enter and progress in work as we build an economy and a society that works for everyone.
The UK Government must commit to protecting disadvantaged people from the impact of future budget cuts in their autumn statement. Post-Brexit, it is essential, that with the risks to economy and with inflation rising and set to rise further, the Government act now. Analysis by the IFS is the latest sign that the UK leaving the EU is having a negative impact on the UK economy even before article 50 is triggered. The IFS said that “virtually all” forecasters revised down their predications for growth and revised up their expectations for inflation in the years ahead. The collapse in the value of the pound, combined with potential rises in inflation, will hit the poorest and the most disadvantaged in society hardest. It will mean more of their income will have to be spent on day-to-day costs and living standards will push people into poverty.
If the hon. Gentleman is so concerned about the disadvantaged, will he explain why it has been reported that the Scottish Government will defer, until April 2020, taking powers from the UK Government to administer the welfare system?
I expected this issue to be raised, given press speculation. Let me tell the hon. Gentleman the facts of the matter: with the powers coming to us, we will control 15% of welfare spending in Scotland. We have to put in place the mechanisms for us to deliver fairness with the revenues we have at our disposal. We certainly would not punish the poorest in our society in the way that this Government have, and we certainly would not be punishing the Women Against State Pension Inequality Campaign women, who are not getting their just rights when they have had only a year’s notice. What I would be saying to this Government is, “Give us the powers over welfare so that we can protect the people in Scotland.” When we have put in place the mechanisms to allow us to look after people, we will certainly be doing a better job than the Government are doing today.
Does my hon. Friend agree that the point about powers is that, unlike this Tory Government, we are able to help and support people properly? We should not have to fill the black hole they have created in our budget. When we get those powers and have that agency, they will be set up properly. We will protect the people in Scotland properly.
My hon. Friend makes a very valuable point, because this is about powers and responsibilities. For us to protect people in Scotland in the way that we want to, we need powers. We were promised—since this has been raised—devo to the max. We were promised home rule for Scotland. How on earth can we have home rule for Scotland when we control 30% of our revenues and 15% of social security? I am afraid that the UK Government’s failure to protect the disabled and pensioners demonstrates that if we want to do what is necessary in Scotland, we will ultimately have to have the independent powers to do so. I am sure we will get to that point Let me return to what I want to address. [Interruption.] I am only responding to the Conservatives’ uninformed distractions, with which we are all too familiar The IFS stated: “Normally, working-age benefit recipients would also be at least partly protected as benefits usually rise in line with prices, but, as we have discussed before, their benefits have been largely frozen in cash terms, meaning that their income from this source is fully exposed to future inflation. Those in work will, unless they are able to negotiate a bigger pay rise, find that their earnings will stretch less far than they otherwise would have done.” Why should the most disadvantaged pay the price for Brexit and its consequences? That is what the Conservative Back Benchers should be addressing today rather than making an undisguised attack on the Scottish Government. What we need to address this afternoon is why working people will suffer from rising inflation. The weakest in our society deserve to be protected and their benefits ought to be inflation-proofed. Why are the UK Government not doing that? Why are they not seeking to protect the vulnerable in our society?
Does my hon. Friend agree that while the tax gap in the UK sits at £36 billion, this Government should be focusing on closing that gap, and not marginalising and targeting some of the most vulnerable people in our society?
I fundamentally agree. There is a £36 billion tax gap, so let us fix that hole. I listened to the Minister talk earlier about the challenges the Government face in fixing the deficit. What they fail to recognise is the interaction between fiscal and monetary policy. It is the richest who have benefited most from quantitative easing. We should have had a fiscal stimulus package. That would have driven investment and productivity into the economy, and got more people back into work. That is what we should be doing.
This is not the first time I have heard the hon. Gentleman refer to the great fiscal reflation he is planning. I welcome the fact that in the same speech he is also talking about the problems with inflation, but is that not a contradiction in terms?
It most certainly is not. The reason for the rise in inflation—to something between 2% and 3% next year, according to commentators—is, quite simply, that the pound has crashed, and the reason the pound has crashed is that investors do not have confidence in the UK economy, and who caused that? It is a direct consequence of Brexit, through the referendum, which was the misjudgment of the previous Prime Minister.
Does the hon. Gentleman not see an inconsistency in his argument, given that only a few years ago, his party was campaigning to leave the United Kingdom and, by virtue of doing so, the EU?
The hon. Gentleman has made a gross misjudgment. When we were campaigning for independence for Scotland, it was about securing Scotland’s future as a European nation. Those in the Better Together campaign continually told the people of Scotland that our European future would be secured only by staying with the UK. Well how has that worked out? I am glad that the Scottish Parliament has given a mandate to the Government of Scotland to make sure we protect Scotland’s position as a European nation and remain within the single market, and, through that, to ensure we protect the prosperity and jobs of the people of our country. Let me come back, if I may, to the subject we are supposed to be discussing.
While half of me is loth to continue this debate, I want us to be clear. We have here an economic crisis brought about by political instability caused by the rupturing of unions between countries. So for the hon. Gentleman to argue that Scottish independence would not have had similar disastrous effects for the Scottish economy is, frankly, disingenuous.
I remind Members to be cautious with the language they use. Also, I do not want this to degenerate into a debate about independence, and I know that the hon. Member for Ross, Skye and Lochaber (Ian Blackford) wants to get back to his brief and not to be tempted by those who want to go out fishing today. To those Members intervening, I say this: when your speaking time is reduced to four minutes, do not blame me.
I will take your guidance, Mr Deputy Speaker. I only say to the hon. Member for Wirral South (Alison McGovern) that she has demonstrated once again that Better Together is still alive and well—and how did that work out for the Labour party in Scotland I will return to the issue we are dealing with. We have inflation created by Brexit and a falling the pound, and the result of this failure will be a fall in living standards for many of our poorest—falling living standards brought to you by this Government. On top of the benefit cuts next year, the Prime Minister is sleepwalking into a perfect storm for low-income families, rather than living up to her promise of delivering for just-managing families. The UK Government must use the autumn statement to end their austerity obsession and instead bring forward an inclusive programme that will truly support low-income families and their children The UK Government’s U-turn on tax credits last year was simply a delaying tactic that kicked cuts to universal credit further down the line. The Government should take the opportunity to reverse the cuts to universal credit work allowance in their autumn statement. The original intention of universal credit was to increase work incentives and make sure that, as the Government put it, work paid. On top of damning economic forecasts, however, which will push up the cost of living, the work allowance cut will simply push more working people into poverty. It has slashed the income of working universal credit claimants. The IFS has calculated that in the long term more than 3 million working families will lose an average of more than £1,000 a year as a result of the work allowance cut.
Shameful.
As my hon. Friend says, it is shameful. The Child Poverty Action Group estimates that the resulting cut in income will mean that many low-income parents cannot protect the income levels they had before April 2016 House of Commons Library analysis from February 2016 calculates that lone parents without housing costs will experience the largest reduction in their work allowance, from £8,800 in 2015-16 to £4,764 in 2016-17—a loss of over £4,000. Is that what the Government want to defend? A person or couple without housing costs who claim universal credit where one or both are disabled will see their allowance reduced from £7,764 in 2015-16 to £4,764—a loss of £3,000. The U-turn on tax credits in the short term saved families and working people from having their benefits cut, but in the long term the work allowance cut will have a similar impact The House of Commons Library analysis also states that the work allowance reductions announced in the summer Budget “will ultimately have a similar impact to the changes to tax credits which are not now going ahead, though the impact of changes to UC work allowances will not be fully felt until the roll out of Universal Credit is complete.” By cutting the work allowance, the Government will impose an eye-watering level of marginal taxation on people in low-paid jobs and make it harder than ever for those in low-income households to break out of the poverty trap That point is well understood by many, including the right hon. Member for Chingford and Woodford Green (Mr Duncan Smith), the previous Secretary of State for Work and Pensions, who said: “At present, the 2016 Budget’s plan to reduce Universal Credit work allowances will not be the most effective way of controlling welfare expenditure and, moreover, it goes against the key principles. The planned reduction will affect more than three million people, reducing their income by an average of over £1,000 per year. This will reduce people’s incentive to move into work. Moreover, in November 2015 the previous Chancellor decided to reverse the reduction in working tax credits, increasing the pressure on Universal Credit as it created an artificial disincentive to move to Universal Credit from Tax Credits.” I do not say this too often, but I fully agree with him. I would even say that, for the Government, the game is up when even the architect of much of the landscape on this issue can see the fatal flaws in what they are doing. When will they start to listen and begin to act We are having this debate today, and welcome though it is, it is important that we achieve a cross-party consensus on the substantive motion we are debating tomorrow, on the cuts to employment and support allowance. The House will have an opportunity to send a very clear signal to the Chancellor ahead of the autumn statement next week. It is a scandal that proposed cuts to ESA WRAG are still going ahead. The Chancellor must halt these planned cuts until the UK Government can deliver the long-awaited support promised for disabled people in and out of work. Almost 500,000 disabled people in the UK rely on ESA WRAG. This £30 cut will make the cost of living more expensive for many people—even more so in the context of the devalued pound and a possible inflation increase The UK Government said that these changes were introduced to “remove the financial incentives that could otherwise discourage claimants from taking steps back to work” But Mencap’s review of this policy found “no relevant evidence setting out a convincing case that the ESA WRAG payment acts as a financial disincentive to claimants work, or that reducing the payment would incentivise people to seek work” It is a positive step that the new Secretary of State has announced the Green Paper on support for disabled people in and out of work, and we look forward to assessing the detail of the Department’s proposals in due course. However, until the detail in the Green Paper comes to fruition, storming ahead with these cuts is simply putting the cart before the horse. The autumn statement is a key opportunity for the new Cabinet to prove it is true to its rhetoric about delivering for just-managing families. That can be achieved only by abandoning austerity by reversing these cuts and delivering an inclusive Budget fit for the post-referendum economic turmoil A failure to act will drive more people into poverty and the use of food banks. Recent data show that the Tories’ austerity agenda continues to push people into poverty across the UK. A survey for the End Child Poverty coalition suggested that 3.5 million children were living in poverty in the UK, with 220,000 of them in Scotland. A separate study by the Trussell Trust found that in the first half of this year there was an increase in food bank usage that included 500,000 three-day emergency food supplies distributed across the UK, of which 188,500 were for children A recent Resolution Foundation report has highlighted the need for the urgent delivery of support for families who are just managing. It also noted: “Average incomes in the low to middle income group were no higher in 2014-15 than in 2004-05, reflecting not just the turmoil of the post-crisis period but also a sharp pre-crisis slowdown in income growth.” It also points out that the projections for unemployment have been revised up since the March Budget following the referendum in June, and real pay growth is now projected to be lower than previously thought In conclusion, with this autumn statement, the Chancellor has the ability to re-prioritise the spending agenda to reflect the very real danger of economic turmoil resulting from the June referendum and ongoing negotiations with the EU. The Chancellor must use the autumn statement to propose measures that reverse benefit cuts and mitigate the impact of economic uncertainty on disadvantaged people.
Order. Before I call the next speaker, let me clarify that we shall start with a seven-minute limit, but if Members can speak in less time than that, everyone should be able to have approximately equal time.
I shall be as brief as possible and certainly intend to be well under that limit. I shall not follow the hon. Member for Ross, Skye and Lochaber (Ian Blackford) down a memory-lane trip involving independence or leaving the single market. I will say, however, that I am a huge admirer of him. Many of my ancestors are buried in his constituency, so I like to claim a little bit of union with him, even though he would not want to admit it. I shall visit the area as often as possible to ensure that I give the hon. Gentleman the best support I can for him to stay up there as long as possible I rise for the first time in, I think, nearly seven years to speak from the Back Benches, and I do so to speak on an issue that is very close to my heart. I want to explain why that is the case to my colleagues. Let me start by welcoming both Ministers to their new roles on the Front Bench, and I congratulate them on continuing to commit to the changes and reforms necessary to improve the quality of life for so many people who would otherwise be left behind In passing, let me note one or two figures. The number of children in workless households has fallen to record levels—down to just under 11% from the 20% that we inherited. A child in a workless household is nearly three quarters more likely to be in poverty than a child in an in-work household. That is an important point, because that dynamic is critical—a point to which I shall return. The fall in income inequality has been mentioned, and it is falling because more people at the lower end are going back into work There is another important issue about disability. We have committed to, want to commit to and must stay with the position of wanting to see more people with disabilities in work. We want the gap to be at least halved, which I think is feasible. I shall explain in a few moments why I think that it is feasible.
Will the right hon. Gentleman give way?
In a minute, but let me finish this point first A lot of the work of the Green Paper was done when I was in the Department. It was a White Paper at that stage, and I hope it gets speeded up and becomes a White Paper again fairly soon. After five reviews of the inherited employment and support allowance, I would be the first to acknowledge that although we have stabilised it and it is better than it was, it is a very difficult area, as we all know. If every Member was prepared to be reasonable, we would all recognise that these things need to change Let me clarify that the main single thing that I wanted to see change and I still want to see changed is this artificial idea that people are either too sick to work or unable to work. There should be a greater nuancing in people’s lives, and universal credit now opens the door to a much more flexible process that allows even those diagnosed and reasonably said to be “not capable of work” to be able to work—and if they wish to work, they should be allowed to do so as far as they possibly can, with the taper used to take benefit money away gradually. I think that might improve the quality of life for many people. I know that this is a submission in the Green Paper, and I hope the Minister will bear it in mind Let me return to the point that when universal credit was set up by my noble Friend Lord Freud, who worked very hard on it, and me, the idea was that it was not just about money, but about human interface. The people in jobcentres now stay with individuals as they go into work to help advise them and be with them. This will be a more human interface, so that people can be helped through to gain extra hours, which opens the door for people with limited capabilities to work to be helped in a way that would not have been possible if we had stayed with the original system. All this is very good and very positive. There are two critical elements. First, when people step into work, the barrier must be reduced by improving the amount of money that can be held from benefit before it is tapered away. The second element is the taper itself, which is the simple process by which people have their income reduced. I say to the Minister that those two elements, notwithstanding all the other stuff such as improved childcare and everything else, are at the heart of what delivers The Institute for Fiscal Studies and others recently looked at what the dynamic effect of universal credit might be as it rolls out. The IFS was very clear: it said that the effect was a 13% improvement in all elements—going back to work, staying in work, taking more hours and earning more money. I know from my experience in the Department that every time one benefit has been substituted for another, it has almost always been worse on arrival than the previous benefit before people engage with it and improve it. This is the first time that a benefit being rolled out is a net improvement on a previous benefit I therefore make this recommendation. That figure of a 13% improvement was made on the basis of the original work allowances. In the spirit of general collective view and belief, I say that if we really want to see the right thing happen to people out there who try to get into work and stay in work, the allowances are critical. I recommend and hope that my colleagues in government will think very carefully again about the decision to reduce those allowances. I recognise the problem with the deficit, and we of course want to reduce it. I am not asking for more money; I am asking for wiser spending. I wonder whether we could revisit the idea of a tax threshold allowance and look to see whether getting the money to the lower five deciles would be better served by universal credit. Some 70% of those people will be on universal credit, whereas only 25p of a tax threshold allowance will actually go to the bottom five deciles I urge the Minister to speak to his right hon. Friends and say, “Look, we have a very good opportunity to do something that is really bold and right for those whose lives we really want to improve—those that the Prime Minister rightly said was her target group.” It is a very Conservative thing to do to help people who are doing the right thing to improve their lives. Even if the Government cannot do it all, they should look at two elements: lone parents and those with limited capability for work. This would answer the problems surrounding the WRAG, too. I urge Ministers to do just that. It is the right thing to do, and it will be the thing to do that changes lives and improves the quality of those lives.
I begin by saying some words that I never thought would leave my mouth: I really hope that Ministers listen to what the right hon. Member for Chingford and Woodford Green (Mr Duncan Smith) has just said—but where were you as Secretary of State? The right hon. Gentleman has explained very clearly how many people feel about the proposed changes. I hope that it is not too late for the Government to change their mind This Government seem to be developing a problem with transparency. We found out from the front page of The Times this week that there is no plan for Brexit, even though we were told that there was. My constituents found out through a leak from another local authority that their A&E department was under threat. Now we find that the Government do not intend to publish a full distributional analysis of the impact of the decisions they are about to make in the autumn statement. The decision not to publish a full analysis of that impact makes Opposition Members incredibly suspicious. The people who are going to feel the worst brunt of those decisions might well feel extremely angry.
The right hon. Member for Chingford and Woodford Green (Mr Duncan Smith) said that, historically, whenever there was a change to benefits, people suffered until the situation was changed and improved. Does that not also explain why so many of our constituents are extremely worried about what is going to happen?
That is right. People want clarity. What everyone wants is for work to pay and for people to be better off in work than out of work, but that is not what we are going to get The Government used to be very keen on having a full and detailed distributional analysis, and I have with me the introduction to the one they published in 2012. They said then: “The Government has taken unprecedented steps to increase transparency and enable effective scrutiny of policy making by publishing detailed distributional analysis of the impact of its reforms on households.” It was a very good thing that the Government, and the right hon. Member for Tatton (Mr Osborne), did then. The right hon. Gentleman went on to say: “The analysis shows average impacts due to policy changes over time across the income and expenditure distributions by decile” I hope that, at the end of the debate, Ministers will commit themselves to publishing the information by decile, so that we can scrutinise it properly and challenge the Government on what they are about to reveal. That is not just my view. The Tory Chair of the Treasury Committee agrees, because he knows that if he is do his job effectively the information must be published and available to everyone, including the public. This matters: the distributional analysis should reveal the impact of tax, welfare and public spending changes on 10 household income brackets, but the Government want to halve the amount of detail and cover just five brackets I was pleased when the Conservatives chose this new Prime Minister, given the choices that they had, and I was pleased when she said that she wanted this to be “a country that works for everyone” Don’t we all? But how can we know whether the Prime Minister is true to her word if she does not proceed to publish the information that we need to test the assertion by which she herself asked to be judged? Unless she does so, we cannot test that claim This leads us to ask ourselves what the Government are attempting to hide. What the Minister said sounded incredibly positive, and there were many measures that he said we ought to be welcoming. If that is true—if he is right and Opposition Front Benchers are wrong—he should publish the information, so that we can test him on his claims. Go on, let us see it! I suspect that the picture is not quite as rosy as the Minister suggested. Perhaps it is the £1,500 a year to be taken from disabled people that he is trying to conceal, but it could be any number of the measures that he has in mind. The Resolution Foundation has estimated that the poorest 50% of households will be £375 worse off on average by 2020-21, while the other half will be £235 better off. We need this information to be published before every Budget and every autumn statement, so that we can compare the impact of the different measures. I want to be able to see what is going to happen next week and compare it with what happened three years ago.
My hon. Friend is making a marvellous speech. Does she agree that we can safely conclude that someone is going to lose out somewhere when the Government speak about their proposals in such glowing terms?
My hon. Friend has far more experience of scrutinising Conservative Governments than I have, and I suspect that he may be right According to the Institute for Fiscal Studies, the effect of all the tax and benefit changes in last year’s autumn statement would mean losses about 25 times larger for those in the bottom decile than for those in the top decile. If the IFS is wrong, let the Government publish the information so that the Minister can back up the claim that he has made today. The IFS also says that average earnings have been revised down in every year of the forecast, as has real household disposable income We want to know exactly what the country is in for. On 23 June, we made a decision to leave the European Union, and what that has done—or part of what it has done—is unleash a huge amount of uncertainty on the country, on business and on decision makers. One thing that the Government could do to ease some of that uncertainty is publish all the information that we need to determine where we are and track the direction in which the Government are taking us According to the IFS, nearly half a million children will be plunged into absolute poverty by 2020 “as a result of planned tax and benefit reforms” in the March Budget. The IFS says that an additional 500,000 people—including 400,000 children—will be in relative poverty because of tax and benefit overhauls. That paints a very different picture from the one presented by the Minister. Unless he is prepared to publish a proper distributional analysis, we shall be forced to conclude that he is, for some reason, trying—his attempt will fail—to conceal the impact of some of the measures that he has in mind. I hope that he will resist that urge and commit himself to publishing a proper analysis with 10 deciles, so that we can see what is happening, make comparisons over time, and challenge and scrutinise the Government effectively.
I am pleased to be able to take part in the debate. The shadow Chancellor talked about econometrics; I want, like the Prime Minister, to focus on human metrics. At the outset of her premiership, she rightly said that this would be a Government who wanted to “stand up for the weak” and reach out to the “just managing” Today’s debate, like the debate that we shall have tomorrow, is about seeking to fulfil those aims I intend to concentrate on cuts in the universal credit work allowance today and delay most of my comments about the ESA WRAG payments until tomorrow, although I will say now that I approve of the Green Paper’s direction of travel. Its vision of integrated and personalised employment and health support is overdue, but welcome. However, we need to look out for the disabled people—some 500,000, according to a House of Commons Library estimate—who worked in April as new WRAG claimants. They will still be affected. The flexible support fund—about which I look forward to hearing from my hon. Friend the Minister for Disabled People, Health and Work—is crucial. Along with other discretionary relief, it needs to meet the wider costs of job seeking for disabled people by April. We cannot deny that those wider costs exist, and we must ensure that we meet them. My support for the Government’s admirable reform agenda for disability depends on that Let me now say something about low-income families, who are the main subject of the debate and, in particular, about the first few lines of the Government amendment, which “notes the role of universal credit in ensuring that work pays” That is what we want to happen. It is the very basis of our welfare reforms. We must commend the Government, and previous Governments, for the fact that some 764,000 children will not wake up in workless households today because of the opportunities for work that have been provided. That is extraordinarily important. Work is obviously a primary route out of poverty, and the income tax cuts, the national living wage and the 30 hours of free childcare are all extremely welcome What will drive all this through, however, is universal credit that does what it was designed to do, and makes work pay. In Enfield, which rolled the scheme out early, it has been a success. Work coaches have reached out to previously unreached individuals, helping them to find work. More people are working, obtaining work more quickly, staying in work longer, and earning more. The first nine months have been very successful. Universal credit claimants are now 13% more likely than jobseeker’s allowance claimants to be employed, work 12 days more, and are more than twice as likely to try to work for more hours That is all extremely welcome. However, there is a risk that the cuts in the universal credit work allowances will unpick the good work of the universal credit: the work coaches, the incentives, the living wage and the free childcare. It will be like a travellator in an airport. We want the travellator to help people—especially those on low incomes—to travel into work. It will now be switched in another direction; actually, it will be going in the opposite direction, which will mean that 2.7 million working families will on average be £1,500 worse off without the benefit of work allowances. It matters greatly to these families. It also does not make sense that these families who are claiming universal credit will be worse off than families protected under legacy tax credits payments living in the same town, the same neighbourhood or even the same street. That is not fair. There is cross-party concern about this, and a shared concern among campaign groups, which are not always on the same wavelength. Gingerbread, focusing its concerns on single parents as well as couples with children, makes the point that working single parents in the poorest fifth of households are set to lose nearly 7% of their income. A home-owning single parent working full time will be over £3,000 a year worse off without the work allowances, and if a second earner enters work he or she will lose 65p in every pound earned. CARE also made this point in relation to recognising our support for marriage in the tax system, which it says could be undermined. In particular, single-earner married couples on median incomes with two children will lose significantly without the work allowances.
My hon. Friend is rightly dealing with the levels and the amounts, but may I take him back to one point that came out of the dynamic study, which was that if we stayed with the purposes of the original universal credit with that allowance, it would amount to a minimum of an extra 300,000 people in work over and above existing forecasts? That is a positive reason for staying with those allowances.
I agree, and it helps to revolutionise things for everyone—those on low incomes and those on median incomes. A one-earner married couple on a median income with two children—those with children are particularly impacted, given the costs—will lose some £2,211.04 per year without the allowances This Opposition debate is plainly timely as it comes ahead of the autumn statement. Before all the universal credit is rolled out and has its full impact, we want to make sure that that impact fulfils the first line of the amendment: to ensure that work pays. Welfare reform rises and falls on this basis, and that is why I commend my right hon. Friend the Member for Chingford and Woodford Green (Mr Duncan Smith) for all the work he has done. That is the basis of our welfare reform. We want this to rise to meet the aspirations of everyone who can work—families who have been put in poverty, and vulnerable disabled people who are the subject of this debate I urge Ministers to take back to the Chancellor the message coming from both sides of the House and from campaign groups, who are united in their concerns for these low-income families, and to ensure that universal credit, which is doing great work across our country, is given the boost it deserves and that work allowances are regenerating it to ensure that work pays.
One of the beneficial consequences of the recent change in Government personnel is that we are no longer subjected on a daily basis to the phrase “long-term economic plan.” We know of course from recent press reports that that is because the Government do not really have an economic plan at present, and many of the pre-existing problems in our economy are now exacerbated considerably by the decision to leave the EU. We also know, as my hon. Friend the Member for Ross, Skye and Lochaber (Ian Blackford) said, that it is going to get a lot worse before it gets better. The Institute for Fiscal Studies reports that pretty much every forecaster says things are going to get extremely challenging. Six months ago we could have got $1.50 for £1; today, we would be lucky to get $1.25. As those changes feed through, we are going to see a rise in prices and in inflation Yet at the same time we have had practically no real-terms growth in wages over the last 10 years, and that is likely to continue. Although there has been a blip in 2016 as a result of the increase in the national minimum wage, it is likely to be just that; we are not likely to see sustained growth in wages, so revenues are not going to increase as a result of increasing wages. This will present the Government with an even more challenging problem; they will be facing rising costs, and revenues not keeping pace with them, and they are going to have to take some difficult decisions.
The point about the currency has been made several times now. I campaigned for remain, but in terms of the cost of living, which is obviously key to this debate about poverty and living standards, the hon. Gentleman must surely recognise that our country’s economy is unbalanced and there is significant benefit from a lower pound. We need to export more if we are to have sustainable growth.
The Government are faced with a big challenge, and I think how they manage the necessary deficit in the years ahead will be the measure of this Government. The Prime Minister has talked about just-managing families; we will have to see whether or not we have a Government who, as they have to make the necessary cuts and adjustments to their plans, are prepared to protect the most vulnerable and disadvantaged. It is said that the mark of a civilised society is how it treats the worst-off and the most vulnerable; we will see in next week’s autumn statement whether the Government really believe that The Government have a bit of form on this question. Just last week there was a report from a United Nations committee which put the Government in the dock for the way in which their policies affect disabled people in our society. It is not the first such report; there have been many others, yet the reaction from the Government was to dismiss this out of hand in a fairly cavalier manner and say that the criticisms were unfounded. Well, these reports cannot all be wrong, and we need a better approach from the Government to these reports if disabled people in our community are going to feel with any confidence that their concerns are taken seriously I do not have a lot of time, but I want to spend a couple of minutes talking about the cuts to employment and support allowance. Perhaps over 500,000 people will be affected by them, including over 60,000 in Scotland and over 1,300 in my constituency. It has been said that the cut of £30 a week in this benefit, bringing it into line with jobseeker’s allowance, is being introduced to make sure that there are no incentives to be on the higher rate. Not a single one of us in this Chamber could live on £109 a week, but let us take the Government argument at face value. It is not an incentive, and the argument that it is fails to recognise the very real costs that people in this category have as a result of their illness or disability Over 1,300 of my constituents will be affected by this, as I have said, and I want to read into the record the testimony of two of them. The first is Dean Reilly, a single father of three children. Four years ago he was diagnosed with multiple sclerosis and had to leave his job at British Gas. Dean is currently in the work-related activity group of ESA and gets the £30 a week. He tells me in his correspondence that this money means he has more security, independence and confidence. It helps to mitigate some of the extra costs he incurs because of his health condition, and it helps to compensate for the fact that his condition prevents him from being able to function normally. One of the symptoms of his condition is that he often suffers from fatigue which can develop without warning. If this happens when he is out of the house, he has either to rely on friends or to pick up a taxi, which can be very expensive Dean also uses oxygen therapy to help to alleviate the symptoms of his condition and he attends the MS therapy centre in Leith twice a week and makes the suggested donation of £13 on each visit. That is what he spends his £30 a week on, and he believes that were he not to get it, his quality of life would be significantly affected. In fact, it could be even worse. Dean works a few hours a week, as he is allowed to, at the local Nike shop. He feels that if he was not getting this extra money and support, he would not be able to continue that employment, so would face a double whammy in terms of loss of income The second person I want to mention is Lauren Stonebanks. She wrote a long letter to me, but I will only read out a couple of the points it makes. She says the money “helps with increased bills because I find it so hard to leave the house. Most people spend a chunk of time at work or school or university but I’m often stuck in my own house using my own gas and electricity. It also gets used on a takeaway or very, very convenient food if I am too exhausted from fighting my illness to cook. Other times it might cover a taxi if I need to get home as quickly as possible because I’ve become too unwell to be outside the house.” She also says: “In my personal experience, losing this money won’t incentivise me to return to work. It will demoralise me and make me feel like I’m completely worthless. £30 a week is nothing to MPs but everything to someone as ill as me…I already struggle with finances because of my condition. Financial insecurity and welfare reform wreak havoc on my mental wellbeing.” The Minister will probably say that existing claimants like Lauren will not be affected by this change, but most of the people receiving this benefit are not doing so on a permanent basis. The whole purpose of it is to get them back into employment so that they can stand on their own two feet. If this change goes through, many people will take employment, and if it does not work out for them because of their condition, they will have to go back on ESA, at which point they will lose money For anyone who has a mental health condition or who suffers from stress and anxiety, making it difficult for them to go to work, what sort of additional pressure will be put upon them when they have to ask themselves, “If I take this job and it doesn’t work out, I could lose a third of my income and be much worse off?” That is a horrible position in which to put people, and I appeal to Members on both sides of the House to come together and support the motions today and tomorrow, and to ask the Government to reconsider, to postpone the changes, to stop digging and to have a think and change their mind.
I applaud the hon. Member for Edinburgh East (Tommy Sheppard) for his great passion. He speaks very eloquently. I could not resist intervening on him about the currency because I think that the key economic challenge for the country involves rebalancing. Every aspect of what we are debating today is affected by the sustainability of our growth I want to focus on two key points. The first is why I support the move to a universal credit system in principle, based on my experience of running a small business. The second is that, when we talk about distributional analysis, we need an analysis of the intergenerational impacts of any changes. We have to start talking about all benefits in the system, not just those that are paid out to those of working age Last year, we had a number of debates about tax credits at the time when the changes were meant to be coming through. I spoke about this several times, and I said then—I say it again now—that tax credits were one of the greatest mistakes in the history of the welfare state, bringing in a £30 billion means-tested in-work benefit for healthy working people to make them completely dependent and to nationalise the income of the country for political purposes. I say that not out of ideology but out of experience My experience of running a small business taught me about the problems of the people who are trapped on the rough edges of the welfare state. I had a member of staff who told me that she did not want a pay rise because she would lose too much in tax credits. More commonly, people working 16 or 24 hours a week told me that they did not want to work any more hours. I heard that many times, and other business owners have told me exactly the same thing. People should be encouraged to make the most of the talents they were born with, and we should not have a system that stymies that aim or disincentivises people from making the most of their talents What I particularly welcome about universal credit is the fact that it smooths out the rough edges by being more generous in terms of childcare and support. I am sure we all agree that we want people who are unemployed to move off benefits and into work, but we never talk about people who are on in-work benefits needing to work harder to get off those benefits. To me, however, it should be the goal of our economic system to reduce dependency and help people to maximise their income from real employment. The other part of the system that I welcome is the extra support that it will give, not just to get people into work but to get people who work part time to work more hours. That is very much to be commended It is quite extraordinary that, for the first time ever, pensioners are now better off than the working-age population, once housing costs have been taken into account. This is something that we need to talk about, because 68% of benefits are paid out to pensioners. The point about housing costs is incredibly important.
Does the hon. Gentleman not recognise that a pension is not a benefit? People who have paid national insurance have an entitlement to a state pension, which they have paid for.
That is a very fair point. Our voters say, “Well, I’ve paid in so I should get it,” but that is not the case for the winter fuel allowance—as the hon. Gentleman knows, millionaires get that along with everybody else—the free TV licence or the Christmas bonus. Although the state pension is based on paying in, it is a pay-as-you-go system. The fact is that the current young working generation are paying in but they might not receive the triple lock. Also, we know for certain that many of them will still be paying their housing costs when they retire. We know that 94% of home-owning pensioners own their property outright. They have no housing costs. The young working generation are probably paying for the defined benefit pensions of those who are fortunate to receive them, and for the state pension of those who have the triple lock. They are also paying for those who possibly do not even have housing costs, yet they themselves will have housing costs perhaps well into their retirement. We are reaching a critical point here.
I am conscious that we should not be diverted from the topic, but the key point here is that the national insurance fund is currently running at a surplus that, according to the Government’s own figures, is due to increase. It is not the case that pensioners are taking their income from others. They have paid their national insurance contributions, which fund the amount that is paid out to pensioners.
It is a pay-as-you-go system, but the key to this is the triple lock. The hon. Gentleman is welcome to read the report on intergenerational payments produced by the Work and Pensions Committee. It has my name on it, although I have to say that I approved it having been on the Committee for only 15 minutes. I did not contribute to it, but I welcome all of it. It makes the point that we have a pay-as-you-go system and that the younger people currently paying in might not benefit from the present generosity, particularly in relation to the triple lock, which is unaffordable and unsustainable This is primarily a political question. During the leadership hustings, I asked the final two contestants the same question. I said, “Given the situation of many young people, is it morally defensible to continue to protect pensioner benefits?” The answer that both contestants gave me—quite rightly, given that we are a democracy and that we have elections—was that our manifesto had pledged to protect those benefits. However, as the shadow Chancellor has said—I am certainly not trying to pray him in aid—we also pledged to wipe out the deficit. That pledge is now coming home to roost. We are protecting so many budgets and forcing so many disproportionate cuts on others because of this huge cost which we will not touch, and I think we have to talk about it. This has to be done in a cross-party way. We all know the political reality of this situation. I am not naive, and I know the political price that can be paid if these things are not done correctly, but from canvassing in my constituency, I know that the older voters understand this point. They are as concerned about it as anybody else. We have to start talking about how the whole benefits system—not just the one for working-age people—can be reformed I very much welcome the speech made by my right hon. Friend the Member for Chingford and Woodford Green (Mr Duncan Smith), and I welcome what has happened with universal credit. It will smooth out some of the perverse incentives created by the tax credit system, and it will encourage people to make the most of their talents and reduce their benefit dependency. Just as we had radical reform on in-work benefits, we must now start to think about what will happen to those who are retired and who will live longer and longer, so that we can all live in a happy, one nation situation in which all the generations get a fair deal.
I am pleased to take part in this debate, and to follow the hon. Member for South Suffolk (James Cartlidge). He made the very fair point that benefits that go to pensioners in the higher tax brackets could be an area that is targeted for reductions. If we made those reductions, we would not be putting people with long-term chronic health conditions and disabilities into the position that the Government are choosing to put them in by making these ESA cuts I want to take part in this debate because in my constituency 6,138 people are either on universal credit—or on jobseeker’s allowance and will be moved on to universal credit—or on ESA. That is a lot of people and the cuts will have a significant impact on some of them. When we look at the wider economic impact, we must also take account of the fact that more than £1 million will be taken out of the local economy—another £1 million that will not be spent in the local high street and that does not help the local economy. The measure does not make sense for individuals—it is unkind and cruel—and does not make sense for the local economy either I want in particular to focus on what the Chancellor publishes regarding the distributional implications of his measures. I note that the Government’s amendment refers to the Chancellor’s remarks to the Treasury Committee last month. He simply said: “I will look carefully at the best format for doing so, including the issues you have raised around the baseline.” That is pretty gnomic. As well as being able to stop the ESA cuts, I hope that we may also persuade the Chancellor to revert to the practice that we saw between 2010 and 2015 of providing proper distributional analysis, showing how each decile will be affected in the first year and for the rest of the Parliament by changes in the tax and benefits system. That is the detail we want. That is the detail we used to have It is incredible that the Government have not published the detail. I do not believe that they do not know what the distributional impacts are. It is possible that they do not care, but they are foolish if they think that they can hide the impacts. Every year, three days after the Budget, the IFS does the analysis anyway, so the impacts are revealed to the nation in the newspapers. It would be much better for the Chancellor to do what was done between 2010 and 2015 and be up front about the impacts and put them in the back of the Red Book The Treasury Committee has been on this case for a long time and initially asked the previous Chancellor to make the changes. However, we have returned to pressing the new Chancellor. The Committee’s Chairman, the right hon. Member for Chichester (Mr Tyrie), first pointed out that the quintile analysis “cannot be used to determine the effect of government policies on household incomes.” Secondly, he said that it is “not possible to determine the impact of the policies of the present Government on the distribution of tax and spending.” Thirdly, he stated that the “assumptions underpinning the analysis” keep changing, meaning that we cannot compare one Budget with another. Fourthly, he said that the attempt to apportion “public spending on items such as health, police, justice, defence” by quintile is extremely flaky. We do not really know how much of these other public services are consumed by people in the different quintiles. If the Government want to do the quintile analysis, that is fine and they can publish it, but they should also do the decile analysis I want to remind the House about the impact of the last Budget. The truth is that it provided losses in annual net income for all families except two-earner couples without children. The bottom half of the income distribution gained £20. The top half, however, gained £170. Looking in detail at the deciles, the second poorest decile lose £1,500 between 2015 and 2019, but those next to the top gain £170. Looking at working-age families with children, the second poorest decile is set to lose £2,800, but those next to the top will gain £500. The number of children in absolute poverty between 2009-10 and 2013-14 rose by half a million. The proportion of children in absolute low income rose in that period from 11% to 17%. Ministers must not be seduced by their own rhetoric. We need to come back to a fact-based approach to policy making The new Chancellor has an opportunity to break free from the tight framework set by his predecessor. He can fulfil the promise made by the Prime Minister to help those who are just managing. If he publishes the information and makes some sensible change, we will all know that he has done that.
It is a pleasure to contribute to the debate. Given the upcoming autumn statement and the incredibly important Green Paper, it represents a welcome opportunity for us to shape some of the decisions that will be taken. It is disappointing, however, that only two speakers so far—my right hon. Friend the Member for Chingford and Woodford Green (Mr Duncan Smith) and my hon. Friend the Member for South Suffolk (James Cartlidge)—have actually made suggestions about where funding could come from should any changes be made I want to look first at the context of the debate. This Government have introduced the national living wage, benefiting 2.75 million of this country’s lowest earners, and we have committed to reach at least £9 an hour by 2020—a whole pound higher than what was in the Labour party manifesto at the election. The increase in the personal tax allowance, taking it from £6,495 to £11,000 with a commitment to reach £12,500 and then index-link it going forward, has lifted the lowest 3.2 million earners out of income tax altogether. Despite the doom and gloom of some speeches, we are delivering the strongest economic growth of any developed country, leading to record employment—461,000 more people are in work today than at this time last year. With my old Minister for disabled people’s hat on, I welcome the news that a further 590,000 disabled people are in work compared with three years ago—a 4% increase. There is still much more to be done, but we are making a genuine difference to some of those who are most desperate to be given an opportunity to work Wages are also increasing at 2.3% against inflation of 0.9%. I gently remind the SNP speakers, in particular the hon. Member for Ross, Skye and Lochaber (Ian Blackford), that inflation fell this week. I do not know whether that news escaped them.
rose—
The hon. Gentleman has had plenty of opportunities to contribute to this debate and other Members still want to speak We are also significantly extending childcare with a doubling of free childcare coming in Specifically on universal credit, the key difference is that it provides additional much-needed support. We know how important it is. Only 1% of ESA claimants came off the benefit every month despite the vast majority wanting the opportunity to work. There will be additional childcare, which will be beneficial for lone parents in particular, the provision and identification of training opportunities and specific job search help. Most importantly for me, in-work support will be offered for the first time. Many people coming off that benefit will go into low-paid jobs. They will often then stay at that low level and not benefit from a growing economy. In-work support will be provided. Someone may be told, “Look, you have been going for three months. You have turned up and been a diligent worker. Perhaps it is now time to push for greater responsibility and greater earning opportunities.” That is something that is very much welcomed by people I talk to My hon. Friend the Member for South Suffolk highlighted the 16-hour cliff edge. He pointed out that his staff did not want to work extra hours. That is not quite the case. They were desperate to work additional hours, but they were just unable to work them, and that was blocking opportunity for them On ESA, I wish to take a moment to pay tribute to the staff in the jobcentres, the Work programme providers, including Shaw Trust, plus many other organisations and charities that support those activities. They do a huge amount of work that often goes unseen. They are often not thanked, but I know that they have made a real difference to many people and we are seeing that in the jobs figures As my right hon. Friend the Member for Chingford and Woodford Green said, there has to be an emphasis on what people can do, rather than on what they cannot do. That is highlighted right the way through the very welcome Green Paper. I am proud to have made a small contribution to bringing that forward. It is very welcome that organisations such as Scope, Leonard Cheshire, the Royal National Institute Of Blind People, the National Autistic Society and hundreds of others are using their expertise and first-hand experience to help shape policy. I will continue to raise the importance of making them a priority in policy development and in delivering in the future We have already seen with the additional £60 million rising to £100 million that we will have more of a personalised and tailored approach. There will be quicker assessments, which is particularly important because 50% of people on ESA also have a mental health condition, and it is vital that we get support to them as quickly as possible. There will be a place on the new Work and Health programme, work choice for those who choose to volunteer, and additional places on the Specialist Employability Support programmes If anyone visits a jobcentre, they will understand how desperate people are to have those extra places. It is a bit like getting tickets for a very popular concert—first thing, once a month, it is about getting on the phone to try to grab those one or two available places. Job clubs will provide support, which will be delivered by peers, particularly those who have disabilities, who will give their first-hand experience and support. For many people, trying to return to the work environment is a very, very scary prospect There will be the new community partners and increased access to work for young people. There are also future opportunities, particularly through the Disability Confident campaign, which is very proactive in identifying to employers the huge wealth of talent that is out there if people will make a small change. I am particularly excited by the encouraging early results from the Small Employer Offer, which, in effect, doorsteps local employers saying that there is a wealth of talent out there. It asks what their skills gaps are and whether they can find the people to match them. Some really impressive results have been achieved We have seen increased funding for Access to Work. At the moment, it assists about 38,000 people. There will be funding in place for an additional 25,000 people. People who do not understand the scheme may say that it only helps 38,000. They ignore, or simply do not understand, how often we need to help people on only one occasion to then be able to get them into work. It could be by purchasing equipment, or by providing additional training. That person could then end up having a long-term sustainable career The other area is to make sure that the Fit for Work service supports people earlier than the four weeks, because, often, it is simple early advice, particularly to small employers, that will help keep people in work. It is far easier to keep people in work than to try to get them back in. Finally, we need to make sure that the charities are central to the delivery, because they have so much proactive experience. Their policy teams are constructive. When I was a Minister, it was a real pleasure to work with those organisations. Through the Green Paper, they can help to make a real difference.
Order. I am sorry, but I have to reduce the time limit to five minutes. I call Alison McGovern.
It is a pleasure to speak in this debate and to follow the hon. Member for North Swindon (Justin Tomlinson). I admire his ambition and commitment to people with disabilities. Unfortunately, I do not admire the changes that the Government have made, especially the Work programme, which prevented the kind of work with charities that he was just describing. It is a shame that words do not always match reality. That is the nub of what I want to say in my brief five-minute speech. Today, the Oxford English dictionary added “post-truth” to its long list of words. It is a phrase with which we have become all too familiar over the recent year or so. I place the blame for that squarely on our own shoulders. The public disconnect from the words that we say when they do not match the reality of what they experience Another phrase that we learned about in the Brexit debate was the “end of experts”. That is true no more of any profession than of our economists. Far too often, we have seen our economy described in a way that simply does not match up with what the average ordinary person wants in our country The point I want to make to Ministers today is that we have a choice about what we offer the British people. We must consider whether we are prepared to face the reality of our decisions. In the end, I feel very strongly that they should publish the distributional analysis—this is what I want to focus on rather than the specifics of ESA. In the end, what matters is the money in people’s pockets. We do not want a repeat of what we saw in the last Parliament, which is the better-off half of our country doing well and those with the least doing the worst. If that happens again, it will not be the Budget book but people’s own bank balances that tell them, so we might as well be honest and up front about it A couple of Members have mentioned the prospect of inflation and the fact that the autumn statement needs to respond to the possible risks ahead. Because of Brexit, however, we simply do not know what is going to happen to our economy. Uncertainty has increased radically and British people face a more unstable situation than ever before, so the least they can expect from us is clarity and the knowledge that we have looked squarely at the consequences of our decisions.
I am sorry that I missed the first part of the debate, but I have been in Committee. As an example of the uncertainty, the hon. Lady will be aware of the collapse in the value of sterling since the Brexit vote, but she may not be aware that as a direct and perverse result of that, the UK’s contribution to the European Union is now £2.5 billion a year more than it was in June. Does she not think it ironic that that alone would cover half the costs of the cuts that are being debated here this afternoon?
For the good of my constituents, I have never advocated our leaving the European Union and I still do not. Why damage the relationship that we have with our European partners such that they put such high numbers on the table? The hon. Gentleman makes a good point We can choose to face squarely the consequences of our actions or we can try to hide them from ourselves. I ask Ministers to consider the steps that they took in the previous Parliament to undermine people’s confidence in us as a body politic that wants to deal with poverty and inequality in our country. Among the consequences of the decisions taken in the previous Parliament—including, despite his welcome contribution earlier, those taken by the right hon. Member for Chingford and Woodford Green (Mr Duncan Smith)—are a steep rise in child poverty that looks set to continue and will see 3.6 million children in relative poverty by 2020. It is no wonder that steps were taken to undermine the clarity of the Child Poverty Act 2010 that meant that we could never hide from the impact of our decisions on the children who depend on us all for a decent life and a decent future The Minister mentioned childcare several times. Unfortunately, that is a promise in words only. Families across the country are still not able to access the childcare they need to get to work, and the consequences of the Minister’s decisions mean that we are staring in the face the possibility of single parents being hit hardest, given the changes to universal credit. Ministers should make the right choice, be honest and up front, and allow scrutiny. Let us get this right together. We need to be clear and transparent. At the last Budget, the distributional analysis was not good enough and the IFS produced its own analysis anyway. It did not take long for the obfuscation to be revealed. Others will find out and analysis will make the position clear. Most importantly, our constituents will know. They will see the consequences in their bank balance and in the money in their pockets, and they will not forgive us.
It is almost a year to the day that I stood here making my maiden speech and joining Members from all parts of the House to ask for reconsideration of the planned tax credit cuts. We understood and supported the need to reduce the welfare bill, but the planned cuts would have left a gaping hole in low-earning families’ incomes Looking back, that was an easy argument to win. No one with a compassionate bone in their body would have thought it good policy to cut the incomes of low-paid working families before replacement systems were put in place, in the form of the national minimum wage and tax threshold increases. However, the reprieve and relief that came in last year’s autumn statement were short-lived, and the legacy work allowance reductions are still embedded in universal credit. Only its slow roll-out has stopped the ticking time bomb exploding Our mission now, as it was last year, is to ensure that everyone understands the risks of leaving universal credit as it stands. Although Brexit continues to dominate the headlines, we need to keep our Prime Minister’s vision of creating a Government that works for the “just managing” focused and equipped to deliver. We must demonstrate that we are not only a competent Conservative Government, but a compassionate Conservative Government. It is the detail that matters. It means going beyond the headline statistics and looking at the human detail—the cost, the names on the spreadsheets. It means getting to grips with the impact analysis of policy change Life is still very hard for families on low incomes. The high cost of accommodation, low wage growth, rising inflation—apart from today— and the cost of living mean that the transformation of our benefits/work system is not yet over. Brexit means that it may not be business as usual for quite some time; if anything, the economic volatility on the way means that things are about to get a whole lot harder—an estimated £1,000 a year in earnings harder, and that is before we even get on to talking about the cuts in universal credit Families transitioning from tax credits to universal credit will receive financial protection; that is a sensible decision, and that is the good that Government can do. A national minimum wage, recent income tax cuts and 30 hours of free childcare—assuming it can be delivered—are the good that Government can do. However, understanding that those three very positive policies still will not offset the cuts in universal credit for the poorest third of families to the tune of £500 a year is the good impact analysis that Government can do Brexit has polarised society, with divisions running through communities and even across family dining tables. The Prime Minister has vowed to lead for all, repair those rifts and reunite our country. On both sides of the House, we will struggle to explain that vision to the 3 million families who will be worse off on universal credit than their legacy tax credit neighbours. We can deliver unity only if we treat all just-managing families the same Keeping the work allowances in universal credit at the reduced levels set in the summer Budget last year means a single parent without housing costs will be up to £2,800 a year worse off than their tax credit next-door neighbour. A couple with children and no housing costs will be up to £1,200 a year worse off than their tax credit next-door neighbour Universal credit has it in it to be the greatest enabler of social change this country has seen in decades. Funded as it was intended, it will support people every step of the way as they make their transition to independence from the state Let us get out of our well-heeled shoes and put ourselves in someone else’s for a day. If I were a single mum with little family support, working 10 hours on the national minimum wage and taking home about £240 a week, would I work another 12 hours just to take home a further £36? I am sorry, but I probably would not, and I am coming from a starting point of mental comfort and emotional calm Effective policy must understand the lives of the people who will be affected by it. To keep this country firing on all cylinders post-Brexit, we need the workers who run the engine to be able to afford to operate it. I have said it before, and I will say it again: we need every teaching assistant, every careworker, every cleaner and every shop worker to secure our future, and if people are not supported into work, and up in work the engine—the country’s engine—stops turning over. Is it really worth taking a risk with that There are options to better fund universal credit. We could review the arbitrary 2.5% factor embedded in the pension triple lock, as my hon. Friend the Member for South Suffolk (James Cartlidge) mentioned, or we could review the planned further income tax allowance changes and question whether that expenditure is being efficiently directed to the right audience Quite simply, we need to give universal credit its mojo back, and that means restoring the work allowances that drive it. Only if we do that will the wording of the Government’s amendment—that “work pays” under universal credit—be true. Currently, as work allowances are set, it is not I could go on for longer on the subject of universal credit, but I would run out of time, so I will turn to the aspect of the motion that deals with employment and support allowance. I will be brief for I suspect that most Members know where I stand on this.
How much of a priority is it that we make changes ahead of this autumn statement, rather than waiting until April?
I think it would send a message and set the fiscal tone that this Government care and are listening to those who, as I mentioned, are running our engine. It would set the tone by saying that this country is, and will continue to be, open for business and can afford to run itself Turning to employment and support allowance, I am, of course, delighted that we have a Green Paper coming, and early signs from disability charities are that it is being very well received. However, it is still only a Green Paper and is still subject to consultation, so I remain uncomfortable, just as I was back in February, that the £30 per week planned cut is still in place With a new Prime Minister and a new Government, we have a priceless opportunity to build a system that supports and realises the aspirations of people with disabilities. That clearly and rightly is the Government’s mission, so let us not waste it by retrospectively fitting policies to savings targets agreed in a different era.
This has been a detailed and thorough debate, in which we have heard from 10 speakers. I will begin by responding to the Minister’s comments. I should state for clarity that this Government are borrowing more now than any previous Labour Government have borrowed in the past. We certainly welcome the reduction in the disability employment gap, but unfortunately it shows that the Government have simply stood still, because the situation got worse over the past year. The Minister did not answer the question that my right hon. Friend the Member for Hayes and Harlington (John McDonnell) asked about the commitment to halve the disability employment gap by 2020 I am glad that the right hon. Member for Chingford and Woodford Green (Mr Duncan Smith) has suddenly seen the light, but why did he not do something about the issues faced by the social security system when he was Secretary of State My hon. Friend the Member for Darlington (Jenny Chapman) made important points about the distribution analysis and the impact on child poverty. The hon. Member for Enfield, Southgate (Mr Burrowes) made an interesting speech, but I refer him to the IFS data that show that cuts to universal credit work allowances mean that the incentives for single parents to enter into work have been significantly weakened. Similarly, the Child Poverty Action Group has described the cuts as being in direct contradiction to the policy’s stated agenda of making work pay I am grateful to my hon. Friend the Member for Bishop Auckland (Helen Goodman) for highlighting her constituents’ issues, particularly with the distribution analysis and the impact on the poorest, as opposed to the richest. The former Minister with responsibility for disabled people, the hon. Member for North Swindon (Justin Tomlinson), said that nobody has explained how our proposal would be funded. As my right hon. Friend the Member for Hayes and Harlington said at the beginning, the Resolution Foundation has shown that reversing the cuts to capital gains tax, corporation tax and inheritance tax would be more than sufficient My hon. Friend the Member for Wirral South (Alison McGovern) made a characteristically comprehensive speech. Her passionate and regular campaigning on child poverty does her and our party credit. The same is true of the hon. Member for South Cambridgeshire (Heidi Allen), who is brave to speak out on the issues so eloquently and so often There are 6.8 million adults in this country who are in working households but who live in poverty. Two out of three of the nearly 4 million children living in poverty are from working households. All the evidence points to the simple truth that, under this Government, work is not a route out of poverty. I contrast that with the achievements of the previous Labour Government, who reduced poverty across the board Our disabled people have been battered by this Government, too. Some 5 million disabled people currently live in poverty in the UK—nearly one in three—and the gains made by Labour are now in reverse. Although disabled people are twice as likely as non-disabled people to live in poverty, specifically as a result of their disability or condition, the Government cut £28 billion from 3.7 million disabled people as part of the Welfare Reform Act 2012, thereby increasing the likelihood of poverty As we have heard, the IFS has shown that people on low incomes have been most adversely affected by the Government’s changes to tax and social security support since 2010, and that that will continue. In other words, the rich get richer and the poor get poorer Landman Economics and the National Institute of Economic and Social Research estimate that poor families with a disabled adult or child have been made five times worse off than non-disabled families, through tax and social security changes. Of course that does not even factor in other spending cuts. There is ample evidence Several measures in the Welfare Reform Act 2016 further punish the sick and disabled, but the cuts to employment and support allowance and the related cuts to the limited capability for work element of universal credit are among the most troubling. Nearly half a million people will be affected when the measure comes in next April, losing around £30 a week or £1,500 a year—a third of their weekly income from ESA. Those are people who have been found by the Government’s flawed work capability assessment process to be not fit for work, but who might be in the future. The Minister’s argument that these cuts will incentivise sick and disabled people into work is baseless and deeply offensive. In fact, the Government published this summer their own research showing absolutely the opposite. The policy does not incentivise people; it makes the situation worse. We must stop using this “shirker” and “scrounger” rhetoric, which is harmful and wrong I remind Ministers that the Government’s data show that the death rate for people on incapacity benefit and ESA in 2013 was 4.3 times that of the general population; that figure increased from 3.6 in 2003. People in the support group are 6.3 times more likely to die than the general population, and people in the WRAG—the people from whom the Government will be cutting more money—are more than twice as likely to die as the general population. IB and ESA are recognised as good population health indicators, and the Government’s data prove that point. Consultation on the Government’s work, health and disability Green Paper will barely have finished before the cuts are imposed. I am sceptical that the measure will address the issues that sick and disabled people face, and I fear that it will be just another means to get people off flow. Last year, the Government failed to produce evidence of the cumulative effect of their further cuts on disabled people living in poverty, saying that it was too difficult. Labour disagreed, as did the Equality and Human Rights Commission, disability charities and disabled people’s organisations. Reporting last week, the UN committee that investigated breaches by this Government of the UN convention on the rights of persons with disabilities also disagreed. The UN’s report concluded that “grave and systematic violations” of disabled people’s rights had been perpetrated by this Government In the same week as the UN published its damning report, the Trussell Trust released data on the increase in food bank use because of social security issues, and the Supreme Court ruled against the Government on the discriminatory bedroom tax as it related to disabled people and their carers. The film “I, Daniel Blake” epitomises what is wrong with the social security system, in an accurate and moving representation of what is happening in this country. Surely the Government must see red. They must do the right thing and reverse the cuts to ESA WRAG On universal credit, we supported the principles of the Government’s flagship programme when it was first introduced: to unify a complex system into a single payment and to ensure that work pays. However, since its inception, universal credit has gone from damage limitation to outright disaster. In particular—apart from the Government’s gross incompetence in its costly implementation—the £3.8 billion of cuts to work allowances significantly undermine the principle that work will always pay under the scheme Research by the Resolution Foundation showed that the cuts will leave 2.5 million working families on average £2,100 a year worse off. The Resolution Foundation estimated that the poorest 50% of households will be £375 worse off on average by 2021, while the other half will be £235 better off. Those already on UC will be hit first. House of Commons Library analysis shows that the cuts will mean that a single mother of two who works full time on the minimum wage will lose £2,400 a year. Further analysis by Liverpool Economics has shown that disabled people in work will lose £2,000 a year. The north—particularly the north-west, where UC started—has been hit first: from powerhouse to workhouse. Once again, the Government have failed to publish an impact assessment on the effects of the cuts. The Government’s cuts to UC work allowances, replacing tax credits and topping up income for people in work on low pay, are undermining the principle of making work pay. I repeat the call to reverse these cuts In conclusion, the Government’s arguments to justify the cuts to UC work allowances are without any evidence. In contrast, there is a clear and growing evidence base on the effects that these cuts are having on the working poor and on sick and disabled people. At the same time, there is increasing evidence that as a nation we are becoming more and more unequal. After six years, the Government have done next to nothing to curb boardroom pay, giving tax breaks to the highest earners. Last year, the average worker’s pay of £27,645 increased by less than 2%; by comparison, the average top executive pay of £5 million increased by nearly 50%. The impacts of those inequalities are already being felt. The very fabric of our society—who we are and what we stand for as a tolerant and just society—is under attack as a result of these inequalities. The Prime Minister’s warm words about tackling injustice are not enough. We need action, not just words.
May I associate myself with the sentiments expressed by the shadow Chancellor about the late Debbie Jolly? She was a noted researcher and sociologist, as well as a tireless campaigner. I am sure that our comments will be just two of the many tributes that will be paid to her I thank all right hon. and hon. Members for their contributions to this debate. It has been a lean-but-fit Opposition day debate, and I will try to make my reply lean and fit as well Let me answer the question asked by the right hon. Member for East Ham (Stephen Timms) about the disability employment gap. I am sure he is aware of the evidence the Work and Pensions Committee has taken on the complexity involved in measuring and tracking progress on the gap. I am taking a much more low-brow approach. All Members will shortly receive an invite to an event in this place on 5 December, when they will receive information not just about the Green Paper and how they can get involved in the consultation at local level, but about the focus on unmet and existing needs in their local area. We will crack this—getting services to focus on what we need to do not just to halve the gap, but to close it completely—by, for example, looking at exactly how many people with learning difficulties there are in their constituency for whom roles need to be carved out.
Will the Minister give way?
I am sorry, but I am very short of time The welfare state is a safety net, but—done well—it should anticipate, empower, be seamless with other services, be unbureaucratic, have commons sense and compassion at its heart, and be focused on helping someone in their ambitions as well as on their basic needs. In the last quarter, there have been many tweaks to the system, some so dry and small that they have not registered with the House. Others have registered, such as the decision to stop reassessments for those with degenerative conditions, the increase in the number of groups able to access hardship funds, and our concerns—they have been expressed by the Secretary of State for Work and Pensions today—about sanctions on people with mental health conditions We will continue to work methodically through the improvement plan: reducing the number of people having to go to appeal to get the right decision; ensuring that our programmes work better and improving them; ensuring we have the reach we need; and building capacity and expertise in our organisations. That will build on the substantial reforms already carried out by my right hon. Friend the Member for Chingford and Woodford Green (Mr Duncan Smith) and my hon. Friend the Member for North Swindon (Justin Tomlinson). I pay tribute to them for the work they have done The proof that we have listened and understood will be seen in our actions. A person’s experience of the system and their support is the only thing that will assure confidence, but I hope this debate will afford me the opportunity to reassure colleagues on both sides of the House about the specifics that have been raised. To deliver well, we must understand the impact of a policy on people who are often in complex situations and under considerable strain and challenge. There is the challenge of budgeting for those who have suddenly had to stop work or have lost employment due to their condition, ill health or accident, or the challenge of facing increased costs, or both Hon. Members have pointed to three concerns. First, there is a person’s liquidity—their ability to afford the additional costs of looking for work and being poorly or disabled. Someone with a neurological condition will spend almost £200 a week on costs related to their disability, and hon. Members on both sides of the House have raised concerns about that. Secondly—this is often exacerbated by the first—there is a person’s dignity and mental wellbeing. Thirdly, there is the obvious point that someone is more likely to get into work and make a success of it, as well as to recover from ill health, if they are able to devote themselves to that. If they have other worries or concerns, their energy and focus on their objectives will be diluted. Many who find themselves in receipt of universal credit or ESA will already have complex situations to deal with, and the delivery of our services should not add to that Let me briefly touch on each of those three concerns. To inform our view of the income needed by the range of people we are considering, we have relied heavily on the work of third parties, most notably Macmillan and Scope. Personal independence payments will be able to help some people with some of those costs, but not with them all. More is therefore needed, and more will be provided First, there is the flexible support fund, a discretionary fund that is used by work coaches to provide local support for the costs related to getting into work, such as travel to and from training and travel costs when in work. As part of the enhanced offer, we have committed an additional £15 million to that fund over the next two years. The partners we work with are aware of the fund and signpost people to our work coaches, so that they can access it Secondly, we have schemes such as the travel discount scheme for those on ESA, universal credit and jobseeker’s allowance. Thirdly, we are continuing our work that focuses on sectors such as energy costs and insurance. In relation to April’s changes, we are doing new work with key providers, such as mobile and broadband providers, to see whether they can offer further help. Where there is existing help, we must ensure that our clients know about it. We are building on the excellent work that Scope has done through the Extra Costs Commission to drive down costs and utilise the consumer power of this group of people In the context of this debate, I am working to provide a greater number of ways to reduce a person’s personal outgoings by next spring by using funds to alleviate the costs directly related to work, negotiating better deals on expenditure not directly related to employment and extending the hardship fund with immediate effect. That will use new money from the Treasury over the next four years Happily, my hon. Friend the Member for North Swindon helpfully outlined the measures in the Green Paper, which will be key to supporting those who are in the WRAG. That support may not seem relevant to some hon. Members, who understandably have focused purely on liquidity, but we have a duty to do more than provide what can only be limited financial support. We must also provide a way through to the workplace for the many who want to be there. No Government support can ever compensate for a pay cheque and the financial resilience, health and wellbeing that come with it. That is why, in the last Parliament, we increased the benefits that contribute to the additional costs of disability and care and the elements of ESA that are paid to people with the most severe work-limiting conditions and disabilities The changes that we deliver in April will provide more support to those people—something that I hope all will welcome. Alongside that, we will ensure that the focus on personal liquidity, dignity and the ability to focus on one’s health and work ambitions is maintained. We will invest in helping a person out of their situation, rather than helping them endure it. We will support people’s ambitions as well as their basic needs. We will enable them to build their future, as well as helping them in the here and now Question put (Standing Order No. 31(2)), That the original words stand part of the Question.
I inform the House that Mr Speaker has selected the amendment in the name of the Prime Minister.
I beg to move, That this House notes the serious concerns expressed about the social care system, including by the Local Government Association, The Association of Directors of Adult Social Services and the Care Quality Commission; calls on the Government to urgently bring forward promised funding to address the current funding crisis and to put in place a longer-term settlement to ensure that the social care system is sustainable going forward; and further calls on the Government to ensure that the most vulnerable in society are guaranteed the adequate and sustainable care they deserve The Government amendment “commends the work and dedication of those in the social care sector” I join the Government in that. It might be the only part of their amendment I support. It is right that we praise our care staff. Unison the union had a meeting here today with care staff from a London borough and from Leicestershire. They talked about the difficult financial situation facing care services. Some care providers are not paying a decent wage. I heard all about that from the care staff from the London borough. Care staff receive less than the national minimum wage. They are not paid for travel time and they are not paid the correct rate if they sleep over. We should value our care staff more highly, we should pay them properly, we should train them, and they should know that they do a valued job. I pay tribute to the care staff I met today. I hope that other hon. Members also attended that event and met the same care staff and that they read Unison’s report, which is called “Care in Crisis” Social care is “in crisis” owing to a lack of funding. So says the Conservative leader of the Local Government Association’s community wellbeing board, Councillor Izzi Seccombe, who says that “it is no exaggeration to say that our care and support system is in crisis.” Richard Humphries, of the King’s Fund, talks of “a deeper existential crisis of care” The Care Quality Commission says that the sustainability of social care is seen as “approaching tipping point”. Ray James, of the Association of Directors of Adult Social Services, says that “the Government must face up to the reality that social care is in crisis now and provide immediate funding to stabilise the sector.” On the priority of providing extra funding for social care, NHS England chief executive, Simon Stevens, says that “there is a strong argument that were extra funding to be available…we should be arguing that it should be going to social care.” I could go on. Googling the words “social care funding crisis” returns 2 million results.
It is stating the obvious to say there is insufficient money going into the system, yet we have private companies taking huge profits out of the system as well. Will my hon. Friend join me in commending Stockton-on-Tees Borough Council for setting up a not-for-profit organisation to ensure that the money goes into services instead of shareholders’ pockets?
I certainly will join my hon. Friend in commending the council. It is one of the things we talked about to the care staff today. Why should people be paid vast profits from public money, when care staff are so badly paid The reasons for the social care funding crisis are clear: insufficient funding in the face of growing demand and a fragile market in the provision of social care. We know that people are living longer and that demand on social care services continues to increase. People aged 85 and over are the group most likely to need care, and their numbers are projected to rise sharply in the coming years. Moreover, the gap between need and funding has grown wider since 2010.
The sustainability and transformation plan for Staffordshire, some of which has been leaked to me, NHS England and NHS Improvement having categorically refused to make it available to Members of Parliament, shows a deficit for Staffordshire over the coming years of more than £250 million. Is that not appalling?
It is dreadful. The deficit in Greater Manchester is £1.75 billion, so the problem is the same up and down the country We have had six years of Government cuts to local authority budgets, and that has seen local authority spending on the care and support needs of older and disabled people fall by 11% in real terms. In fact, the number of people getting publicly funded support has plummeted: 400,000 fewer now than in 2009-10. Such facts are shocking, but behind the statistics are real issues: the impact that cuts to social care are having on the NHS, on people who need care and on unpaid family carers First, I will deal with the issues that the crisis in social care causes for the NHS. As the Nuffield Trust states: “Hospitals have struggled to meet the needs of the older age group in a timely way, in both emergency departments and inpatient admissions” The most visible manifestation of the pressures caused by cuts to social care budgets is the rapid growth of delayed transfers of care from hospital. The September figure of over 196,000 delay days is another record—the highest figure for six years—and it comes not in winter but at the end of summer. That means for the NHS 6,700 patients stuck in hospital. The most common causes are waiting for a care home placement and waiting for a nursing home placement The funding that was supposed to help with these issues is the better care fund, but there is no extra funding for social care in the fund this year and only £100 million next year.
My hon. Friend is making an excellent speech. Does she agree that it would be useful to remind Conservative Members of the Conservative party manifesto? Page 65—I do not want anyone to struggle to find it—outlines the promise to the people concerned. It says that they would not have “to sell their home to pay for care”, and that there would be a cap on charges to give people “peace of mind” and protection. All that is in the Conservative party manifesto—“peace of mind” and protection “from unlimited costs”. It amounts to a cruel disservice to that generation that the Government went back on that promise just two months into this Session.
It is, and I agree with my hon. Friend that care costs are just running away with themselves, making the situation much harder for people The bulk of the extra funding that the Government promised to social care from the better care fund comes in 2018-19 and 2019-20. We have had six years of cuts to local authority budgets, and the extra funding promised for social care is backloaded to those later years in this Parliament.
The hon. Lady mentioned the most common causes of delayed transfers of care. However, I know that in hospitals in Kent near my constituency, around 30% of the delayed transfers of care are attributable to delays in social care and the majority are for other reasons. Does she not agree that it is important for the NHS to take its own steps within its own organisations to improve people’s discharge from hospital?
That is what we are debating. Of course the NHS should put its own house in order, too, but delays should not happen on account of social care. People should not be stuck for weeks or months in hospital, waiting for a care home placement or a nursing home placement. I shall go on to say why Returning to the issue of the backloading of funding, in view of what was happening to social care, the Local Government Association and the Association of Directors of Adult Social Services appealed before the last autumn statement for £700 million of the promised better care funding to be moved forward to this year and next year. That appeal was ignored. Reacting to that, Ray James of ADASS said: “Ministers must know that their proposals do not deliver sufficient funding to meet the growing number of older and disabled people requiring increasingly complex care and support…The Council Tax precept will raise least money in areas of greatest need which risks heightening inequality. Councils in deprived areas will have greatest social care needs, yet they will raise less than a third of what more affluent areas do through this approach.” He went on by clarifying that ADASS does “not believe that the funding for the next couple of years will anywhere near meet the costs of the national living wage and the increasing demand for social care.”
In my Hull constituency, not only have we seen massive cuts to the local government budget since 2010, but the precept that we can raise—2%—is much smaller than the gap in the budget for social care. By comparison, wealthier areas of Yorkshire such as East Riding are able to raise far more, so this is a double whammy for deprived areas.
It is indeed. The gap in my Salford local authority area is £1.1 million. We can raise only £1.6 million from the social care precept, while just paying the national living wage in the care sector is costing us £2.7 million Let me return to the matter of where the promised funding sits. In our motion, we call on the Government once again “to bring forward promised funding” for 2019-20 “to address the current funding crisis” in social care. I am sure that the Health Secretary hears plenty about the impacts on the NHS of the missing funding for social care, but let us also think about the impacts on the people who actually need that care The hon. Member for Faversham and Mid Kent (Helen Whately) mentioned the thousands of patients stuck in hospital. We should be aware that keeping them there longer than necessary can have a number of detrimental effects. Long stays can affect patient morale and patient mobility, and of course increase patients’ risk of catching hospital-acquired infections Effects on mobility can be particularly keenly felt by older patients. As Professor John Young said in the 2014 national audit of intermediary care: “A wait of more than two days negates the additional benefit of intermediate care, and seven days is associated with a 10% decline in muscle strength.” As my hon. Friend the Member for Hackney South and Shoreditch (Meg Hillier), the Chair of the Public Accounts Committee, observed when the Committee published its own report on discharging older people from hospitals: “Delayed discharge is damaging the health of patients and that of the public purse.” Cuts to the funding of social care also affect a larger group of older and vulnerable people, and those cuts are now having a major impact on family carers. Age UK estimates that more than a million older people in England are living with unmet social care needs. I was struck by what the Unison staff told me about the many people they see during their care visits who are lonely and isolated Social care services have clearly failed to keep pace with increasing demand. Carers UK tells us that the drop in social care support, in the context of the increasing needs of our ageing population, is having a profound impact on the unpaid family carers who are stepping in to provide more care than ever before. It also tells us that the increase in the number of people providing care, and the increased number of hours of care that they provide, are being delivered at a huge personal cost to those family carers if they are not well supported—as, in all too many cases, they are not.
The hon. Lady is making a case for more funds for social care. May I ask how the Labour party would raise that money? Would it give more to local authorities, or would it increase council tax precepts further?
Our motion asks for promised funding that is backloaded to 2019-20 to be moved forward. The LGA and ADASS wanted it to be moved last year, and that is what we keep asking for.
I thank the hon. Lady for giving way again; she is being extremely generous. Will she tell me, however, whether she is committing her party to delivering that money to local authorities directly, or to allowing them to increase their precepts?
We do not even know what the Chancellor is going to do next week. The hon. Lady has invited me to make a declaration today, and it was a nice try, but we did not hear a word from Ministers about their plans during Health questions yesterday. I will, however, make what I think is an important point to the hon. Lady and to any other Member who raises the same issue. Labour would not have put our councils in this position to start with. If the hon. Lady looks back at our spending plans, or looks at the analysis by the Institute for Fiscal Studies relating to the different parties, she will find that our plans meant that we did not have to make the cuts that her party has made. This Government’s cuts will take £5 billion out of social care. I will send her the link to the IFS analysis if she wants to read it.
My hon. Friend is making a powerful case. The scale of the crisis in some areas is very serious, and it will become even worse following the increase in the minimum wage. Although that increase is welcome, if the local authorities do not have the budgets to cover it, the crisis will be exacerbated Is my hon. Friend aware that many providers in both the private and the charitable sectors are returning council contracts? They are saying, “We can no longer make this pay; in fact, we will go bankrupt if we carry on servicing the council.” That is adding to the current problems.
My hon. Friend has made a key point. I have already mentioned the fragility of the care market. We shall not be able to explore that fully during my speech, but it is a serious factor. If we do not get the funding right, more and more care providers will simply walk away. At the Unison meeting, members of a Leicestershire rehabilitation team spoke of the problems that they experience when care providers walk away from a contract. When the staff are not there any more, they have to plug the gaps.
The Communities and Local Government Committee is conducting an inquiry into the funding of social care. We have learned that not only are care providers handing contracts back, but councils are terminating contracts because of the inadequacy of the care that is provided. Ultimately, that means that individuals do not receive the care that they should be receiving. Their appointments are cancelled, or there are flying visits from under-trained care workers who are paid less than the minimum wage.
My hon. Friend is right, and I shall come to that point shortly Carers UK reports that insufficient support from health and social care services is leaving the carers who are doing all that extra work “isolated, burnt-out and unable to look after their own health.” The Richmond Group of Charities published the story of Susan. She cares for her husband Bruce, who has been diagnosed with both Parkinson’s and dementia. The struggle that Susan underwent to find quality care is one about which I have been hearing from carers for some time. She was provided with respite care from a care home which was of such low quality that her husband was unrecognisable when she returned for him: “He hadn’t been shaved, he couldn’t walk, and his eyes were crusted…with blepharitis.” When Susan managed to get home care for her husband, it was also poor quality. She said: “They didn’t know what they were doing. It seemed like they’d never cared before. They turned up at five o’clock in the afternoon to put my husband to bed. Or they turned up at ten, once I’d already helped him to bed. Absolutely awful.” It is also telling how carers like Susan feel when dealing with the challenges of negotiating complex and fragmented care systems. She “felt small” and she said: “You go in there, and you’ve got no idea about anything, about care. It’s like going in on the first day at school.” Susan is not a rare case of a carer battling to get respite care or home care of an acceptable quality. Carers UK tell us that three out of 10 carers in its survey have experienced a change in the amount of care and support services that they receive. Six out of 10 of those carers experiencing a change said the amount of care and support received had been reduced.
The hon. Lady argues for bringing forward funding, and I agree. Does she agree, however, that that is not enough in itself and that all of us on both sides of the House must confront the chronic underfunding of the health and care system, and we need to find ways to raise significantly more resources to ensure we have a modern and efficient health and care system?
I agree, and our motion talks about the need for “a longer-term settlement to ensure that the social care system is sustainable going forward” We absolutely do need that On quality of care, I was talking about Susan finding a care home and it giving inadequate care. There are too many such care homes. In its 2016 “State of Care” report, the Care Quality Commission said that when it makes a return visit to a service originally rated as “inadequate”, one quarter of those services were not able to improve their ratings. Susan found poor-quality home care, and last week the ombudsman reported that the number of complaints about homecare is rising and that the number of complaints upheld by the ombudsman is also rising.
I agree with the right hon. Member for North Norfolk (Norman Lamb) on the need for cross-party working to achieve sustainable funding for both health and social care. As the hon. Lady will know, I have set out my concerns about the underfunding of social care in a letter to the Chancellor. Does she agree that it is not just about funding, however, but also about how we support and train our social care staff? Would she like to see further progress made on the recommendations of Camilla Cavendish about how we train and support our care staff to help to retain them as well as recruit them?
I agree, and that is why I started my speech by saying we should value the job our care staff do and we should train them properly; it should be a proper job with a proper career path. The care staff I met today were reduced to worrying about what they were being paid, however, simply because they were paid less than the minimum wage This is what six years of funding cuts to social care actually mean for people who need care and their carers: unmet needs for care; patients stuck in hospital, increasingly because they have to wait for a care home or a nursing home place; poor care in care homes, with one quarter of “inadequate” services unable to improve; poor home care, with more complaints being upheld by the ombudsman; more unpaid family carers having to step in to care; more unpaid family carers having to provide increased levels of care; and, without the right support, those family carers becoming isolated, burnt-out and unable to look after their own health. That is a disturbing deterioration in the state of social care. I want the Secretary of State to tell us whether he recognises the scale and seriousness of the issues I have outlined.
As chair of the all-party group on Parkinson’s—and motor neurone disease—I have had repeated complaints about the 15-minute calls that local authorities are being forced to introduce because of cuts in their social care allowance. They mean that people are neglected: carers literally run in, and, if the person cannot communicate or has poor mobility, the quality of their care is appalling.
It is indeed. There are many examples of that, and we have debated them here many times. The funding crisis is at the base of all this I repeat what I said at the start of my speech: social care is in crisis due to a lack of funding. It is notable how many leading doctors, health experts and organisations involved with the NHS are now expressing their concerns and fears about social care and the lack of funding for it. Here are some of those people: Simon Stevens, chief executive of NHS England; Miss Clare Marx, president of the Royal College of Surgeons of England; Professor Dame Sue Bailey, chairwoman of the Academy of Medical Royal Colleges; Dr Suzy Lishman, president of the Royal College of Pathologists; Professor Carrie MacEwen, president of the Royal College of Ophthalmologists; Professor Neena Modi, president of the Royal College of Paediatrics and Child Health; Professor David Oliver, president of the British Geriatrics Society; Dr David Richmond, president of the Royal College of Obstetricians and Gynaecologists; Professor Sir Simon Wessely, president of the Royal College of Psychiatrists; Dr Anna Batchelor, dean of the Faculty of Intensive Care Medicine; Dr Liam Brennan, president of the Royal College of Anaesthetists; and Professor Jane Dacre, president of the Royal College of Physicians. All those people have expressed their fears and concerns about social care and the lack of funding for it I should like to add to that list some of the organisations working in the NHS and social care that are now expressing their serious concerns about the funding of social care. They include: the King’s Fund, the Nuffield Trust, the Health Foundation, the Local Government Association, the Association of Directors of Adult Social Services, the County Councils Network, the BMA, Care England, Unison, Age UK, the Alzheimer’s Society, the British Red Cross, Carers UK, Independent Age, United for all Ages, the Learning Disability Coalition, the Motor Neurone Disease Association, and the Care and Support Alliance. Those people and those organisations share a belief that the Government must act now on social care funding, and I urge hon. Members on both sides of the House to support our motion and vote to save social care tonight.
I beg to move an amendment, to leave out from “House” to the end of the Question and add: “welcomes the Government’s Spending Review settlement for health and social care, which ensures that the amount of money available to local authorities for adult social care services will rise significantly across the Parliament, and ensures that up to £3.5 billion more will be available by 2020; commends the work and dedication of those in the social care sector; and further welcomes the introduction by the Government of the social care precept which allows local authorities greater autonomy in making decisions about how they best meet their local communities’ needs for social care.” I too want to start by paying tribute all those working in the social care system; there are few jobs that are more important to our society. They work with some of the oldest and most vulnerable people in our society, many of whom have dementia. That is a growing population, with the number of over 90-year-olds having increased by more than a quarter. Life expectancy is up by a whole year since Labour left office. While I would like to claim credit for every Government achievement, that is a demographic change and no thanks to this Government. It also places huge pressure on the system. Every older person is a dad, a mum, a grandparent or a neighbour, and Members on both sides of the House, whatever our disagreements, want them to be treated with the utmost standards of dignity and respect.
There are none so noble as those who care, and they include the Castle Vale carer I met who buys Easter eggs out of her own pocket to give out in her own time to those she cares for. Does the Secretary of State understand the despair being felt by carers who are told that they have only 15 minutes per visit, the despair being felt by those being cared for because they no longer have the contact they once had, or the despair being felt by the family and friends of those who built this country and who now deserve better in the twilight of their years?
I absolutely agree with the hon. Gentleman. It is the hallmark of a civilised society that we treat all older citizens with dignity and respect. I totally disapprove of 15-minute visits. I find it impossible to understand how anyone could really look after someone’s needs in a 15-minute visit. I hope that, like us, he is proud of the introduction of the national living wage, which is helping the people who do this very important work. It will help 900,000 people working in the social care system by paying all over-25s a minimum hourly rate of £7.20 from this April.
The Secretary of State will know that Ministers have acknowledged that illegal non-payment of the national minimum wage is rife in the care sector. Does he agree that Her Majesty’s Revenue and Customs should publish the results of the investigations it launched two years ago into the six big providers? Where employers are found to be non-compliant in relation to an individual care worker, does he agree that HMRC should carry out a full investigation into that employer to see how widespread that non-compliance is?
We are absolutely determined to clamp down on employers who do not pay the national living wage. If the hon. Gentleman or any other hon. Member has any evidence at all of that happening, they should let HMRC know. HMRC has a policy of naming and shaming employers who do not do the right thing and rightly so.
rose—
rose—
I will give way to the hon. Member for Ilford North (Wes Streeting) first.
It is welcome that the minimum wage will increase and that money will hopefully reach the workers we are discussing. Will the Secretary of State acknowledge, however, that the consequence of the increase is that the precept that local authorities charge residents for social care will be eaten up by the wage increase—even in local authorities such as the London Borough of Redbridge, of which I am still an elected member? What will he do to alleviate the very real financial burden on my local authority and others to ensure that everyone gets the quality of care they need?
I acknowledge the financial impact of the national living wage and will talk about the funding of local authorities.
rose—
rose—
I will give way once more now and will then try to give way to everyone during the course of my remarks.
The Secretary of State is being generous in giving way. He started his peroration by talking about the importance of care for the elderly and he is absolutely right about that. Does he agree that we are also talking about caring for people with learning and physical disabilities? The care debate is often entirely about the elderly, but it is much wider than that.
The hon. Gentleman is absolutely right to make that point. I want to talk about Winterbourne View a little later, because this is not just about older people.
rose—
I will give way shortly, but I want to finish my point about the critical role played by care staff. In total, 1.5 million people work in the social care sector, and I want to mention one group in particular: the 90,000 who come from the EU. They do a brilliant job and we value their contribution to the sector. If the House will forgive me, I want to share one story from early in my time as Health Secretary about an absolutely brilliant manager, who is Polish, of a dementia care home in Swiss Cottage. The people at the home had advanced dementia and many were unable to talk or move, so the atmosphere in the home was challenging to say the least. I asked the lady how she motivated her staff every day, and she said, “If I can get a resident to smile, they won’t remember it the next day, but I do, and I go home with a smile on my face.” The care that was being provided was, to be frank, completely remarkable. This is a moment for all of us to reaffirm what the Prime Minister said today at Prime Minister’s questions: we want these people to remain and we are confident and optimistic that we will be able to get them to remain.
rose—
I will give way to the right hon. Gentleman, but I want to give way first to my former ministerial colleague.
I totally share the sentiment that EU workers are welcome in our country and that we must guarantee their future as soon as possible Does the Secretary of State ever feel that he is confronted by a pretty fundamental choice? He can either preside over a system that deteriorates with an increasing number of failures of care, which I know he cares passionately about, or he can be the politician in government who confronts that, who works with other parties and who comes up with a sustainable long-term solution. It is one or the other. I urge him to take the latter course.
I absolutely want to be someone in this role who confronts poor care and does everything possible to fight for the highest standards. That is exactly why I am doing this job. Poor care comes in different forms and, yes, funding is an issue. As the health and social care system goes through perhaps its most financially challenging period since the founding of the NHS, I particularly want to ensure that we protect the high standards that the right hon. Gentleman cares about.
I heard the Secretary of State’s earlier words about EU carers. I am sure that they were genuine, but words are not good enough for them. The longer the Government leave them in limbo, the greater the risk is that they will leave. Our national health service and our care system could not cope with losing all those staff, so what more is he doing? Is he petitioning the Prime Minister for a decision now that will give them leave to stay and properly respects their contribution to our society?
With respect to the right hon. Gentleman, with whom I have enjoyed many debates in this House, neither he nor I wanted the Brexit vote to happen, but now that it has, we have to cope with a very changed world. The Prime Minister said that she is confident of getting an early agreement. I hope that what we are saying in this House this afternoon will resonate with people and make them understand just how valued they are.
I want to conclude the section about the role of social care staff Whatever disagreements we have in this afternoon’s debate, I want the message to go out loud and clear to all social care staff that Members from all parts of the House recognise the work that they do, and that they value it and support them to do that work better. That is part of the definition of a civilised society.
On the point about the need for a long-term sustainable health and social care system, is it not the case that the Secretary of State is driving through work in devolution deals and sustainability and transformation plans, which aim to achieve exactly that—bringing together health and social care to create a much more sustainable system?
My hon. Friend is absolutely right. Although this afternoon’s debate is about the social care system, the sustainability and transformation plans are a critical part of the long-term solution for financial efficiency and for improving the quality of care I congratulate the hon. Member for Worsley and Eccles South (Barbara Keeley) on introducing this debate, which is the first Opposition day debate that she has led. I also pay tribute to the fact that she has had a long-standing interest in these issues. She has asked me questions about the social care system on many occasions. She was particularly right to focus on the impact on the NHS, which is real, and on the impact on family carers, which is also real. She talked about Susan and about the impact on people who are finding that they are giving more hours of care than they were planning or are sometimes even able to give. That is something of which we must all be aware. She asked me to answer a direct question: do I recognise the scale and seriousness of the issues faced by the social care system? The answer is, yes, I do. I want to try to address, as comprehensively as I can, some of the substantive issues faced in the social care system Let me start by saying that, although today’s debate and the majority of the hon. Lady’s comments were around funding, the issue is not only about funding. The hon. Member for Chesterfield (Toby Perkins) mentioned that social care is not just about older people. In 2011, we had the shock of what was uncovered at Winterbourne View by a BBC “Panorama” programme. We have had a number of examples of horrific abuse at care homes. The Ash Court Care Home case in Kentish Town was one that came to light in 2012. The abuse there was filmed by a relative on a hidden camera. Those issues were primarily not about funding, but about cruelty—a strong word—that we have tolerated in our system. We have had some very significant policy responses since then, which are making a real difference. The first is that this Government, under the coalition, introduced the toughest system of care home inspection in the world We often talk in this House about the work of the chief inspector of hospitals, but I wish to pay tribute today to the work done by the chief inspector of adult social care, Andrea Sutcliffe, and her team. She has completed the inspection of nearly 90% of care homes and domiciliary care services. It is encouraging that, despite the pressures that we have been talking about this afternoon, 72% of the places that she inspected were good or outstanding. More importantly, the 28% that are not are the 28% that we know about and are therefore able to do something about I take issue with the way the shadow Health Minister presented her findings. She said that a quarter of the inadequate places were unable to improve following re-inspection. However, the reality is that more than three quarters of places that got an inadequate inspection did improve, which is a huge step forward from where we were a few years ago when we did not know where those places were and when there was no change happening at all.
The Secretary of State is right to highlight the need to improve standards and the need for a rigorous inspection regime, but—taking on board what his former ministerial colleague, the right hon. Member for North Norfolk (Norman Lamb), said—does he accept that even if every single care home in the country reached the appropriate standard, there would still be a care crisis? There is not sufficient funding in the system to make it work. Will he agree to work with all parties to do what we should have done many years ago—before the general election in 2010, as he will recall—and get a grip on the issue and, as a country and as a House, try to sort it out?
I am more than happy to work with people of all parties to come to a sensible consensus. The one thing that unites all the major parties is a commitment to the NHS and social care system. With respect to the other issues, it is not just about rooting out poor care. It is also about something that the hon. Member for Worsley and Eccles South mentioned earlier—giving a career structure to people who work in the care system and giving them recognition. That is why in April last year we introduced the care certificate, which is based on achieving 15 standards. It is a voluntary system, but the CQC inspects against it, so there is a strong incentive for care providers to get their staff enrolled for the care certificate. I pay tribute to the work done by Camilla Cavendish, who did a lot of thinking and had a long-standing interest in this issue in her time as a journalist and at No. 10, and on whose proposals we are basing our work in this area.
I am grateful that my right hon. Friend has mentioned the CQC and also touched on wages. When I met the south-east director of the CQC, it was clear that there is an issue of staff not being paid properly and then moving around the care home sector for a small amount of extra money, which is vital to them. Does my right hon. Friend agree that the living wage will stop that occurring and result in more people staying in jobs for longer?
That is a very important point. We have heard suggestions that the Government have been about words, not action, but the national living wage will do an enormous amount to help keep people in jobs for longer and help them to start to think about their jobs as a career, with potential progression into other parts of the health and care system, such as nursing. I commend my hon. Friend for the work that he does on this in Sussex.
The Secretary of State said that the issues in social care were not only about funding, but it seems that funding is the only issue that he does not want to talk about. The Communities and Local Government Committee is taking evidence on social care. We have had evidence from local councils, including Conservative councils, council directors, unions, care providers in the private sector, care receivers, carers, academics and research institutions, all of whom say that there is a funding crisis in social care. Does the Secretary of State think he might just be wrong in being the only person to deny that such a funding crisis exists?
With great respect to the hon. Gentleman, I was coming on to talk about funding. I just wanted to make the point that the issue is not just about funding I respectfully disagree with some of the suggestions made by the shadow Health Minister in her comments earlier that this is essentially about party political choices, for the simple reason that at the last election, Labour promised less for social care and would have spent less than we are spending. I gently remind Opposition Members that Ed Balls as shadow Chancellor was absolutely explicit in 2015. He said that he would not reverse funding cuts to local government—indeed, he would have made further cuts. Under this Government, those cuts have started to be reversed. Spending on adult social care increased—[Interruption.] These are the facts. Spending on adult social care increased by around £600 million in the first year of the Parliament and is set to increase further because of the spending review, which will mean that up to an additional £3.5 billion can be spent during this Parliament.
I am afraid the Secretary of State is living in cloud cuckoo land. My council has to make £55 million of cuts on top of the £100 million it has already made. There is a funding crisis, and we will not solve it unless he admits there is a crisis. He cannot continue to be in denial, and we cannot have a Prime Minister who constantly says that the NHS and social care have the funding they need. We need cross-party agreement on this long-term issue, but, first, he has to acknowledge that there is a problem.
I have great respect for the hon. Lady, but Leicester Council actually increased its adult social care budget by 7%. Overall, there was an increase in the adult social care budget last year, and that was made possible by the new social care precept, which is being used by 144 out of 152 councils. That will raise £382 million this year and up to £2 billion a year by 2019-20.
My council has had to cut other vital local services to fulfil its statutory obligations. The social care precept will not even pay for the increase in the minimum wage—the council is going to have to move money from elsewhere. The Secretary of State is living in denial. You cannot solve a problem unless you admit there is one. People are willing to work across the House to deliver a long-term solution, but he has to admit that there is a problem.
With the greatest respect, I do not know whether the hon. Lady heard what I said just a few moments ago, but I answered very directly what the shadow Health Minister said. Do I recognise the scale and seriousness of the issues? Yes, I do, and I am coming on to explain what I think the solutions are. The point I am making is, yes, the budget—the amount spent on social care—was cut in the last Parliament, as a result of the very difficult economic situation we faced after the financial crisis in 2008, but it is starting to go up again in this Parliament. We need to look at what we can do to try to turn that into a sustainable improvement in the care received by all our constituents A crucial point was missing from the shadow Health Minister’s opening speech. There was a suggestion that the issues in social care are essentially caused entirely by decisions made by central Government. We need to salute the efforts made by councils of all colours to deal with the pressures in social care, because those are very tough. Middlesbrough Council, for example, increased its social care budget by 11%—it is the most improved council in England. My own council, Surrey, which is an affluent area, but has a large number of elderly people to look after, has battled enormous odds to expand provision However, the fact is that there is enormous variation in the way local authorities have responded to these challenges. If we look at the impact on the NHS, and at the delayed transfers of care that are attributable to social care, we can see that the best councils, such as Peterborough, Rutland, Newcastle and Torbay, have virtually no delays in hospital discharges attributable to social care. That can be compared with Birmingham, Manchester, Reading and Southampton where there are between 14 and 21 days of delayed transfers attributable to social care per 10,000 of population every working day. That is a difference of 20 times between the best and the worst councils, and we cannot say that there is a 20-times difference in funding between the best and the worst councils.
Members have alluded to the fact that local authority budgets are under the hammer at the moment. More importantly—I have raised this with the Secretary of State before—one of the big problems is having the social workers to get people a care package when they leave hospital to go home, and that creates bed blocking, so we are in a vicious circle. The last Labour Government looked at an offer from the then Conservative Opposition to get together and have a properly funded national care service. Why have we not looked at that?
The hon. Gentleman is absolutely right to say that the presence of social workers in hospitals is vital in discharging people, but I think he will be quite shocked to know that 50% of all the delayed transfers of care in the entire NHS happen in just 20 local authority areas. There are many places that are doing these things well, even in the current challenging financial circumstances, but there are others that, frankly, could do a lot better Overall, what we see is a picture where the best councils have expanded funding and provision. For example, last year, Windsor and Maidenhead increased its spend by 6.4%, and the number of people accessing long-term care is up by 8%. That was a Conservative council, but the Labour council in Doncaster also chose to increase its social care budget by 10%—nearly £8 million—and it is looking after nearly 7% more people This is not just about funding; it is also about the speed of health and social care integration and about local leadership. Where such leadership exists, important changes are happening even now. For example, in Cheshire East, dedicated workers are supporting people with early-stage dementia, saving more than £4,000 a year per client in social care costs while improving the service for patients. Milton Keynes is another good example: its innovative pilots have cut delayed days attributable to social care by nearly three quarters Others, regrettably, have chosen to cut funding and provision. There are many reasons for that, but the one thing that is difficult to explain to the public is why, at times of such challenge, local authority reserves have increased by nearly £10 billion since 2010. The hon. Member for Worsley and Eccles South made a fair point when she said that there has never been greater financial or operational pressure on all councils. Like the NHS, there is huge pressure, but unlike the NHS, it has not been possible to protect their budget since 2010 What is the way forward in this very difficult situation? I think that it is a combination of the right financial decisions locally and recognition by local authorities and the NHS that they are part of the same team. That is why, as has been said, the sustainability and transformation plan process is so important It is easy to knock a process whereby local areas come together to have yet more meetings, which we are pretty good at doing in the NHS and social care system, and it is also easy to characterise those meetings as secret, but the fact is that people do not want to publish their plans until they are ready, and they will all be published by the end of this year. Many Members on both sides of the House criticised the Health and Social Care Act 2012 because they felt that it did not do enough to promote integrated care, but now we have a process to do that. That is massively important for the social care system, as this is the first time that local authorities are properly involved in NHS planning. Indeed, four of the STPs—namely those for Greater Manchester, Norfolk and Waveney, Nottinghamshire, and Birmingham and Solihull—are headed by local authority leads. On Monday, the head of operations at NHS England told me that there was not one STP meeting that he had been to where a local council was not represented. At the moment, it is a planning process and it needs to be delivered, but planning needs to happen collaboratively. It is a significant change for the NHS and social care system, but it is finally happening.
So why is it that Stoke-on-Trent City Council tells me that no council officers or councillors have been involved in the Staffordshire STP? Given that it covers the whole of Staffordshire, the more deprived areas of Stoke-on-Trent and north Staffordshire will, in effect, subsidise south Staffordshire, because it has greater debts. Why cannot MPs have input into the plan? It is absolutely disgraceful.
Everyone will have input into the plan, but the hon. Gentleman might want to ask his council why it is complaining about pressures on the social care system when it has refused to use the social care precept and raise extra money, which could be desperately used for social care. That would make a real difference to his constituents Where councils and local NHS organisations are working together, we are seeing some real financial savings that are having a big impact. For example, Northumberland has saved £5 million through integrated services with Northumbria NHS Trust, and there has been a 12% reduction in demand for residential care as a result. In Oxfordshire, where the local authorities, clinical commissioning groups and trusts are all working together, discharge delays are down 40% in six months, and those due to social care have more than halved.
We are having an interesting tour of various councils around the country. I referred earlier to the fact that people have been let down after the 2015 Conservative manifesto, which promised them that they would be secure in their own homes. The proposal to that effect in the Care Act 2014 was postponed because so many councils put pressure on the Government to delay. The Public Accounts Committee has been told that the proposal will be introduced in April 2020. What work is happening in the Department to ensure that that proposal will come forward so that people will be secure in their own homes?
We are doing work, and I would simply say that we have also delivered on that promise because we have introduced the deferred payment scheme, which means that no one will need to sell their home because of social care costs I will wind up now, because I know that many hon. Members want to speak. When we have local authorities and the NHS working together, what is our objective from that process? We want a seamless transition for patients between the health and social care system. We want shared electronic health records so that patients are not asked the same questions time after time. We want a single assessment system so that people are not assessed twice by different organisations trying to get different results. We want to see the pooling of budgets, we want to get rid of delayed transfers of care, and we want multidisciplinary teams. Most importantly, we want there to be a single plan for every vulnerable person, to which everyone who is involved in their care adheres. Those are the objectives In the face of enormous pressure, the best solution for local authorities and local NHS organisations that are finding things challenging right now is not to slow down those vital changes, but to accelerate the pace of change, so that we eliminate waste and improve patient care at the same time. Councils that do so will have the full support of the Government. I urge the House to support the Government’s amendment.
Before I call the next speaker, I will have to impose a seven-minute limit. I have to warn Members that the more interventions that are taken, the more that limit will have to come down.
I congratulate my hon. Friend the Member for Worsley and Eccles South (Barbara Keeley)—my good friend—on an excellent speech. She has no equal in this House as a champion for older people and their carers. Her speech, unlike the speech by the Secretary of State, was firmly rooted in the real world This is the century of the ageing society. Caring for people as they live longer lives is the greatest public policy challenge of our times, but for years Parliament has shown itself to be unequal to that challenge. I want to speak today to tell the story of the efforts to reform social care over the last decade, because I want the facts to be on the record, so that people can understand what happened and vow to do better. The story explains the mess we are in today. To be honest, it is quite a shocking story of partisan point-scoring and, worse, political cowardice, which have seriously failed millions of older and disabled people The story started nine years ago at the spending review in 2007. I was Chief Secretary to the Treasury at the time, and at the insistence of the Treasury I gave the Department of Health the condition on its spending review settlement that it would conduct a root and branch review of the funding of social care. There was a recognition, even in the Treasury, that if we allowed the situation to continue, it could, in the end, damage the national health service. Quite clearly, the funding was not sustainable, and if social care was left to collapse, it would drag down the NHS with it The urgency of such action had been recognised almost a decade earlier, in 1999, when a report by a royal commission on the matter recommended free personal care, paid for by general taxation. It did so for the reason that if we pay for free preventive care in people’s homes, those people do not end up in hospital and costing us all more. Nothing was done, and by 2007 the need for reform was urgent. So between 2007 and 2009, a huge amount of detailed modelling work was done and options were looked at When I arrived in the post of Health Secretary in 2009, the work had come to a head. The analysis supported a clear conclusion that radical reform, rather than patching up, was needed. Department of Health officials supported the Treasury analysis that there would be risks to the NHS if social care was allowed to decline. A Green Paper was published in July 2009, and the idea of a national care service was first put forward. The thinking was that only by bringing the systems together, with a system of clear national entitlement, would we be able properly to move towards integration. The maintenance of two entirely differently funded systems—one free at the point of use and the other means-tested and charged for—would mean that they would never be able to speak the same language and there would always be barriers to integration I was ready to grasp the nettle, because it was clear to me that the NHS was facing a decade of lower funding from 2010 and 2020, and that one of the ways it could cope with that was with the efficiencies we could unlock through properly and fully integrating health and social care and by moving from a hospital-based medical model to a person-centred social model of care starting in the home This is where things went wrong. Picking up that I was ready to up the momentum for reform, the then shadow Health Secretary, Andrew Lansley, approached me in Portcullis House just before Christmas 2009 and asked me for cross-party talks. I thought about it, but I agreed. I thought, as my hon. Friend the Member for Barrow and Furness (John Woodcock) has suggested, that we should take the issue out of party politics, which would be better for everybody. We had a couple of meetings, in which we went round the issues. I favoured the more ambitious, comprehensive reform of paying for social care on the NHS principle—that everybody contributes, but everybody is covered for their care needs and has peace of mind in later life. Andrew Lansley wanted a more voluntary system, in which the insurance market would come up with solutions. That was where we left it Then a bombshell was dropped in February 2010: the poster saying, “Now Gordon wants £20,000 when you die.” I very vividly remember the day when it landed. I was told that Andy Coulson had put pressure on Andrew Lansley to do it, and that he did not really want to, but felt he could not say no. I do not know whether that is true, but I know that the Conservatives, who asked me for cross-party talks, betrayed the confidence that I gave, and they have never seen fit to apologise for that. The point is not about the personal political damage that that did, but about the chilling effect the poster had on the social care debate. It instantly killed any talk of radical reform, and it actually had a deadening effect for the rest of the following Parliament—the last Parliament—during which no real progress was made That brings me to what happened after the election, when, as shadow Health Secretary, I challenged the Government from the Opposition Front Bench about the poster that they had put out during the election saying that they would cut the deficit, not the NHS. I made the point that if they did so, they would in effect cut social care: if they prioritised NHS spending within the reduced envelope, that would have devastating consequences for social care and would in the end come back to affect the NHS From the Dispatch Box at every Prime Minister’s Question Time, the then Prime Minister used to quote me as claiming that it would be irresponsible to give the NHS real-terms increases, but he never commented on the second part of what I had said, which was that it was irresponsible to do so if we were cutting social care. I did say that, and it was irresponsible to social care in the way they did to pay for their commitment to the NHS. Social care was cut by 9% during the last Parliament, with 400,000 vulnerable people losing support in their homes. Those people ended up in A&E or trapped in hospital beds, piling pressure on the hospital system.
I pay tribute to the right hon. Gentleman—this may be my last chance to do so—for the work he has done as a Member and wish him well in his future career if he is successful in his election. Does he agree that the chilling effect of the outcome of those conversations before the election and perhaps the betrayal of his confidence, as he puts it, is that there could no longer be a rational conversation about properly funding the health and care system through any form of taxation? That is the problem that has emerged, and perhaps the best way to fix it is through general taxation.
I am very grateful to the hon. Gentleman for his intervention and the spirit in which he made it. He is absolutely right: that set everything back and meant that there was no possibility of a cross-party approach. There will have to be such an approach if we are to fix social care and, indeed, to give the NHS what it needs, because they will both need more funding during this Parliament. That is the real shame. I did not make my point about Andrew Lansley for political reasons; I just want people to understand what happened, so that the current generations of politicians might do something different The answers we have since had from the Government are wholly inadequate. We have heard today that the precept does not raise enough money, particularly for poorer councils. It is no answer; in fact, it just cynically devolves the responsibility for the whole issue to local government, even though councils did not create the problem. I still favour an all-in system. I will say it: I favour a system in which we ask older people to pay a set contribution, so that they have peace of mind in later life, with all their care costs covered.
I am listening very carefully to the right hon. Gentleman. In the spirit of wanting to rise above party politics, will he agree that it was totally wrong of him to suggest at any stage in the last Parliament that the Government wanted to privatise the NHS, when we have never had the intention to do so? It was wholly irresponsible to scare the public about that.
In a week when Virgin Care is taking on a huge community care contract, I do not think the Secretary of State should be making that point—particularly the Secretary of State who privatised ambulance services in Greater Manchester. I honestly do not think we need to go there The point that I am making is about funding social care. The Conservatives claimed that we were introducing a new inheritance tax. Do people not understand that just 3.4% of estates in this country attract inheritance tax? Why is that? Because the vast majority of estates are whittled down by the costs of care—tens of thousands of pounds, or hundreds of thousands of pounds for some people. That is not fair and it is not sustainable. We must be able to do better I feel so strongly about this because I saw my grandmother go through the care system in England 20 years ago and, frankly, it was nowhere near good enough. I arrived here saying that I would do something about it. I tried to do something about it, but we have not got anywhere near a solution to the scale of the challenge. People will need to put party politics aside and find common ground. The point scoring and failure to grasp big issues have led to a situation where people have low regard for this place We are left with a malnourished, privatised care system in England that is sinking lower as we speak. A culture of slap-dash 15-minute visits is entrenched, in which staff do not get properly treated, trained or respected. Standards in care homes have slipped even further, and stories of neglect and abuse abound—we hear them all the time. Countless vulnerable people and their families still have to pay these cruel dementia taxes, which have risen under this Government, losing everything they have worked for and going into later life with everything on the roulette table: home, pension, savings—the lot. That is not the care system we should have in 2016 in this country. At what point are we going to say, “Enough is enough,” and actually do something about it?
I cannot promise anything as dramatic as what we have just heard from the right hon. Member for Leigh (Andy Burnham), who speaks with great authority and knowledge. I follow three fascinating speeches. He was correct that no one knows more about care and older people than the hon. Member for Worsley and Eccles South (Barbara Keeley), who speaks for the Opposition. She always speaks in her quiet but incredibly knowledgeable way and puts a strong case. My right hon. Friend the Secretary of State set out the challenge that he faced on coming to office and in dealing with many of the issues outlined by the right hon. Member for Leigh The narrow nature of an Opposition day debate does not allow us to go into all the issues that have been raised between the three of them, but the truth is that we will need to do something different in due course to deal with adult social care. These issues have not been tackled as well as they could have been in the past. Everyone has had a go, but everyone draws back at a certain stage. The ageing population means that we cannot continue to do that There are two straws in the wind that the House should be conscious of. The first is the integration processes that I was asked to start delivering when I came to office. There was a determination from the former Chancellor and the Secretary of State to make sure that integration actually happened, to deal with the issues that have been outlined today. There is a determination right the way through the process to deliver that at last, instead of just talking about it—we have passed that stage The second is devolution in areas such as Greater Manchester, which will give the right hon. Member for Leigh the perfect opportunity to put into practice exactly what he has been talking about, along with the skilled and experienced director, Jon Rouse, who has moved from the Department of Health. No one knows more about it than he does. That provides the perfect opportunity to deliver on what the right hon. Gentleman has been saying I should declare an interest not only as a former Minister, but as the co-chair of the all-party parliamentary group on carers. In the few brief minutes allotted to me, I want to take the opportunity to thank carers for what they do and speak about how this issue impacts on them. It is obvious that the difficulties of provision elsewhere impact very much on the 6 million carers in the United Kingdom, who provide largely unpaid services to care for their loved ones and who do an exceptional job I am very pleased to have kicked off a review of the carer’s strategy, which is working its way through the system. The Under-Secretary of State for Health, my hon. Friend the Member for Warrington South (David Mowat), will deliver that review in due course, and I am very interested to hear what will be said To give some background on finances for a moment, the financial situation is very difficult. I want to support my right hon. Friend the Secretary of State in the Lobby tonight because I know how hard he tried in the financial settlement of 2015 and the extent to which he succeeded. I will mention two things. First, he got an increased amount into social care. Secondly, in recognising that more money was needed and introducing the social precept, the former Chancellor, my right hon. Friend the Member for Tatton (Mr Osborne), crossed quite an important barrier. No longer would the Government’s position be that there was enough money in the system; allowing local authorities to raise more money was a recognition that more money was indeed necessary. The nature of the settlement means that the early years are difficult, but more money will be going in in due course. The situation is exceptionally difficult. No former Minister or Member of Parliament would say that things are not incredibly stretched—they are—but I know how hard my right hon. Friend the Secretary of State fought to get that money coming through The key point my right hon. Friend the Secretary of State made, which is desperately relevant, is this business of variation in practice. I was constantly concerned about how it could be that, at a time when it has never been easier to transfer knowledge from one area to another, two neighbouring areas could have radically different processes that meant one area had more difficulties than the other and the best practice in one area delivered better results. Until there is the sense that best practice can be followed everywhere, we will not get the changes we need—my right hon. Friend highlighted some of those. We see the same thing in terms of delivery of the Care Act 2014 and in relation to work on the better care fund As for areas where things will continue to improve, I am very pleased that my right hon. Friend said what he did about Andrea Sutcliffe and the Care Quality Commission in relation to care homes. It is very important that the work continues to identify bad practice and to deal with what I call a tolerance of standards of care in some places that would not be accepted in acute hospitals but are sort of tolerated in care and in mental health. It is very important to address that, so that there is no longer such a difference I want to put on the record some areas of concern. Yes, things are increasingly stretched. I want to raise the employment issues there are for carers. We have spent a lot of time and effort on looking at childcare and the ability of people to cope with their childcare responsibilities. We now need to look at those caring for people who may be older, and who are older themselves. I hope that an important part of the review that is coming forward will look at what employers can do to make things easier for carers I want to emphasise the dark corners that exist. There have been complaints to the ombudsman because people are afraid of making complaints about the care of their family members due to the fear of reprisals. That simply should not happen, and it is right that we are alert to it. I thank groups such as Your Voice Matters for their work; Jenny Moore from that group came to me with her concerns. Sometimes pressure groups can be an irritant—they are the stone in the shoe that makes the difference. I make a plea to them and others to work together to bring their concerns forward. People should not feel that they face reprisals for raising complaints. That is extremely important.
Just before my right hon. Friend wraps up, I want to put on record my thanks to him for his outstanding work in my Department, both in mental health and in social care, and for his real commitment to the voluntary organisations and the patients and service users in those areas.
Hear, hear!
I am extremely grateful to my right hon. Friend and to other colleagues. I loved and enjoyed the job. There is much more good work still to be done. I saw good examples everywhere. The concern we all share is how to make the examples of the best the quality of everywhere. There is no reason why that should not be the case In the extra minute I now have—I thank my right hon. Friend for his kindness there—I will look ahead. The things that will continue to make a difference include, first, more co-ordinated working and, secondly, new technology. We must look at how technology can be used, including remote monitoring and different ways of providing care, both in homes and for care workers. Increasingly, technology will make a difference Thirdly, on environments for living, there will be more retirement communities, more people will live together, and there will be a greater consideration of independence and self-care. I should always mention the work of Men in Sheds to combat loneliness and isolation, as they need more recognition Is there a need for more money? I encourage my right hon. Friend to continue what he started with the settlement process, for which he fought very hard. The whole Department needs to be behind the Secretary of State as he continues to make the arguments, because life for some is just too stretched. A combination of the right quality of care and the right amount of money will make a considerable difference.
I am afraid it was the same old story from the Secretary of State: no response to the funding crisis. It is a national crisis and a national disgrace that social care is not being funded properly The social care system should of course become more efficient, but much work by local authorities and local health providers to make it more efficient and bring about improvements has already taken place. The simple fact, however, is that there is just not enough money. My local authority, Halton Borough Council, works closely with local NHS providers, but it has suffered a 50% cut in its budget, so how can it be expected to sustain and grow support for adult social care In the time I have, I want to quote parts the Care Quality Commission “State of Care” report of 13 October. It states that demands are increasing on health and social care, but that “despite increasingly challenging circumstances, much good care is being delivered” We know that, but it goes on to say: “However, the sustainability of this position is in doubt…The financial challenges in the NHS have been extensively documented…there has been evidence of a deterioration in quality…and some providers…are struggling to improve their rating beyond ‘requires improvement’.” By the end of 2015-16, NHS providers had overspent their budgets by £2.4 billion. Local authorities were reported to have overspent by £168 million. Delivering high-quality care while achieving good financial management is therefore more important and more challenging than ever before The fragility of the adult social care market and the pressure on primary care services are now beginning to impact both on the people who rely on these services and on the performance of secondary care. The evidence suggests we may be approaching a tipping point. Profit margins are reducing because of pressures on fees and cost pressures that include the national living wage. Some providers are already starting to hand back home care contracts as undeliverable. Local authorities predict more of that to come The Treasury allowed local authorities to raise an additional 2% above the existing threshold, but this amounts to only £790,000 in 2016 for Halton Borough Council. That is well short of meeting the increased cost of adult social care. In addition to the costs, the council is facing its sixth year of austerity measures and has to find a further £30.3 million by 2020. Adult social care has delivered £17.4 million in savings from 2011 to 2017, but this level of savings is no longer sustainable given the pressures on the service. That pressure is compounded by increasing demand and financial constraints from health services, which can have a direct impact on social care services. Halton has to find an additional £2.9 million, while the additional precept it has received amounts to only £790,000. The council tells me that the adult social care and funding reform allocations in the Care Act 2014, which moved into the settlement funding assessment, are insufficient to meet the requirements of part 1 of the Act The national living wage is the greatest financial pressure at present facing adult social care, and the Government are not funding it. The ageing population of Halton is increasing, and that is part of a general change in demographics. The number of residents aged 65-plus will increase by 43% by 2037. Care providers, on the other hand, are exerting pressure on the council for increases in rates over and above inflation. The expectation appears to be that local authorities should fully fund the additional costs. I pay tribute to our care workers, who work under great pressure with a greater workload and fewer staff. Things do go wrong from time to time and they have to be addressed, but the care workers do a fine job. I was struck by the findings in the Unison “Care in Crisis” report. In answer to the question, “Have budget cuts affected your work or workplace?”, 70% said there was a greater workload and over 60% said there were fewer staff I have been in touch with my local hospitals, too. Warrington and Halton Hospitals NHS Foundation Trust says it is currently engaged in the challenge of trying to achieve the four-hour A&E target, as well as an improvement programme. As part of that, an independent audit was recently carried out under the emergency care improvement programme. On the Warrington site, it reviewed 241 patients across 15 in-patient wards where the length of stay was longer than six days The feedback received was that 58%, or 140, of the 241 patients reviewed were deemed medically fit—in other words, did not require a bed in an acute hospital. Of these, 91 required the intervention of an agency external to the hospital, such as local authority, social care or community care providers. The top three delays identified were: waiting for external agency assessments; waiting for a community hospital placement or other bedded intermediate care; and waiting for the start of social domiciliary care packages. The hospital of course acknowledges the difficulties that local authorities and commissioning bodies face around social care On the subject of Warrington hospital, the Minister will be interested to know that I asked the chief executive of Halton CCG whether, as part of the STP programme, consideration had been given to reducing the opening hours of Warrington A&E, but he refused to answer the question and gives no reason for that. I hope that the Minister will look into the matter and ensure that I get the information I should be entitled to The Government cannot go on ignoring the fact that there is not enough money. We heard the Secretary of State again today ignore this fact. He spent most of his speech not talking about the crucial point, which is funding, and that is clearly the feedback from all parts of the service. The CQC says that the system is fragile and at a tipping point. This is not Labour MPs or Labour councils; this is the CQC. I ask the Minister to tell the Secretary of State that he and the Chancellor need to come forward with a proper plan for funding social care. If they do not, the crisis will continue and deepen, and the Government will be responsible.
Order. The limit on Back-Bench speeches has now to be reduced, with immediate effect, to six minutes.
A while ago, I spent a week in intensive care—not, I assure Members, as a patient—and I remember well how the unit was unable to admit a seriously sick patient because there were no beds free, and there were no beds free in the intensive care unit because there were none free in the hospital. The ward sister told me that that was because patients, particularly elderly patients, could not be discharged because there were no care home places for them. She described that as bed blocking. That is a familiar story, particularly to hon. Members in the Chamber, but I should tell the House that that was 20 years ago. Delayed transfers of care, as we now call them, are nothing new The fact that this is nothing new is a reminder that the problem will not be easily solved; there are no easy answers, but that is not to say that we should not try. In fact, I believe that we should and must try. We must address the problem of delayed transfers of care, not only because NHS hospitals need to use their beds for acutely sick people who need acute hospital care, but because hospital is a very bad place for patients to be, particularly older patients, if they are ready to go home. It is absolutely the worst place for older patients, when they could be at home regaining their mobility, as opposed to losing it stuck in a hospital bed. A few weeks confined to a bed in an acute hospital can mean that an older person never walks again, even though they went in perfectly able to walk and live independently. I say that from the experience of my own grandmother. I appreciate the efforts being made across the system to solve this problem. I know that hospitals and the social care system across the country are working together to speed up discharges; to put in place packages of care; to identify who needs single-handed versus double-handed care; and to try to make best use of limited resources. I know that that work is being done in Kent in my constituency. A few months ago, I convened a meeting between East Kent NHS hospital and Kent County Council specifically to talk about what they were doing to reduce the number of delayed transfers of care. I should give Kent some credit, as this year the number has fallen significantly: it approximately halved between last June and this June, so it really is possible to make progress, even in a tight financial situation At the regional level, the STPs, the devolution deals in places such as Greater Manchester, emerging accountable care organisations and vanguards such as Encompass in east Kent are really working on how to bring health and social care together and how to improve the situation with delayed transfers of care. They must prioritise this and they have to go beyond questions of whose budget the money comes from, whose money it is, whose problem it is and whose patient it is. Instead, they need to look at the problem as a whole and take account of the patient as an individual. They should simply look at what care the patient needs, not whether it is part of one system or another. I would like to thank all those working on this across the country for their efforts. They are working not just to free up much needed beds, but for the sake of individual patients who need better care outside hospital That brings me to the question of money. As a society, we face the challenge of people living longer, needing more care and rightly expecting better care. Thanks to the work of the CQC inspecting care homes and care providers, we are seeing some transparency in the quality of care, and we are identifying where there is poor care. Thankfully, the vast majority—70% or so—of care providers are either good or outstanding, but a significant minority is not good enough. It is good to see, though, that the majority of those are, in turn, improving I welcome the improvements to care, driven in part by the CQC and greater transparency, but we cannot get away from the need for more money in the system. We all know that the Government have recognised that. Despite the large deficit and debt left by the Labour party in 2010, the Government have committed to funding the NHS through the five year forward view and to increasing funding to social care. Social care funding is rising in real terms. I enormously welcome the social care precept—the extra 2% that Kent and other councils are levying to increase the funding for social care. I have not heard a single person in my area complain about that levy—that increase in the amount of council tax that has to be paid—which I think shows widespread support for funding more care It is good to spend money where we can on social care as well as to maintain the commitment to funding the NHS, but there is a case for work to be done so that we know what any extra money spent on social care will achieve. To what extent might it achieve savings for the NHS? When I asked the experts questions in this area, I encountered a lot of vagueness about what could be achieved for the NHS by increased spending on social care. Finally, I emphasise the importance of having a system that truly joins up health and social care, so that each pound is spent most effectively across both those areas and so that each person gets the right care for them. It should not depend on whether they are in the NHS or social services spheres; it should be the right care for every individual person.
They say that growing up is optional, but growing old is inevitable. Our social care system is on its knees and, regardless of what has been said today, a lack of funding is the cause I invite you to picture this, Mr Speaker. You are sitting in your living room, unable to read or watch the TV as your sight is failing; you are unable to stand or go to the bathroom because your mobility has failed; and you are unable to delve into your deepest, happiest memories because your cognition has failed. This is the reality for millions and millions of people in this country. This is what they live with, day in, day out. They may be lucky to have family members who can help, or they may be reliant on the kindness of strangers to help them with basic everyday things such as washing, going to the bathroom or eating—things that you and I, Mr Speaker, may take for granted in our younger years Many councils, including Wandsworth Council, have removed vast amounts of money from their adult social care budgets. The most vulnerable in our society need safety, not insecurity. We need to ensure that robust systems are in place to provide care for people, many of whom might have fought so that we can have the liberty that we enjoy today. We do not need an unretainable workforce or the reduction of funds year on year The vast cuts and insecurities do not merely amount to cancelling a bus to the seaside for a day, or cancelling over-80s bingo; real, core care treatments are being cut. They are being cut to the bone. This is happening to many people who have given the country so much in their lifetimes. They have paid their taxes, they have worked hard and they have raised their children, yet all that the Government can do at the moment is leave them high and dry. I say that that is not good enough: they deserve more What about the personal carers who leave their jobs because they do not want to leave their families to the will of local provision? There are 19,000 people caring for family members in Wandsworth alone, and they have to choose between heating and eating every winter just to make ends meet. We are failing those people The people who work in our care system dedicate their lives to working in social care, and they work very hard. I want to put on record my personal thanks and admiration for the work that they do day in, day out. It is not easy for them to leave their own families and work so selflessly and for such long hours to help others. They do so in the hope that they can provide even just a small amount of support and can put a smile on someone’s face, as the Secretary of State said earlier. He has now left the Chamber, so he will not hear my peroration. Anyway, it is great to be able to make someone smile, just for a day. The current provision in Wandsworth, however, is the “most economically advantageous”, which is a euphemism for “cheapest”. Our country deserves better. It may be said that we are providing high-quality cheap care, but in many cases we are not, certainly in Wandsworth. Both the Secretary of State and the hon. Member for Faversham and Mid Kent (Helen Whately) spoke about CQC inspections and high ratings. That is great, but Wandsworth council is having to contract out to agencies whose CQC ratings describe them as “requiring improvement”. Let me ask Members this, if they will look up from their phones for a moment. Would that be good enough for their families? Would it be good enough for my family? I think not. I think that all the families in the United Kingdom deserve care from people who do not “require improvement” but are delivering the best possible care, because they deserve nothing less In Tooting, I have heard reports of patients sitting in their homes waiting for the knock on the door from a carer who has not shown up. Day after day, I hear of family members having to hide in their cars just to prove to the council that the carers are not showing up, because the carers are saying, “Unfortunately, your dad has dementia. He did not remember that we came.” That is not good enough. It is not good enough for our families. This is a cross-party issue. I implore the Government: please listen to what I am saying, and do the right thing I spent 11 years working in the NHS, in A & E, on the frontline. Our staff at St George’s hospital in Tooting worked incredibly hard, but NHS staff throughout the UK also work hard. Day after day, I saw families in crisis. They brought their elderly family members to the door, crying, saying, “I cannot cope: I do not know what to do any more.” Such people are treated by our wonderful NHS staff, but, as we have already heard, that causes bed-blocking, because there is no adequate social care provision that would allow them to leave hospital The Government are allowing contracts to be awarded to companies that do not pay the living wage. It is fantastic that the living wage is going to go up, but how are staff to be retained and provide the high-quality care that they so wish to deliver if there is not the budget to pay for it As I said earlier, I spent 11 years on the NHS frontline. Now I am in the House of Commons, and I am flying the flag for every single carer, every single NHS worker and every single patient. I am flying the flag for every single person in the United Kingdom who deserves better for their loved ones: for your parents, for my parents, for absolutely everyone. Not investing in social care leads to avoidable mistakes. Not investing in social care leads to more pressures on our already pressurised NHS. Not investing in social care costs lives and dignity How much more time do the Government need to recognise that not addressing the current funding crisis in social care is severely affecting lives and crippling our public services? Respectfully, I call on them to wake up and do the right thing.
I shall not be supporting the motion. While I agree that there are pressures on social care, the answer is not just financial. As many Members have pointed out, notably my hon. Friend the Member for Totnes (Dr Wollaston), we need to change the system and combine health and social care I have worked in the NHS for more than 20 years, and I still work as a nurse. I have always found it odd that health and social care are delivered separately, funded separately, and seen as separate entities. When I trained over 20 years ago, we were taught to treat people as a whole, not to treat them in terms of their social care needs or their health needs. I have spent most of my time working as a nurse in a hospital, and it is very different there. If someone needs personal care—if they need washing or feeding—we just get on and do it because we are looking after that patient as a whole. When patients are discharged home, they get their healthcare needs and medication delivered by the NHS, but if they need feeding, washing or dressing, they have to wait sometimes for many hours for someone else to provide that separately. I find that increasingly difficult to see Healthcare and personal care in hospitals is delivered by trained nurses and healthcare assistants who have had much training and are very well respected and valued. Personal care, however, is often delivered by people who are paid less than the living wage and who very often have had little or no training. Is it any wonder that this goes wrong, and that people are readmitted into hospital after ending up at home with healthcare problems? It is no wonder at all that we are facing this issue, and that is because the system is not working, not necessarily because there is not enough finance We need to appreciate the skill involved in social—or what I call personal—care. Washing someone is not just washing someone; if a person’s health needs are being looked after properly by a highly trained nurse who washes them, they will be checking whether they have eaten and taken their medication, and whether they are a little more confused today, and if so, why? Is a urinary tract infection brewing? Are their opiates too much? Are they hypoxic or constipated? There might be a whole host of reasons, and that nurse gets on top of those things and keeps that person well. Without that knowledge and skill, delivering social care on the cheap is never going to work We have seen hard evidence of this today from a pan-European study that says that the risk of a patient dying in hospital increases by a fifth for every nurse replaced by a healthcare assistant. I am sure if that study were extended to social care and into the community, those figures would be even worse. There has been an historical undervaluing of social care, which has been the Cinderella service in the care sector. I believe we should stop referring to healthcare and social care and just call it care The answer is not just to throw more money at the problem. I agree that money is needed, but the answer is to combine both things: health and social care need to be jointly commissioned, jointly paid for and jointly delivered. Currently, social care does not work for patients. They often have multiple visits—four or five visits in a day by four or five different people, with one person who can give them their medication but is not allowed to wash them, and the next person who has to say, even if they need medication, “Sorry that’s not my job. You’ll have to wait for your next visit.” We heard from a previous Labour Secretary of State, the right hon. Member for Leigh (Andy Burnham), that attempts have been made to join health and social care together, but these have not made progress. I congratulate the Government on bringing forward sustainability and transformation plans and the better care fund in an attempt to make that difficult transition to merging health and social care. We are hearing about the progress that is being made, and the Secretary of State said that in places where this is starting to work admissions are dropping by 40%, which is welcome I passionately believe health and social care need to be combined. That will improve outcomes and reduce spending and admissions, but most of all it will improve patient care. The only way forward now is to be bold and brave, and when we have groups such as the King’s Fund with its Time to Think Differently programme recommending this as a new model of care, we have to move swiftly I cannot support this motion. While I believe that social care is under huge pressure, finance is not the only answer; we need a combined service, and we need to free up healthcare professionals to look after their patients holistically and free up bodies such as CCGs to commission services jointly. I support the Government’s efforts in trying to do that.
I really welcome the opportunity to have this debate today, and we have heard some excellent speeches. I want to pay particular tribute to my right hon. Friend the Member for Leigh (Andy Burnham), who made a powerful speech. I pay tribute to the work he has done, and to his passion and commitment to bringing health and social care together. He deserves credit for that and I wish him all the best as he takes that fight beyond this place. I think he will do great things with it My local authority, Calderdale Council, has already written to the Chancellor and the Secretary of State for Health to outline its concerns about the crippling underfunding of social care. Following a motion passed at full council, council leader Tim Swift has called on the Government to bring forward the better care fund, to develop a workforce strategy and to accelerate progress towards establishing a single pooled budget for health and social care in all areas by 2020. The King’s Fund report has recently acknowledged that local authorities are having to make incredibly difficult decisions about where to make service reductions, with no room to make further savings. The report goes on to state that without further funding, most councils will soon be unable to meet even their basic statutory duties At a time when we are having yet another rethink about how we organise and structure NHS services with the sustainability and transformation plans, the NHS Confederation, which brings together all the different organisations that make up the NHS, has said in its representation to the Treasury that if the Government continue to fail to provide the right conditions to transform the service into one that is sustainable for the future, a tough challenge will become an impossible one. It cites the decisions to cut spending on public health through the local authority grant and to delay much needed social care funding until later in the Parliament as examples, saying that while there is no doubt that these decisions have made short-term savings for the Treasury, there are strong indications that this will come at the expense of significant long-term costs and could hinder the transformation that we all want to see. Rob Webster, the chief executive officer of South West Yorkshire Partnership NHS Foundation Trust and the lead on the West Yorkshire and Harrogate sustainability and transformation plan, made this clear when he said: “We must invest in social care and public health. Our STP shows quite clearly that modern health and care services focus on the whole person—and that means their mental, physical and social care needs. If we do not invest in social care and prevention, we may not have a sustainable NHS at all.” I recently spent time with the Yorkshire Ambulance Service in my constituency, and I was particularly interested in how the paramedics would be affected by the proposed downgrade of services at Huddersfield royal infirmary. It was clear to me just how many ambulance call-outs, and consequent hospital stays, could have been avoided if appropriate mental health provision and social care had been in place. We visited an older gentleman who had initially simply become dehydrated. He had grown increasingly confused and, in his confusion, he had stopped taking his medication. His neighbours called an ambulance when they realised that he had become quite unwell as a result. According to the paramedics, that was not unusual and they would expect to see a number of similar calls over the course of a 12-hour shift. He was a proud man and was clearly distressed to think he had caused a fuss. That ambulance call-out and hospital stay could have been avoided had social care been in place, empowering him to live well in his own home and saving the NHS the cost of more serious interventions later on. That experience reinforces the case made by the NHS Confederation to the Government that without the appropriately funded delivery of mental health support and social care services, attempts to transform the NHS into a more sustainable model are doomed to fail Another issue that I want to touch on is respite care. My constituent, Mrs Burrows, came to see me in tears last week. Her elderly mother has Alzheimer’s and a variety of related health complications. Following an assessment, Mrs Burrows was allocated eight weeks of respite care a year for her mum. Despite this allocation, she has to work with social services to find an appropriate establishment that is able to care for her mother. She also has to make the arrangements, but she struggles to find a place for her mother in residential care because temporary beds are just not available. Part of the problem is that she is able to book respite care only a week in advance, which means that she cannot plan ahead. She finds it difficult to book holidays or confirm her attendance at family events such as weddings. Mrs Burrows was particularly distressed because her daughter required urgent medical treatment and she desperately needed to find respite care for her mother so that she could look after her grandchildren while her daughter had the treatment. However, there were just no beds available I want to take this opportunity to commend the Alzheimer’s Society for the work it has done with its Dementia Friends programme, which, as of 1 pm today, has trained 1,752,419 friends, all of whom now have an enhanced awareness of what it takes to support someone to live well with dementia. It is a massive achievement, and I am proud to be one of those dementia friends. Worryingly, however, research undertaken by the Alzheimer’s Society found that 38% of homecare workers do not receive any dementia training and that 71% do not receive dementia training that is accredited—despite the commitments made in the Prime Minister’s challenge on dementia. Some 850,000 people are living with dementia in the UK and an estimated 400,000 of those are in receipt of some form of home care. The scale of the challenge is huge, but if we do not start working on finding the answers to both the availability and the quality of social care now, imagine the crisis we will be facing in five, 10 or 20 years’ time Without an injection of investment into social care, we will have no chance of balancing the demands on the NHS. Good, proactive social care would require investment but it is not just the right thing to do; it would ultimately be cost-effective and prevent more costly and avoidable interventions later on.
It is a pleasure to follow the hon. Member for Halifax (Holly Lynch), who articulately outlined several of the human challenges facing some of her constituents due to problems in the social care system. We have heard many contributions from right hon. and hon. Members today, many of whom drew upon their own front-line experience of working in the health and care system and of the difficulty in getting the right care that people up and down the country are facing We must remember that we are debating issues that affect real people and real people’s lives, which we sometimes forget in the heat of political debate. We need to remember that social care and good social services are about providing basic dignity in the care of older people and disabled people with things such as dressing, eating and washing. No Member should forget the importance of personalised care that provides dignity. We need a system that is not only more integrated and joined up, but better funded than the current system, which is not adequately financed to meet the needs of the people it looks after I want to talk briefly about welcome initiatives such as vanguards, the better care fund and the STPs, which are moves in the right direction. I also want to discuss the future. The right hon. Member for Leigh (Andy Burnham) was right when he highlighted some of the missed opportunities over the past two or three decades to grip the issues of improving social care and properly funding a sustainable health and care service. Before I do all that, it is worth pointing out some of the fundamental challenges facing the health and care system today However one dresses up the figures, there is an undoubted trend towards increasing delays in transfers of care. That is the truth that the figures show us. Of course, there are areas of good and bad practice, but the national trend in delayed transfers of care shows increasing pressure on the system. Budget reductions in the social care sector are real and amount to about £4 billion over the past decade. It is welcome that more money is coming into the system through the local precept, but that barely touches the sides when we consider the challenge of also meeting the increased demands of paying the national living wage. The NLW is a welcome initiative that will raise the living standards and quality of life of many care workers by properly rewarding them for their work—or make a much better contribution towards doing so—but the change is nevertheless putting budgetary pressure on local authorities, which manifests itself in difficult decisions about how care is provided and rationed on the frontline One of the big trends of the past decade has been that many local authorities have tightened the eligibility assessment for social care. It is effectively now the case that someone has to be in severe need to receive social care, so we must recognise that the tightened criteria mean that those who receive social care are no longer those in moderate need. That is symptomatic of some of the budgetary pressures that the system faces The welcome initiatives—the vanguards, the better care fund and the STPs—are all about the better joining up of what health and social care do together, but we must remember that STPs have perhaps come about in spite of the Health and Social Care Act 2012 rather than because of it. Prior to the 2012 Act, we had strategic health authorities, which helped to co-ordinate care at a regional level. Those were abolished and disappeared. STPs are now a welcome return to the recognition that we need a degree of regional co-ordination of our health and social care system in order to deliver the right care. That co-ordination must be across primary care, secondary care and social care. Housing providers are equally important, because many delayed discharges from hospital are due to the lack of appropriate housing for people with mental health conditions and dementia who do not have the right houses or the right circumstances at home. That is an important part of delivering those local plans to make sure that the system works better for people The elephant in the room is of course funding. Yes, we need to transform services, and more money is needed to do that. There are transformation budgets available through STPs to support clinical commissioning groups in delivering improvements in the NHS, but that will barely touch the sides and will not make enough of a difference. The great tragedy is that if we really want to drive integration, we must put the money into the same place. We must properly fund the integration and joining up of care. The loss of opportunity before the 2010 election was highlighted by the right hon. Member for Leigh. I urge the Government to look again at having cross-party talks to consider a sustainable future for the health and care system in which we all believe.
I think we all agree that the way in which a society looks after its vulnerable and elderly is a mark of its humanity. By that measure, our Government are failing. Social care services are facing financial crisis under the Tories, with social care funding slashed by £4.6 billion over the course of the last Parliament. We know that demand for care is rising, yet fewer people are receiving services. Between 2001 and 2015, the number of people aged over 85 increased by more than 38%, and the number of people with limiting long-term illnesses increased by 1.4 million, which means that the challenges are great. Despite rising demand, fewer people are receiving support. Research by the King’s Fund and the Nuffield Trust shows that 25% fewer older people are receiving social care support today than just five years ago. Research by the London School of Economics shows that 500,000 people who would have had access to social care in 2009 are no longer entitled to it Funding for social care remains insufficient and that only increases the cost to our national health service, as many Members have observed, The Government have announced increased funding from 2017-18 for the NHS better care fund, which aims to integrate health and social care and allow councils to raise council tax by up to 2% to fund adult social care from April. However, there is a shortfall of £1.1 billion simply to maintain care levels at the 2014-15 level. According to the King’s Fund, £5.5 billion has been taken out of social care budgets in the past six years. The most recent budget survey by the Association of Directors of Adult Social Services in England highlights that an extra £1.1 billion of investment is needed simply to maintain care provision at the same level as last year Research from the Nuffield Trust, the Health Foundation and the King’s Fund demonstrates that, even if every council were to utilise the precept, the estimated funding gap, taking into account the impact of the living wage, will be between £2.8 billion and £3.5 billion in 2019-20 ADASS states that the social care precept this year raises less than two thirds of the calculated costs of the new national living wage. This significant and sustained underfunding is resulting in a loss of independence and quality of life for older and disabled people, and reductions in carer support, undermining the positive changes for carers introduced in the Care Act 2014 In the past six months, 62% of councils have had residential and nursing home closures and 57% have had care providers hand back contracts. The closure of services and the handing back of contracts have affected more than 10,000 people using council-funded care There is significant regional variation, too. ADASS has already reported the inequality in funding for local authorities collecting the 2% precept, stating that it raises “much more in some areas than others and raises least in areas with the greatest need for social care.” Although the Government have said that the additional funding from the better care fund will be used to top up funding for local authorities that will raise less from the precept, that extra funding will not be released until 2017-18 when it will deliver only £105 million I wish to talk very briefly about the impact on the national health service. Before doing so, let me say that, despite the Secretary of State’s warm words around STPs and local decision making, he is doing nothing to allay the fears of patients, carers and NHS staff in Wirral about the risks that are posed to services at Arrowe Park hospital in my constituency We know that good social care is far less costly than a hospital stay. The crisis in social care means that patients are forced to stay in hospital for weeks or sometimes months longer than they need to because they cannot get the care they need in the community. The social care crisis is affecting our NHS. The Care Quality Commission said recently that the level of cuts to social care is forcing hospitals to admit more patients as emergencies, who they are then unable to discharge because the social care that they need is not available for them at home. The number of patients unable to leave hospital because of the unavailability of social care has risen 70% since 2012. The CQC’s most recent annual report shows that the number of hospital bed days lost through patients being unable to leave because of social care not being available has increased by 70% since April 2012 Delays in securing these vital social care services and the desire to free hospital beds can put extra pressure on families at the point of discharge. Evidence shows that of carers who have recent experience of hospital discharge, a quarter report that they were not consulted about the process. Almost six in 10 carers said that they did not feel that they had a choice about providing care to the person following their discharge from hospital. In other words, families feel that there are no alternatives available If a carer is unprepared or simply unable to care for their loved one when they are discharged and no support is put in place, families can find it difficult to cope. This not only has a huge impact on the individual needing care, but can cause significant cost to the NHS, as re-admission is more likely. It is important that in debates such as this, we remember those people who do not have family to help them. The implications for them are far worse. It is vital that we address the failings in our social care system. The Government must find the money needed to fund it properly Finally, I want to say a few words about the impact on carers. I have a large number of carers in my constituency who play a vital role in providing care, but it is unfair to expect them increasingly to prop up a social care system in crisis. With that in mind, I urge the Government to do all they can, to take note of the concerns expressed in today’s debate, and to find the funding both to address the current crisis and to put in place a long-term settlement to ensure that care is there for those who need it, whether they are elderly or vulnerable in any other respect.
The motion is wide ranging because when we talk about social care, we are talking about the needs of older people, the disabled and their carers. In my constituency, we have one of the fastest-growing ageing populations in the country, so I understand only too well the pressures placed on my hospital, Addenbrooke’s, when elderly patients cannot be discharged My county council, NHS trusts and CCG are well aware of these challenges and are working well together as a team to see what transformation is possible to break the cycle, just as the Secretary of State recommended. However, I know that although they are determined and very capable, they are not miracle workers. As local authority budgets are reduced and we are rightly asking for better value for taxpayer money, it is inevitable that the pace of change will be variable across the country, and my worry is that the standard of care may suffer while that transformation occurs I believe that our care providers have the potential to transform. The question is whether they can do so swiftly enough and whether they can do it without a short, fast boost of additional funding to release them from the unrelenting pressure so they can find the head room to manage and make change. Many of the issues that we face in the care sector apply equally to the disabled and to the elderly. Supporting the vulnerable is a moral and political priority, so for those who cannot help themselves, including the 1.5 million people living with a disability in the UK, we must help our care providers adapt. I shall focus on the disabled, as we have heard a lot about the elderly today Our growing and ageing population means that the current terms for the delivery of these vital services are no longer sustainable. Many providers have nowhere left to turn and are withdrawing from services that help those most in need. I have visited such a provider in my constituency, Voyage Care, which delivers 24-hour support to adults with significant disabilities. The care staff are the most humbling and dedicated human beings I have ever met. I am so proud to have them looking after my constituents, but they cannot continue to deliver a service on local authority rates that are frozen year after year. Fortunately, this year I have managed to help them secure a very small uplift, just enough to keep their heads above water, but throw in rural geography, a higher national minimum wage, changes to payments for sleep-in shifts, and a likely reduction in the number of keen eastern European carers coming here, and we start to run out of options The Government’s transforming care programme sets out a clear vision for ensuring people with learning disabilities receive the right level of high quality care in their local communities to support them in living as independently as possible. We have some great tools at our disposal to facilitate pathways into independence and employment, such as Access to Work, so let us get smart about this. By supporting this community transition, we generate not only life chances but economic activity. Some 45% of young disabled people want their social care support to help them find and stay in work, but their care package does not include such support The debate must also draw attention to supporting our carers. I immediately thought of Alan, one of my constituents, who looks after his mum, Marion, who has very progressed Alzheimer’s, in one of my villages. He has dedicated his adult life to looking after her, but he needs a break, too. I know he has just about managed, but that is through huge personal and financial sacrifice. The value of the care that carers such as Alan provide is about £132 billion—almost equivalent to the UK’s total health care annual spend—so this little debate, Alan, is for you and your mum, Marion In financial terms, the Government have rightly allocated money via the better care fund, but we really cannot wait until the end of the Parliament—we need to do all we can to bring that money forward now. The precept is not enough; even if every council out there had taken up that offer, it would have generated £380 million, not the £1 billion shortfall. So we need to bring that better care funding forward, and it will provide an immediate uplift to councils so that they can pay care workers an appropriate wage. However, we should also be looking closely at how care is given, based on time spent, not tasks—and that means proper time, because I want to see an end to these 15-minute slots. Our country is more civilised than that, and cutting corners now means more costs later It is not enough for the Opposition to simply demand more money. The complexity of these issues and the current economic climate mean it is simply not good enough to make such demands without offering solutions. To transform the social care landscape, we need to be as brave as those care providers we are asking to work in a new way. As the right hon. Member for Leigh (Andy Burnham) so eloquently put it, we need to work together to come up with new ideas, so let us get smart. We need to fund areas based on their proportion of older and disabled residents, not on deprivation, as the funding model currently does. We need to ensure—legislating if necessary—that councils, the NHS and CCGs pool their money and resources. The key to unlocking a new model of social care, as we have heard loud and clear today, is to make a team effort. Those in my area are working in partnership, but the Government need to set up a health and social care commission to pull these work streams together. Health and social care are entwined, but, currently, the decision-making and budget priorities are not The Care Quality Commission said the system has reached a “tipping point”, with providers starting to hand contracts back. I have seen it in my own county—it is true. So let us work together as a team and come up with a brand-new plan for social care in the 21st century.
I want to pay tribute to the careworkers across the country who will be spending today and every day looking after vulnerable adults in their homes and in residential settings. The work they do is hard—often impossibly hard in the current context. On too many occasions, they are paid very little, and they are often provided with little training to equip them for their work I am a member of the Communities and Local Government Committee, which is undertaking an inquiry on adult social care. The Committee is yet to report, but, for my part, I think that much of the evidence we have seen and heard to date is damning. The proportion of GDP we spend on social care is falling at a time when need and demand are rising and will continue to rise. That is being felt in a system that is barely able to cope The Committee has heard evidence from local authorities that are having care contracts handed back by providers that cannot make them work, with careworkers facing impossible case loads. We have seen evidence of negligent providers, with owners paying themselves six-figure salaries while failing to provide even the most basic standards of care Last month, I attended the launch of the CQC’s “State of Care” report. David Behan, the chief executive of the CQC, spoke about how he and his team had agonised over whether to use the phrase “tipping point” in relation to social care, but, in the end, they decided that it was an accurate description for the state of the care sector. While there is much good practice and high- quality care, structural problems in the sector and with the resourcing of care are leading to more and more care being provided on a basis that is simply not sustainable. As that happens, the scope for error and neglect, and for vulnerable people to be let down, is growing The Government’s approach to funding social care simply is not working. While take-up of the 2% social care council tax precept is high, many local authorities have told the Committee that the funds raised simply do not cover the shortfall left by the cuts to their budget in preceding years—still less the cost of the national living wage, and still less the increase in demand. The back-loading of the better care fund to the later years of the current Parliament is not working. I asked a local government Minister earlier this year whether he thought that that back-loading created a risk that smaller care home providers would exit the sector in the short term, leading to a loss of capacity at a time when demand is growing. He assured me that that would not be the case, but we are now seeing evidence that that is exactly what is happening. Often, local authority funding does not cover the full cost of providing care, and there is no slack in the system to provide the investment needed to improve facilities and performance where necessary, so many providers are simply moving out of the market I recently visited a care home in my constituency that is provided by a small charity and is rated good by the CQC. The manager told me that, time and again, what the local authority agrees to pay does not meet the full cost of the care provided by the care home, and that it regularly subsidises residents from its reserves. That situation is completely untenable in the long term. I am very concerned that, by the time the increase in the better care fund is available in 2019-20, many small providers will have found the financial strain too much to bear, and that there will be a significant drop in capacity at the precise time when we will need capacity to meet growing need The quality of our care sector matters so much, because the way in which we look after our most vulnerable residents is a mark of our civilisation, and because the need to care for frail and elderly relatives is an issue for every single family in the country at some time in their lives. Our social care system is not delivering the quality of care or the dignity and compassion that our vulnerable residents need. Neither is it delivering sufficient support for our unpaid carers, whether that is due to a lack of respite provision or to the difficulties that too many carers face in obtaining the assessment of their own needs, which is their statutory right. The underfunding of adult social care is, in turn, having an enormous impact on our NHS through avoidable hospital admissions and delayed discharge, and there is also the mental health impact of loneliness and isolation The Government must act now to address the state of our care system. We need more funding for social care—that cannot be denied—and I call on the Government urgently to bring forward the increase in the better care fund. We need a commitment to training for care staff and to fair terms and conditions, and I call on the Government to adopt the Unison ethical care charter as the standard for care across the country, because we know that better paid, better qualified and fairly treated carers also provide better standards of care. We need a fully integrated system that recognises the benefits and savings that can come from ensuring that vulnerable adults are well cared for and supported to live independently and remain active for longer. We also need support for unpaid carers, who save the taxpayer billions of pounds by providing care that would otherwise need to be provided by the state. Cuts in respite care, a lack of mental health support and inadequate carers’ assessments are a false economy, and the Government need to support carers to do their vital work without being pushed to breaking point. I hope that the Minister will respond to the debate by confirming emergency measures to address the crisis and a wholesale review of the care sector so that it can be established on a fit-for-purpose, sustainable footing for the future. I also hope that the Chancellor will use the autumn statement to introduce proposals for the sustainable funding of social care, to relieve the burden on our NHS and, most importantly, to enable all our vulnerable adults to live well supported, with dignity, for the whole of their lives.
My constituency has one of the highest rates of over-65-year-olds. They comprise 28% of my constituents, compared with the national average of just 17%. Indeed, the town of Bexhill has more 85-year-olds per head of population than any other part of the UK. Given those statistics, adult social care is a key driver in the success of our local public services. Not only is it directly relevant to the wellbeing of many of my elderly constituents, but it determines the ability of all my constituents to gain rapid access to their hospital and GP. It also determines the amount of money that is diverted away from other local public services, such as education and transport I want to touch on two issues where there is more to do to improve social care. First, of 35 care homes in my constituency that have been rated by the CQC, none has been rated outstanding and only six have been rated good. The remainder require improvement or are inadequate, and they have six months to turn performance around or they may be closed. If our local schools were failing in the same way, there would be outrage. That our often vulnerable residents, who are often without a voice, are being subject to that standard is a national disgrace that I do not believe should be tolerated, and I welcome the Government’s tougher approach to the inspection regime Having met the CQC to get behind the reason for the failure of those inspections, I believe that much of it is down to the design of care home buildings, many of which, because of their age, cannot easily be adapted from traditional residential homes for the elderly into modern care facilities. More people can use technology to enable them to stay in their own homes, so care homes tend to have a higher proportion of patients who have complex health needs Many homes are failing CQC inspections because they cannot demonstrate that they can evacuate residents in an emergency, and they do not have the right spatial design to keep residents active and engaged. The state of our care homes means that not only do residents not have the best wellbeing, but when individuals have to stay in hospital, authorities may be unable to discharge them back to care homes because no places are available if those homes are failing the inspection regime and are thus out of bounds. That leads to bed shortages in hospitals and to expensive longer stays There is an alternative. I recently attended the opening of a new state-of-the-art apartment block in Bexhill that offers shared ownership and rentals to the over-60s, some of whom are local authority-supported. Residents live independently and share in-house restaurants and amenities, which are also open to the public. For younger residents, it feels like any other smart apartment block with its mod cons. Crucially, however, the building offers facilities and care packages, so that as residents get older, they can access care but remain in their apartments. They can arrive at 60, and the design allows them to remain there for life. It is an excellent model for the future, but it was possible only because our county and district councils provided land and funding for our amazing housing association, AmicusHorizon, to build out Across our constituencies, land is being developed for housing. Every developer is required to provide infrastructure such as schools, GP surgeries and other public amenities. Care homes are private businesses, however, so there is no requirement to provide them. Since 50% of our care home patients are funded by the state, I suggest to Ministers that they fold in a requirement for developers to provide land or section 106 moneys to enable housing authorities and care companies to deliver the innovative new accommodation that will take people to their last days. Such accommodation should be part of the design as much as a school or a GP surgery is The second issue pertains to the joining up of our NHS and local authority social care providers. Much has been made of sustainability and transformation plans and of integrating adult social care and clinical care. I therefore congratulate East Sussex County Council and our NHS team in East Sussex, which have recognised that the £200 million of savings required from the STP and the delivery of a better care package can be better achieved if they join up and work together. Their “Better Together” project is designed, in their words, to “spend £850m wisely, not saving £200m badly.” To deliver that programme, our local team is implementing a single point for health professionals to access support, integrating social and community care under one management structure, offering frailty practitioner support for the over-75s for early intervention and putting prevention teams together for high-risk members of our community. The results thus far have being encouraging for adult social care: the number of clients going under early intervention watch has increased by 20%; early intervention has kept people out of hospital; 77% of clients have remained at home following early intervention; and there has been a notable reduction in the number of falls. I highlight those issues because they are key drivers for the improvement of social care The delivery by the Government of an extra £3.5 billion is welcome. However, it is crucial that we question the operating model in social care. To do so will not only make resources stretch further, but deliver the ideas and innovation that will improve the lives of those who rely on social care in their latter years.
Across the UK, local government funding has been reduced by 37% in real terms between 2010 and 2016, and the Local Government Association has estimated that councils’ overall funding gap will amount to £5.8 billion by the end of this parliamentary cycle. Those cuts to council services have severely taken their toll on the health and social care provision that millions of people rely on. That now presents an immediate risk to those patients and providers. Councils face a £1.9 billion funding gap in adult social care. We are at what the Care Quality Commission has said is “a tipping point”. In my constituency of Heywood and Middleton, we have been hit hard. Rochdale Council has had to make huge Government cuts of £200 million in the past six years. Social care budgets face even more pressure in the next two years, as the council is forced to save a further £40 million. The social care precept of 2% on council tax this year will raise only about £1.4 million, which is a drop in the ocean of Rochdale’s total adult social care budget of £80 million Inevitably, there have been serious consequences as a result of this underfunding. Our hospitals and A&E departments report a 70% increase in bed-blocking. They identify the cause as the fact that social care is not available to allow patients to be discharged safely. The figure was 108,000 in April 2012, but it was a staggering 184,000 this July. Bed occupancy rates exceeded 91% during January to March 2016, which is the highest quarterly rate in the past six years These figures serve to emphasise that cuts to social care services have had an inevitable knock-on effect on the NHS, heightening the bed-blocking problem, as patients are forced to stay in hospital for longer because they are unable to get the support that they need at home. By properly funding adult social care, we could remove the burden from our hospitals, so that they could carry on the important acute work for which their services are intended I want to talk about home care providers and their staff. According to the local government ombudsman, they are “underfunded and over-stretched”. Sadly, there has been a rise in cases of neglect in patient care and a failure to deliver a decent and fair wage to carers. Some 63% of staff said they had less time to spend with the people they care for because of staff shortages, and nearly two thirds are doing their job alongside fewer staff than they were six years ago. The trade union Unison has said: “Cuts have left a trail of destruction and this is affecting those in desperate need of care. Care workers do a vital job looking after the most vulnerable in society. But they’re not getting the support they need from their employers.” I agree with Unison. Carers are an integral part of the healthcare system, and they must be valued and properly remunerated for the work they carry out, year in, year out I hope that now we have had a change of Prime Minister and Chancellor, we might have a change of mind and a change of heart on this issue. The autumn statement is the first opportunity to reassure the public that this will be a Government who not only work for everyone, but care for everyone. The importance of investment has been acknowledged on all sides of the debate. Stephen Dalton, chief executive of the NHS Confederation, has said: “The critical and negative tipping point for the health and care system has been triggered by cuts to social care. It’s imperative the chancellor takes the opportunity, in the autumn statement, to prioritise investment in social care before the winter.” This is issue needs to be addressed immediately. It cannot wait any longer Some people are of the view, locally, that the devolution deal in Greater Manchester might provide a solution to the underfunding of adult social care. My right hon. Friend the Member for Leigh (Andy Burnham), who is now Labour’s Greater Manchester mayoral candidate, has long campaigned on the integration of health and social care, which he has talked about in this debate. If he is elected, that will give him an opportunity to put these plans into action. However, with devolution comes a £1.2 billion to £2 billion black hole in the finances. For healthcare to be properly devolved, it is vital that it is properly resourced and properly funded The Government must act to give health and social care services the investment and protection that they desperately need. In the long term, we must fully integrate health and social care, otherwise many of the most vulnerable and defenceless people will be left facing a prolonged winter of discontent and displacement.
It is a pleasure to follow the thoughtful and heartfelt comments of my hon. Friend the Member for Heywood and Middleton (Liz McInnes) Today is Unison’s SOS—save our services—day of action, so I join it in calling on the Government to ensure that social care is properly funded, so that people in this country can be properly looked after In the past six years, the largest share of cuts has fallen on local government. Given that councils spend a third of their budget on social care, the Government will have known from the very start that social care would be one of the biggest casualties of their spending programme The budget of North East Lincolnshire Council has been cut by more than £70 million since 2010, with a further £7 million of cuts to be made by next year, causing spending on adult social care in my constituency to fall by 20% since 2010. People have been forced to live in completely unacceptable conditions, because there is not enough funding to provide adequate care I know of wheelchair-bound adults living in a care home in Great Grimsby who have been waiting for over two years for the button that automatically opens the door out of their flat to be fixed. At the moment, until a carer comes to visit, they are effectively trapped in their own home. That is an unacceptable position to leave people in, but it is just one example of the state of social care today The council has had to limit access to adaptations by increasing the thresholds for accessing them and capping spending. Disabled and elderly people are therefore often left in unsuitable housing. Understandably, that is also hugely frustrating for carers who are trying their best to look after people in inadequate conditions, while having continually to fight the council and care providers for the improvements they need A constituent who cares for his adult son was told by occupational health about six months ago that his home needed the back door widened and a ramp and lift installed. He feels as though he is being deliberately fobbed off, rather than getting the help he needs to look after his son properly. It is as uncomfortable for the son to live in those conditions as it is frustrating for the father to be unable to look after him properly Today, the Communities and Local Government Committee took evidence from family and friend carers who save the state so much money. One issue that was raised was the disconnect between the NHS and local authorities at the point of discharge from hospital. There were reports of families feeling abandoned when discharge occurs, with very limited support being accessible and no single point of contact or dedicated service to guide people through the options available to them and their families. That heightens the risk of readmission to hospital for many of those patients, costing the state even more money The carers spoke of the neglect of their own physical and mental health, with their overriding concern being for their loved ones. Respite that had previously been offered is ending. We heard the example today of two hours of respite being provided a week. That does not seem like an awful lot, but it was a lifeline to the women who came and gave evidence. That was provided by a local charity and funded by the local authority. It is now going to end because of cuts being made to and by the local authority We also heard about a looming crisis in intergenerational care, with a gap of hundreds of thousands of carers predicted over the next 10 years. The pressure on social care services provided by the state is only set to increase. As we heard at Prime Minister’s Question Time today from my hon. Friend the Member for Bradford South (Judith Cummins), there are also problems with dementia and Alzheimer’s services The social care precept is not the way to solve this problem. As we have heard, the areas with the highest demand for care are often those where the precept will raise the least. Furthermore, the Chair of the Health Committee, the hon. Member for Totnes (Dr Wollaston), claimed earlier this month that the additional funds raised through the precept have been “entirely swallowed up” in higher wages for carers. Although I am glad that carers are being paid more, albeit still not a proper living wage, councils are therefore unable to allocate any of the new funds to improving care When the right hon. Member for Tatton (Mr Osborne) announced the social care precept this time last year, he said: “The truth we need to confront is that many local authorities will not be able to meet growing social care needs unless they have new sources of funding.” Although the Government have accepted the need to better fund social care, they still need to find that new money if the growing demand for care is to be met. This is not only about supporting people who need that support in their old age or because of a disability; it affects us all. As the then Chancellor also said last year: “The health service cannot function effectively without good social care.”—[Official Report, 25 November 2015; Vol. 602, c. 1363-64.] Failing to fund social care properly means that patients are forced to remain in hospital for weeks longer than they need to, blocking beds for new patients who need them and pushing up hospital waiting times. Meanwhile, every day the patient is kept in hospital costs the NHS far more than caring for them in a suitable environment would.
I welcome the contributions made by Members on both sides of the House. They have highlighted the scale of the crisis we face in adult social care. My right hon. Friend the Member for Leigh (Andy Burnham) set out passionately the long-standing need for integration. We had informative and knowledgeable contributions from my hon. Friends the Members for Halton (Derek Twigg), for Tooting (Dr Allin-Khan), for Halifax (Holly Lynch), for Wirral West (Margaret Greenwood), for Dulwich and West Norwood (Helen Hayes), for Heywood and Middleton (Liz McInnes) and for Great Grimsby (Melanie Onn). On the Government side, we also heard thoughtful contributions from the right hon. Member for North East Bedfordshire (Alistair Burt) and the hon. Members for Central Suffolk and North Ipswich (Dr Poulter), for South Cambridgeshire (Heidi Allen) and for Bexhill and Battle (Huw Merriman) It seems we all agree that there is a crisis. I believe that 2017 will be a make-or-break year for our social care system. That system is currently teetering on the edge of a precipice. More and more, we find that local authorities can no longer afford to fulfil their statutory obligations regarding the social care of elderly and disabled people. Social care providers are handing contracts back to councils because they are no longer financially viable. Beds in hospitals are occupied for weeks—sometimes even months—by people who are well enough to leave but cannot because there is no social care available for them once they do.
In a matter of months, within the still secret Staffordshire STP, the projected 2021 deficit for social care has jumped from just over £100 million to £256 million. With the NHS deficit, that makes more than half a billion pounds now, excluding anything from Stoke-on-Trent. Without further funding and investment, that gap is simply unbridgeable, so it is hardly surprising that in the past few days both the STP chair and its programme director have tendered their resignations.
I am glad my hon. Friend has had the chance to raise that very important point The crisis is affecting elderly people across the country, as we have heard eloquently expressed by my hon. Friend the Member for Worsley and Eccles South (Barbara Keeley). More than a million elderly people in this country who need social care are getting no support. Half of older people who have difficulty bathing or getting dressed receive no support. One third of all older people who have difficulty going to the toilet on their own are receiving no support. An estimated 1.1 million are chronically lonely. Is it any wonder that almost 4 million older people in this country now say that television is their only source of company? That is happening on our watch, and we should all be both saddened and shamed by it The rise in demand for social care does not come as a surprise to any of us, however. We live in a society with an ageing population. We must concentrate on building a sustainable social care system to meet that rising demand. Members across the House know from their own constituencies, as I do from mine, that the spending cuts have already hit vulnerable people. One in 10 care homes has closed since 2010, and 400,000 fewer people accessed care in the last Parliament because of funding reductions. According to Learning Disability Voices, a shocking three quarters of all people who apply for social care support from their local council are now turned away. For those who can access care, the bar for what can be described as care gets lower and lower. Staffing levels have been so severely reduced that workers have barely any time to actually look after people. As we have heard, some visits have been cut from 30 to 15 minutes. That is 15 minutes to make someone dinner, to bathe them, to give them medication, to change their sheets and to give them any other help they might need. It is barely time to take your coat off and say hello. In fact, 15 minutes is about the time we take in this place to divide. I hope Members will bear that in mind when they pass through the Lobby shortly The King’s Fund has described the care system as a “threadbare local authority safety net.” Although the majority of those receiving care are elderly people, roughly a third are younger people who have a physical disability, learning disability or mental health problem. These people are far less likely to have income to support them and far less likely to have children who can care for them as they get older. In fact, they are more likely to have elderly relatives who live in dread of what will happen when they are gone When disabled people are looked after in the community, with a local authority-provided care package, their needs are reduced by up to 50%. We often hear about needing to reduce the dependency culture, and the provision of social care, including day centres, does just that: it allows people with disabilities to live an independent and healthy life. Rather than allowing this sector to crumble, we should be looking at how to invest in and expand it. It has been said here today that the mark of a civilised society is how we treat the disabled, the elderly and the vulnerable. We are failing that test miserably Let us be clear about one thing: this crisis is not the fault of those working in the social care sector. In fact, they are among the most undervalued and underpaid workers in the country. Neither is this crisis the fault of local government. Nobody goes into local government and public service to cut care and support for the vulnerable. Local authorities are trying to plug the gap. In 2014 alone, councils diverted £900 million from other budgets to maintain the current level of social care, despite making efficiency savings. Local councils are on the frontline of government, providing the integral services that our communities rely on. It is simply impossible for them to plug the momentous funding gap in adult social care that they face. Let us make no mistake about the root of this crisis: it is the stark result of the austerity policies pursued by the previous Chancellor. It is his six years of brutal and devastating cuts to local government that have brought us here If we let our elderly and disabled people languish in loneliness and frustration in unhygienic and inadequate conditions, it will be a stain on our collective conscience. What kind of country would we be? When the new Prime Minister took up her position, she stood on the steps of No. 10 and said she wanted “a country that works for everyone.” Today, the Government have an opportunity to prove that the Prime Minister meant what she said. I would like the Minister to consider three questions when he responds to the debate. Will he confirm that the better care funding is not additional money, but has in fact been taken from the existing NHS budget? What assessment has he made of the effect of the living wage on care contracts, and does he have an estimate of how many contracts will be exited in the next 12 months by providers? Will he let me know what steps and checks he is making to ensure that local authorities are not commissioning 15-minute care visits, as recommended in their own guidelines? If the Minister cannot answer those questions today, I hope he will write to me in the coming weeks We are all hopeful that the autumn statement will bring forward urgent funding to stem an impending crisis in social care, but there must also be a strategy to put social care on a sustainable, long-term footing so that people can grow old in this country without fear, and disabled people can live with dignity and safety. The Government must recognise that by stripping local government of its funding to the point that even statutory requirements are difficult to meet, we will not benefit the economy or productivity of this country, or the wellbeing of our society. As the sixth-richest economy in the world, this country can, and must, provide this vital assistance to the most vulnerable people in society.
We have had a good debate, with a number of very good speeches from both sides of the House. I will try to respond to the points, or the themes of those points, that have been made First, I want to address the accusations, made by Labour Members, of criminal behaviour in relation to the minimum wage not being adhered to. If such evidence exists—I think the hon. Members for Sheffield Central (Paul Blomfield) and for Tooting (Dr Allin-Khan) raised this issue—please bring it to me. I will see that it goes to Her Majesty’s Revenue and Customs. Those involved will be named and shamed. Such behaviour is illegal and is not to be tolerated. I think the hon. Member for Tooting also said she had evidence that a care home or domiciliary supplier was forging attendance sheets. Again, if there is evidence of that I would like it to be brought forward. It should not just be bandied about here in a political way. We should investigate it and we will. If she brings that evidence to me, we will look at it One of the big themes in this debate, and one with which Members on both sides of the House can agree, is the importance of carers. The hon. Member for Worsley and Eccles South (Barbara Keeley) spoke about that and, rightly, about the need for a better career structure and clearer training requirements, a point the Cavendish report also addressed. Some 1.5 million people work in domiciliary and care homes, but—this is a very difficult statistic—the annual turnover is about 25%. That is caused not just by poor pay—I am proud to be part of a Government who have increased the pay of many of these people—but by a lack of career structure and, frankly, of regard, and we need to do more on that. She was right to raise it My right hon. Friend the Member for North East Bedfordshire (Alistair Burt) made the important point that, as well as the 1.5 million paid carers, there are 1.1 million unpaid carers. In many ways, these are the unsung heroes of the entire system, and we can all agree we need to do better by them. When he was doing my job, he kicked off the carers’ strategy, which we will be coming forward with. It is a cross-Government initiative and will result in concrete actions to make the 1.1 million-strong unpaid carer cohort better off. Several people talked about finances and money. Of course they are tight. The Secretary of State made it clear that in the last Parliament, in order to respond to the situation we inherited, there were cuts to local government funding. During the course of this Parliament, there will be a real increase in the rate of adult care funding, but that is not to say we do not understand that the system is under pressure. We understand that, as Simon Stevens said, if more money was available, it would be good if it went into the social care system Members on both sides of the House spoke about bed-blocking caused by a lack of money, and about delayed transfers of care, and it is true. Of course there is a correlation between the amount of money in the system and the number of delayed transfers of care, but one of the most extraordinary things about the numbers is that, between the best and worst 10% of local authorities, in terms of the number of DTOCs, the difference is a factor of 20 to 25. That is not just about budgets—budgets are not 20 to 25 times different—it is about leadership; about good people doing good work; about spreading best practice; about shared assessments, early discharge and discharge to assess; and about integration in the widest sense, as my right hon. Friend the Member for North East Bedfordshire said. Those councils, local authorities and health systems that have gone fastest and furthest with integration—the holy grail that the right hon. Member for Leigh (Andy Burnham) talked about—are those at the top end of the DTOC statistics. We should all think about that when we say, “We want more money.” We should all think about the reasons for that difference I would make another point about finance. An Opposition Member talked about the GDP equation getting worse in this Parliament. That is not true, but I would just make this point: in 2016, the OECD looked at the money spent on adult social care right across the major economies of Europe, and we in the UK spend about 20% to 25% more than other major industrialised countries such as Germany and France. That is not to say that the system is not under pressure in our country—it clearly is—but the facts are that other countries do a better job in terms of long-term saving, social insurance and some of those types of things. We clearly have an issue with this. Let me repeat that Germany and France, which in the round spend more on the entire health system than we do—about 1% more as a proportion of GDP—spend 25% to 30% less on adult social care. It is critical to spend what we can spend better.
I hear what the Minister says, but it seems to me that, in common with the Secretary of State, he is avoiding the main issue. The main issue is the urgent financial crisis that councils are facing. They have not got enough money to care for the people who need care. Will the Minister answer a direct question? Has he or the Secretary of State made a submission to the Treasury for more funding for social care as part of the autumn statement—yes or no?
We are not having the autumn statement today, and we are not going to give a commentary on what will come out of the autumn statement. We—the Secretary of State and I—have accepted that the care system is under pressure. I was just making the point that other countries spend less, and that we need to spend every penny we can as effectively and as well as we can. During the course of this Parliament, moreover, there will be a real increase in the amount of spending on social care.
Let me make some progress, and I shall give way again later Another theme has been closure. Several Members have talked about contracts being handed back, and there is a bit of that going on in both domiciliary care and care homes. Let me put on record the fact that the number of bed places in care and nursing homes is broadly the same as it was five years ago. There has been no reduction. As for domiciliary care providers in the market, the number is now 47% higher than it was five years ago. There has been, rightly, a trend away from care homes to domiciliary care—and we should all welcome that, because people broadly want to spend more time in their own homes. I was asked a good question about the issue of 15 minutes of domiciliary care and what we are doing about the problem. When the CQC is doing its quality reviews, it has a specific question to ascertain whether 15 minutes is the norm, and if so, it would result in a poor quality assessment Members have raised broader issues of quality. Let me therefore say that 72% of care homes—a sector that is under a great deal of stress—are good or outstanding. This Government have been the first to do any kind of inspection to find that out. Of course some care homes are inadequate. As the Secretary of State said, inadequate care homes go into special measures and can be closed down after six months. That is the right thing to do, and we should be pleased and proud that that happens Also, users of care homes have been asked whether or not they are satisfied, and just under 70% said that they are either extremely satisfied or very satisfied with the level of care provided for them. Members of all parties should come together on this point and thank the people who work in these care homes for the dedicated care and the humanity that they provide The former Minister, my hon. Friend the Member for Central Suffolk and North Ipswich (Dr Poulter), who is no longer in his place, talked interestingly about the vanguards, the STPs and what we are doing to bring in leading-edge better care models. A lot of work is being done on the STPs, and I heard a couple of Opposition Members say favourable things about their STPs The hon. Member for Halton (Derek Twigg) asked me a number of specific questions about his STP. I will probably not have time to answer in detail, but I can say this. His STP and my STP are the same, and it is being published today—[Interruption.] It is certainly not secret, and we should have some dialogue about it. The hon. Gentleman made the point that his council was under pressure, and councils are under pressure. I think we should join together to congratulate both Halton and Warrington Councils on being two of the best performing councils in the country on delayed transfers of care and on increasing their budget I finish by—
claimed to move the closure (Standing Order No. 36). Question put forthwith, That the Question be now put Question agreed to. Question put accordingly (Standing Order No. 31 (2)), That the original words stand part of the Question.
I am presenting a petition on behalf of the residents of Corwen and the neighbouring villages The petition states: The petition of residents of Corwen, Declares that the loss of local branches of national banks is having a dramatic effect on local communities; further that it is leaving towns and villages cut off from local financial services; further that the loss of banking services in Corwen is forcing people to travel to other towns to use their banking services; and further that this is resulting in the reduction of visitors to Corwen and a decline in income for local retail businesses The petitioners therefore request that the House of Commons urges the Government to develop a community banking system incorporating local government legislation in order to ensure residents of local villages and towns such as Corwen continue to have access to a bank or financial services And the petitioners remain, etc [P001978]
What a pleasure it is to be here under your command, Madam Deputy Speaker. This debate on prison officer safety is rather well timed given what has been on our TV screens and in our newspapers. Before I start, I want to thank all those who work in the Prison Service—prison officers, managers, governors—and the numerous organisations, both charitable and voluntary, that support the service to ensure that prisoners have a chance to rehabilitate and that we are kept safe. We owe them a huge debt. I also praise the prison officers who serve at The Verne immigration centre, which was a prison until quite recently and is now under the auspices of the Home Office I welcome the Secretary of State’s recent announcement about the recruitment of 2,500 more prison officers by the end of 2018 and her aim for every offender to have a dedicated prison officer providing regular one-to-one support. More officers will certainly help to deter attacks on them, which have risen worryingly over recent years. In the 12 months to June 2016, there were nearly 6,000 assaults on staff—up 43% on the previous year. Of those, 700 assaults—an increase of 20% on the previous year—were regarded as serious and required hospital treatment. A recruitment drive is most welcome, as I have said, but the problem of retaining staff remains. In 2015, of the 2,250 officers who were recruited, only 440 were retained. We must remember that there are 7,000 fewer officers now than in 2010, when the prison population was about 2,500 lower The recent action by prison officers, which I do not support, was driven by a genuine concern for their safety—I am certain of that. We must take note of that. If we do not, not only we will fail to recruit sufficient new officers, but the exercise will be a complete waste of money as they all leave. Understaffing is the root cause of their discontent. Savings have understandably been made in the public sector, and I have voted for such savings on many occasions, so I do not condemn the Government for making the savings necessary for us to learn to live within our means. However, if we make savings, we must note the consequences and act if they are unintentional and serious. My next point refers to the prison estate in general, not to the young offender institution in my constituency, which is excellently led by James Lucas, a former soldier with whom I do a lot of business. The increased workload, lower morale, poor leadership in some cases, a higher retirement age—more on that in a minute—and an increased risk of being assaulted have all contributed to the problems we see today. Frankly, who can blame the officers I touched on the pension age and the necessity for prison officers to work until 68, which does affect their safety. Let me explain. I witnessed a demonstration laid on by prison officers of how to remove a troublesome prisoner—on this occasion, actually a prison officer—from his cell. The officers were equipped with all the necessary protective gear and they went in to remove this troublesome fellow. He did not react violently. He simply stood in his cell, not co-operating and using his weight and strength not to move. Those three beefy officers eventually got the man out, but it took them an awfully long time. I am 58 and in reasonably good nick, but I am not so sure that I would be able to drag someone out of a prison cell in 10 years’ time, particularly if they were behaving violently or were under the influence of drugs, as they often are. I ask the Minister to respond to this particular point about the physical demands on a prison officer when they get to the age of 60 and above I have also seen pictures of riots, which were taken on the body cameras that the Government are introducing—again, I entirely commend what they are trying to do—to ensure that evidence can be gathered. In addition, the cameras are a deterrent, because the prisoners who might offend know that they are being filmed and therefore that they will be found guilty if caught. I have faced crowds in Northern Ireland, but I was always surrounded by guardsmen armed to the teeth. In one particular riot, I think one prison officer had a shield, but the rest were caught out at quite short notice. Two of them were female prison officers, and they were facing a baying crowd of thugs, who were really geared up and were looking for that moment of weakness. Had those prison officers shown that weakness, I am convinced that 10 to 15 of the prisoners would have pounced, and those prison officers would have been seriously hurt.
I sought the hon. Gentleman’s permission to intervene before this debate, Madam Deputy Speaker The £1.3 billion investment that the Government have offered over the next five years is good news, but there is a short-term issue to take care of, which the hon. Gentleman has outlined very well. Does he agree that, when it comes to discussions on safety, they must take place with counterparts in Northern Ireland, and that those who have experience of how to deal with difficult cases across the prison system in Northern Ireland over some 30 to 40 years could help, as there is a lot of knowledge that could be used for the betterment of the service in Northern Ireland? I make that point as a careful and gentle suggestion to the Minister.
I absolutely agree with the hon. Gentleman. Like anything in life, those who are trying to achieve something turn to those who have experienced it. They listen to their experiences and, if they are wise and if the advice is good, they will adopt it. Perhaps the Minister will respond on that particular point I pay tribute to the officers who faced this baying crowd. They stood their ground and maintained control of the prison. As it happened, the most thuggish of the men, who was bouncing up and down on the wire netting that was there to prevent people from falling, actually fell off the end of the netting and damaged his ankle. It was extraordinary. At the point that the ring leader went down, calm returned almost instantly. It just shows how little things have to be affected in a prison before these very brave men and women are faced with some very unpleasant experiences. I have a question for the Minister. Can the Government—I would be very grateful for an answer to this—bring prison officers under the same retirement age as the uniformed services to reflect the occasional physical testing characteristics of the job? There is no doubt that the presence of drugs in prison is contributing to attacks on officers. I welcome the Secretary of State’s assurance that dealing with drugs is high on her agenda. Spice is the modern curse in prison. It fuels violence against officers because of its mind and behaviour altering effects. Worse, it exacerbates existing mental health issues, personality disorders and behavioural issues, causing unpredictable bouts of violence. This point was picked up by the report of the Independent Monitoring Boards for the year to March 2015. Under problems, it says: “The widespread and apparently un-checkable presence of so-called ‘legal highs’ or ‘Spice’ on the wings. This is leading to trading, debt, bullying of more vulnerable prisoners and their families, criminal networking and gang activity, violence and unpredictable behaviour among prisoners.” That of course has a knock-on effect on those who are guarding them. Dogs are one solution, but in my constituency the young offender institution has only one dog, and, as we all know, much as we love them they cannot work seven days a week. They have to be rested. More dogs may be a solution. Perhaps the Minister can expand on that. I believe someone mentioned that the number of dogs would be increased Spice is endemic and is seemingly brought into prisons via drones and social visits, thrown over prison walls, brought in by new or returning prisoners and, apparently, by soaking letters in it. As I said, drugs lead to bullying and debt, increasing the risk to both prisoners and officers Another way of improving safety for officers is to hold more regular searches. As I understand it—perhaps the Minister can help me—they used to happen once a month or thereabouts. Searches are more irregular now because in order to search one cell, officers have to shut down a whole wing, and they do not necessarily have the resources to hand when that needs to be done. A lockdown of an entire wing in one prison recently revealed a range of illegal goods More officers would reduce the need to lock prisoners in their cells for longer than is necessary. The report from Winchester prison today underscores that point. Taking part in purposeful activity would counteract the inevitable resentment that builds up behind a locked cell door. A fairly treated prisoner—I am not all flowery on this, but I believe that prisoners should be treated fairly—is less likely to resort to violence There are concerns about whether the courts take assaults on prison officers as seriously as they take assaults on police officers, despite the fact that, as I understand it, both have equal standing and protection under the law when on duty. In early 2015 a joint protocol was published on the appropriate handling of crimes in prisons, but the issue remains a very real one. Will the Minister review the range of sentences handed down to prisoners who assault prison officers? Anyone who assaults a prison officer or any other public servant in uniform should face an automatic custodial sentence. A strong deterrent and message is needed, and a tougher stance should be taken by the courts. Anything that the Government can do to assist me and other colleagues in the House, and certainly prison officers, would be helpful Let me highlight that point with two brief examples. In the first case, a prisoner who was due to be released the next day “potted” a female prison officer. “Potting”—if there is anyone in the Gallery, I apologise for being so crude—involves urine and excrement being thrown over an officer. It is disgusting, demeaning and outrageous. That prisoner was released the next day, when he was arrested for assault, fined £200 and given a suspended sentence. That is farcical. In another case, another female officer was “potted” and the prisoner received a mere 21 extra days on his sentence. That officer was then goaded and teased by the prisoner when she returned to work. Again, that is unacceptable. Perhaps because “potting” causes no physical damage, the courts tend to be more lenient, but the effect on officers who have been subjected to such disgusting humiliation is traumatic, and offenders should be dealt with harshly. I would be grateful if the Minister commented on that The prison population is becoming more violent, with the number of those sentenced for violent offences rising by 30% in the past 10 years. Officers are clearly struggling to cope on many occasions, and their concerns have been expressed in a number of ways to me personally and by taking the action which I did not agree with, but which many of us understand. A survey of Prison Officer Association members in 2014 found that the demands of the job are particularly high and support from managers is low. I am not commenting, as I said, on any prisons in my constituency, but we had a saying in the Army that there are no bad soldiers, only bad officers. I suspect that that is true in every walk of life and I am sure it applies in the case of prison staff I do not know whether the Minister is prepared to comment on what control is kept over managers and governors to ensure that prisons are managed properly. Let me give a tiny example from a prison I visited some time ago. I said to one of the prison officers, “I’m sure the manager comes round every day with his board and pencil and says, ‘Bob, good morning. It’s your wife’s birthday. Happy birthday to her. Your little son is 10 today. How marvellous. I hope you have a very nice day. If there are any problems, do come and see me.’” This officer’s jaw hit the floor, and he said, “I don’t think so, Richard. That is not exactly how it works.” As it happened, he had not seen his governor for some time. That is a tiny example, and I do not know, but I would say that the governor was not in touch with the men and women he was commanding The warning signs are therefore clear, and we would be irresponsible to ignore them. In my humble view, the line that used to exist between prison officer and prisoner has become increasingly blurred. The forgotten army, which is how I often refer to prison officers, needs our support, and we owe them and all who work in our prisons our thanks and a duty of care.
I congratulate my hon. Friend the Member for South Dorset (Richard Drax) on securing tonight’s debate. I start by joining him in saying that our prison officers are indeed brave, but the work they do—important work that keeps the public safe, but also helps to turn around offenders—often goes unnoticed, and it is worth putting on record that we do value them immensely I am determined to improve prison safety for our prison officers and for prisoners themselves. Recent events, including incidents at HMP Bedford and HMP Pentonville, emphasise how important it is that we act now on prison safety and security. In my hon. Friend’s constituency, prisoners at HMP Portland have displayed significant levels of violence against staff, so I would like to echo his concerns, and I reassure him that the Government are taking decisive action to tackle this serious problem—to stabilise it in the short term and to overhaul the system to deliver reforms of longer-term benefit I thank my hon. Friend for his support in the House yesterday in condemning the actions of the Prison Officers Association and stressing that strike action was neither constructive for prison officers nor safe for prisoners. I welcome the POA’s decision to stop its unlawful industrial action and the fact that prison officers have returned to work. That incident does not, of course, diminish the principle that underpinned the POA’s action: that prison officer safety is a key challenge and concern A point was raised about the lessons we can learn from Northern Ireland. I welcome that point, and I will take it on board. The Department is determined to learn lessons wherever it can to deal with the different challenges across the prison system, be it safety, security or turning prisoners around, but also extremism. So I welcome that point, and I would like to engage directly with the hon. Member for Strangford (Jim Shannon) to take the issue forward The levels of violence our prison system has seen over the past five years are unacceptable. There were over 23,000 assaults in the year to June 2016, and over 3,000 of those were against staff. Rising violence against the very officers who devote their lives to public safety must be tackled as a matter of urgency, and that is what the Government are doing As we set out in our new “Prison Safety and Reform” White Paper, the Government will be investing over £100 million to recruit an additional 2,500 staff across the estate by the end of 2018. Prison officers do a vital job. I want them to benefit from the improvements we are making on the frontline and to safety to change prisoners’ lives for the better We recognise the challenge faced in recruiting an extra 2,500 staff, so we are launching a number of initiatives, including a new apprenticeship programme to recruit more people. We are about to launch an “Army officer to prison officer” recruitment programme, and we also have a programme to encourage the brightest and best graduates to become prison officers Of course, those things will take time, but we are making serious and significant progress, including with the 400 extra officers that we have pledged to recruit by March 2017 for our most challenging prisons. We are on track to deliver and meet that target Increased staff numbers will give prison officers more time, as my hon. Friend has said, to turn around the lives of prisoners and ensure that they turn against criminality and violence in increasing numbers. Nearly half of all offenders who leave prison go on to commit crime within a year. Investment will provide the capacity for prison officers to play a dedicated officer role, engaging with about six prisoners on a one-to-one basis. They will build constructive relationships with prisoners, listening to their frustration, defusing tension and ultimately reducing the level of violence Staffing is only one component of the challenge that we face in our prisons, where there is a game-changing situation involving drugs, phones and drones. The rise in the use and trade of psychoactive substances has been a game changer for the Prison Service. Along with phones, their use and trade drives a destructive cycle of bribery, debt, violence and self-harm. Assaults against staff have increased in that context, so it is essential that we get those issues under control, in tandem with new staffing approaches.
What can we do physically to stop those drugs getting into prisons? Apparently the situation is endemic across the country. We cannot search people—I do not think that we have the machines to identify the drugs—so how do we stop them?
That is a very good question. The initial challenge posed by the new psychoactive substances—otherwise known as legal highs—was that there was no test that could detect them. It was, therefore, very easy for people not only to get them into prison, but to make them up from a number of components. We now have a test that can identify the drugs so we have introduced mandatory drug testing, but we are also going further to tackle the criminality that drives the smuggling of the drugs into prisons. We will invest £3 million in a new, prison-wide intelligence and search capability that will allow us not only to gather intelligence across the system about which criminal gangs are behind the drugs and trying to get them into our prisons, but to stop them Tackling the use of mobile phones is also vital, because, while some prisoners want access to them in order to contact friends and family, a vast number of prisoners use them for criminal purposes, including arranging a time for drugs to come in and telling someone where to send the drone. Dealing with the illicit smuggling of mobile phones into our prisons is absolutely key. Like drones, it is a technological problem, and I believe that technology is the way to deal with it. That is why we are working with the mobile network operators to find a way to prevent mobile phones from working in our prisons, and with drone manufacturers to create no-fly zones across our prison estate My hon. Friend specifically mentioned violence against staff. Alongside measures on drones, drugs and phones, it is essential that we increase staff confidence in the prison system. That starts with achieving swift justice when assaults occur. My hon. Friend and I share that concern. We are rolling out body-worn cameras across the estate in order to give staff added confidence, while also supporting bringing timely and effective trials for prisoners when necessary. We will work with other parts of the criminal justice system, including the National Crime Agency and the police, to improve the evidence-collection process, to ensure a “right first time” culture. By clamping down on staff assaults, we will help to break the vicious cycle of violence committed by some of our most challenging prisoners My hon. Friend mentioned the retirement age of prison officers, which ties into yesterday’s action. The Government are actively engaged with the Prison Officers Association in negotiations around pay, pensions, the retirement age, retention and health and safety. That is why we were surprised by the action of the POA yesterday. We have an outstanding offer to the POA as of last Friday, and the POA is yet to respond to it. I believe that by coming back to the negotiating table, we will be able to discuss these issues to secure the safety of officers and to ensure that the jobs in their profession are as well rewarded as they obviously should be The Secretary of State and I have made it clear over recent weeks that we are taking decisive and urgent action to improve prison safety. The safety and security measures in our White Paper will work alongside key measures such as the £1.3 billion that we are investing to regenerate the old Victorian estate and reforms to empower prison governors. We have a genuine commitment to alleviating violence against our staff, which we cannot ignore in the current context My hon. Friend mentioned prison management, and I believe that our reform programme will really help in that context by empowering governors and giving them control over their budgets. That will enable them to make decisions about the employment, education and training of prisoners. It will also enable them to deploy staff in a way that best allows them to deliver a prison regime that not only provides safety and security, but turns prisoners around. Prison governors will be real managers and leaders of their shop. At the moment, too much comes from Whitehall. We want to give prison governors responsibility and freedom, with, obviously, the right accountability framework. With that, we will see the change in management culture that my hon. Friend pointed to My hon. Friend mentioned the prison population, which comes up in numerous debates. Prison has to be the last resort for anyone who has committed a crime. Our job is to make sure that where people have committed an offence and are sentenced, there is capacity in the system for our prisons to deliver on the orders of the court. I do not believe that the way to deal with the prison population issue is to let prisoners out arbitrarily, especially considering the impact that that would have on victims and families. I believe that the best way to deal with the population in the long term is to cut reoffending. By reducing reoffending, we will reduce the prison population I hope that my hon. Friend is reassured that the Government are pressing forward with these measures at great speed and intensity, because, like him, we value the admirable work that our prison officers do. We want them to benefit from the improvements we are making, both on the frontline and to safety and security, which will ultimately help them to change prisoners’ lives for the better Prison safety is an integral part of the health of the system in which prison officers operate. As I have said, we encourage the POA to come back to the negotiating table so that we can work together to tackle the safety challenges that concern us all Question put and agreed to.