1. What criteria the Government will use to determine the right time for the UK to recognise Palestine as a state.
We want to see the establishment of a sovereign and independent Palestinian state, living in peace and security alongside Israel. We have been clear that the UK will recognise a Palestinian state bilaterally at a time when we judge it best to help bring about peace.
I thank the Minister for his answer, but does he not see that constantly saying that the UK recognition of the state of Palestine should be conditional on negotiations between Israel and Palestine in effect gives Mr Netanyahu or his successor a veto over the UK’s sovereign decision to recognise Palestine, especially as that Prime Minister is making a very divisive speech in Washington today? How can this be right?
Although I understand the hon. Lady’s passion—we have debated this matter in the House on a number of occasions—I hope she appreciates that such recognition is not simply a tick-box exercise but a strategic tool, which will have consequences when implemented, and which is therefore best used at a time when it will advance the process and leverage positive change.
The previous Foreign Secretary said that we were in the last chance saloon for the two-state solution. If the Government wait long enough, there will be no opportunity for a two-state solution and the question will then be completely irrelevant.
I am sad to say that I agree with my hon. Friend, as many of the ingredients that we witnessed in the build-up to last summer’s conflict are beginning to re-emerge. If we are to avoid another significant and punishing conflict, all parties must come together immediately after the Israeli elections are complete and a new Government are formed, to address these grave challenges.
There is no legalistic or bureaucratic route to Palestinian statehood and it cannot be imposed from outside. We will see a viable Palestinian state—the two-state solution that we all want—only as a result of proper negotiations between the Israelis and the Palestinians, which Britain should be doing everything it can to foster. We need to see the demilitarisation of Gaza, Iran no longer sending rockets to Hezbollah and Hamas, and Britain promoting organisations such as Project Cherish, the Parents Circle-Families Forum and Middle East Education Through Technology to bring together people on both sides who want peace.
I am not sure that was a question, but I certainly agree with the spirit of the hon. Gentleman’s comments. We want the Palestinian Authority to assert itself in Gaza, not just have a technocratic Government. We want the Palestinians to end the political stalemate with Hamas, as he implies, but we also want Israel to allow the free movement of people, particularly the politicians, into Gaza, and to increase trade between Gaza and the west bank.
The Minister is right—we have debated the subject a number of times. The House also voted by an overwhelming margin in favour of recognising a Palestinian state. Under what circumstances does he consider that the timing of such an announcement should be at odds with the sovereign will of the House?
As I said in my initial reply, this is not just a tick-box exercise. It is not something that we debate in Parliament and then move on to the next subject. There are real consequences of when we choose to recognise the Palestinian state. We want to be part of that process and to advance it. When we can leverage positive change, we will do so.
2. What recent discussions he has had with his counterparts in North Africa on the political and security situation in Libya.
The political and security situation in Libya remains a concern. We call on all parties to agree to a ceasefire, to engage with the UN dialogue process to find a lasting solution, and to unite to defeat the Islamist extremism which is establishing a foothold in that country. I speak regularly to my Egyptian counterpart. I visited Algeria on 19 and 20 February for discussions which were dominated by the situation in Libya.
I welcome the Egyptian Government’s response to the terrible murder of 21 Egyptian Coptic Christians in Libya and especially the bridge building shown by President Sisi and religious leaders to the Coptic community. What more can the UK do to support Egypt in its vital role in working for stability in Libya?
My hon. Friend is right that Egypt will play a vital role in the solution in Libya, as all European countries, many of which are very concerned about the situation there, and the United States recognise. Similarly, there are still significant challenges in the human rights situation in Egypt. We were very pleased with the clear statement that President Sisi made on the rights of religious minorities in Egypt. However, as with many other elements of the Egyptian constitution, we now need to see that being delivered on the ground.
Following engagement with ourselves, the Prime Minister appointed the National Security Adviser to engage with the Libyan authorities on reconciliation and finding ways forward for compensation for victims of IRA terrorism that was sponsored by the Gaddafi regime. Will the Foreign Secretary update the House on what progress the National Security Adviser has made in that work?
I regret to have to tell the right hon. Gentleman that the reality on the ground in Libya is that there is no authority to engage with. I am afraid that at the moment I can report no progress on those measures. The urgent need now is to see a Government of national unity created and for the Libyan people to deal collectively with the threat to their society that is posed by the establishment of ISIL cells. Once we have such an authority in place, we will of course re-engage with that agenda.
As the United Kingdom was one of the leading countries that helped the Libyan people overthrow Colonel Gaddafi, do we not have both a political obligation and a political interest to help all the democratic forces in Libya trying to create a new, decent country? While I recognise that the Government do indeed have a priority in that respect, I urge my right hon. Friend to ensure that the British Government do all within their power—perhaps even more than they are doing at the moment—over the crucial weeks and months that will determine whether Libya does indeed become a moderate, secular force or continues to be a hotbed of anarchy and potential terrorism.
I agree with my right hon. and learned Friend that the next few weeks and months will be crucial for Libya. Would that it was as simple as getting behind the democratic authority in Libya—it is not clear that there is a democratic authority behind which we can get. We need a coming together. I do not want to overplay the prospects, but the UN Secretary-General’s special representative, Bernardino León, is making some progress, and the Prime Minister’s envoy, Jonathan Powell, is also working hard. We will continue to engage, because having a stable Government in Libya is vital to our security.
The Tobruk-based Government have agreed to return to the UN talks, but on the condition that they are recognised as the only authority that can take part in those negotiations. What is the view of Her Majesty’s Government? Do they support the Tobruk-based Government?
Our view is that both the Tobruk regime and the Misratans, and indeed the regime in Tripoli, must attend the talks with the UN Secretary-General’s special representative on a no-preconditions basis and on the terms he proposes in order to discuss how they can form a Government of national unity of some kind so that we can begin to rebuild Libya, which could be a prosperous and successful country, and one whose stability is vital to our own interests.
3. What recent assessment he has made of progress with the middle east peace process.
I have to be candid with my hon. Friend: progress has stalled pending the Israeli general election on 17 March. The British Government strongly supported US Secretary of State John Kerry’s efforts to reach a final status agreement and were disappointed that the parties did not make more progress in 2014. I have discussed many times with Secretary Kerry, most recently when we met in London on 21 February, what the next steps will be. We will press the US to revive the initiative and all the parties to resume serious negotiations as soon as possible after the Israeli elections, and I urge them to be ready then to step up and show the bold political leadership that will be necessary to achieve peace.
I am glad to hear that my right hon. Friend will join me in asking for renewed international pressure on Hamas to disarm and renounce violence. Does he agree that unless that happens it is difficult to envisage a unified and prosperous Palestinian state existing alongside Israel?
My hon. Friend is right that for an enduring solution Hamas must disarm and be prepared to accept Israel’s right to live in peace, but Israel must also stop making illegal settlements in the Occupied Palestinian Territories. We need to keep up the pressure on both sides if we are to get a sustainable solution.
Does the right hon. Gentleman agree that one of the most positive possibilities for advancing peace in the middle east would be the success of the international negotiations with Iran on its nuclear projects? Will he take this opportunity to make it clear that any attempt to disrupt those talks by the Israeli Prime Minister when he addresses the United States Congress later today would be bad for the whole of the middle east and bad for Israel too?
My reading of the US Congress is that it probably does not need much encouragement to instinctively be very sceptical about the process of dialogue with Iran on the nuclear dossier. However, some small progress is being made there, and I would very much regret any attempts to destabilise or derail that process. On the wider question, settling the Israel-Palestine issue is the big roadblock to a more enduring peace in the middle east.
Does the Foreign Secretary think that peace will not be forthcoming until Hamas renounces violence and can speak with a single voice? In Israel, we have seen the emergence of a moderate centre ground. Does he think that either condition is going to happen?
I am going to be slightly careful about the second part of my right hon. Friend’s question because Israel is two weeks away from a general election, so I do not want to speculate about different parts of the political spectrum. What is clear is that there needs to be a broad-based movement within Israel that seeks peace, understands that trade-offs are required in order to achieve peace, and places the greatest premium on getting an acknowledgement of Israel’s right to live inside peaceful pre-’67 borders in perpetuity.
Is it true that Tony Blair is still a so-called middle east peace envoy? What progress has he secured on the ground, and do the UK Government still have confidence in his efforts?
It is true that Tony Blair remains the Quad envoy to the middle east. Mr Blair has made a large number of visits to the region; most recently he has been in Gaza. He continues to engage, and I have no doubt that his role will be kept under constant review.
May I take my right hon. Friend back to the question of settlements, which it is accepted throughout this House are wholly contrary to international law? More to the point, the continual encroachment by the Israeli Government makes it impossible for East Jerusalem to become the capital of a Palestinian state. Can he conceive of any circumstances where a leader of the Palestinians would be able to accept a peace arrangement based on giving up East Jerusalem?
I think that is highly unlikely. As my right hon. and learned Friend knows, the Government’s position is that that should not be the case. I have said in this House before and I will say again that settlements are just buildings. Buildings can be built and buildings can be removed, and we must not allow illegal building to stand in the way of a sustainable solution if it can otherwise be found.
I am sure that the Foreign Secretary agrees that the middle east peace process will be more difficult to restart if reconstruction in Gaza continues to proceed as slowly as it is currently. What further efforts, if any, will Ministers be making to speed up the delivery of aid, including British aid, that was promised by the international community at the Cairo conference, before they hand over the challenge to this Front Bench on 8 May?
If I may say so, I think that the hon. Gentleman is getting a little bit ahead of himself there. We have a good track record on the delivery of our aid pledges in respect of Gaza. A number of other countries have made very forward-leaning aid pledges but they have not yet been followed through. So there is a problem with money, but there is also a physical problem of being able to get materials into Gaza and get works progressed. That is caused partly by the security situation in Sinai and the Egyptian response to that, and partly by the situation between Israel and the Palestinians in Gaza. I do not think, honestly, that we are going to get much progress before the Israeli general election, but as soon as that election is out of the way, this has to be a major priority.
4. Whether he has had discussions with the Argentinian Government on the future of the Falkland Islands; and if he will make a statement.
There have been no discussions between the UK and Argentina on the future of the Falkland Islands during the course of this Government. Any such discussions will take place only when the Falkland Islanders wish them to, and they have made it clear that they do not.
My right hon. Friend will be aware that the Argentinian Government have brought out new bank notes showing the Falkland Islands as part of Argentina. I think that we have all received a letter from the Argentinian ambassador and a book, “Malvinas Matters”, complaining that there has not been any dialogue. May I reiterate what the Minister has just said? We should not have any negotiations with Argentina on sovereignty until the Falkland islanders want to leave the United Kingdom.
I am aware that a number of right hon. and hon. Members have received that book, which seeks to discredit the Falkland islanders’ right to their own future. It ignores the inconvenient truth that some people on the islands can trace their Falklands ancestry back through nine generations, which is longer than the current borders of Argentina have existed. On the issue of the 50 peso bank note, we cannot stop the Argentinian Government doing these stunts. It is worth a whopping £3.72, according to today’s exchange rate—I think it probably has the equivalent political value.
5. What plans officials of his Department in Argentina have to mark the 150th anniversary of the founding of the Welsh community in Patagonia.
Our embassy in Buenos Aires, in co-ordination with the British Council in Argentina and Wales, will facilitate official visits to Argentina for the celebrations in July to mark the 150th anniversary of the arrival of Welsh settlers in Patagonia. It will also work hard to promote Wales in Argentina through cultural and other events.
The Minister will surely be aware that the 25,000 Welsh speakers in Argentina have a very special place in the hearts of everyone living in Wales. Does he agree that this important anniversary—notwithstanding other matters that, with amazing timing, have just been raised—perhaps offers the opportunity to rebuild a more friendly relationship? Will he come to a photographic exhibition on the Welsh colonies in Argentina, which I hope to organise in the House later this year if all kinds of other events allow?
I would be delighted to continue in this role after the May election, but that is up to the Prime Minister. We should all celebrate the great story of the arrival of 153 Welsh settlers in Chubut in 1865. I am pleased that the First Minister of Wales will go to Argentina, and I am delighted that the National Youth Choir of Wales, the London Welsh choir and the National Orchestra of Wales will all visit Patagonia this year. I hope that they will concentrate on Welsh relations with Argentina, rather than anything else.
The history of the Welsh settlement in Patagonia is an incredible story of tenacity, innovation, fortitude and triumph over adversity, with a thriving Welsh-language community in Chubut province today. Will the Minister ensure that the FCO Argentine mission has an obligation to strengthen relations between Patagonia and Wales?
We have absolutely no problem with the people of Argentina. We enjoy extraordinarily good relations with them, and the Welsh factor is enormously important. When the Welsh Affairs Committee visited last year, it was presented with a declaration on the Falklands, and I expect similar stunts this year. I hope that right hon. and hon. Members and the Argentinians will remember that the members of the Welsh community chose to emigrate and have become Argentine citizens by choice. By comparison, the Falkland islanders have exercised their own right of self-determination and, frankly, it is hypocritical for Argentina selectively to ignore that.
6. What assessment he has made of the success of recent diplomatic initiatives relating to peace and security in eastern Ukraine.
10. What steps his Department is taking to ensure a lasting ceasefire between Russia and Ukraine.
We support all diplomatic efforts that aim to bring about a peaceful resolution to the crisis in Ukraine. Since the latest Minsk agreement was signed on 12 February, Russian-backed separatists have seized control of the strategically important town of Debaltseve. It is not yet clear that Russia has any intention of honouring the commitments it made in Minsk. I held talks with Secretary Kerry last weekend, and I will discuss Ukraine with EU Foreign Ministers on Friday in Riga. In all such discussions, we will continue to argue for a strong and united response to Russia’s actions until such time as we see full compliance on the ground
I am sure that the House will want to take this opportunity to send its condolences to the friends and supporters of Boris Nemtsov, following his horrific murder last weekend The death toll in eastern Ukraine has reached 6,000 according to the UN Office of the High Commissioner for Human Rights. It also detects an escalation in hostilities, despite the signing of the ceasefire agreement. Does the Secretary of State agree that the EU standing together on tougher sanctions is the only way we can make it clear to President Putin that Russia’s actions in Ukraine are unacceptable?
I of course share the hon. Gentleman’s view on the appalling murder of Nemtsov in Moscow The hon. Gentleman asked about stepping up sanctions in response to Russia’s failure to comply with Minsk. The Minsk agenda runs until the end of this year, so it will not be until the end of December that Ukraine will regain control of its border with Russia, even if all the milestones are complied with. We believe that the tier 3 sanctions should be extended to last until the end of the year, so that we have a tool with which to ensure compliance. We can always suspend or partially suspend the sanctions if the milestones are being met, but we need to have the tool in place right the way through the programme.
Many of my constituents have asked me why, when President Hollande and Chancellor Merkel met Putin, there was no senior British political presence or representation. When will Britain play its full part in protecting the sovereign nations of Europe?
I do not recognise the premise of the hon. Gentleman’s question. We are playing our part. While Mrs Merkel and President Hollande have done a good job of negotiating the Minsk implementation agreement under the Normandy process, which always involved the four countries of Germany, France, Ukraine and Russia, our role has been, is and will remain to stiffen the resolve of all 28 EU members to be united and aligned with the United States in deploying what has proved to be a powerful sanctions weapon.
I certainly echo the sentiment of the Foreign Secretary’s final remarks. At this difficult and dangerous moment, it is vital that Europe and NATO stand united in ensuring that the Minsk agreement is implemented in full. However, may I bring him back to his remarks about tier 3 sanctions? Does he believe that new EU restrictive measures should be on the table at the next European Council meeting, as opposed simply to the roll-over and extension of existing measures that he described in his answer?
The European Commission has been tasked to look at a menu of possible additional measures that could be taken. As I have indicated, I think that we need two tools. We need an extension of the existing tier 3 measures through to the end of December. Putin has been telling oligarchs around Moscow that the sanctions will be over by the end of July: “Just hold your breath and it’ll all be fine.” We need to show him that that will not be the case. Alongside that, we need a credible set of options that we can implement immediately if there is a failure to comply with milestones in the Minsk implementation agreement or a serious further outbreak of conflict in the region.
I welcome the Foreign Secretary’s answer, but let me return to the appalling murder of Boris Nemtsov on Saturday in Moscow, to which he has referred. Clearly, the priority needs to be a thorough and impartial investigation into the murder. President Putin has a personal responsibility to show that the Russian authorities are willing and able to identify Mr Nemtsov’s killers and to bring them to justice. Will the Foreign Secretary confirm whether he has raised this matter with the Russian authorities, and give his assessment of the steps that have been taken by the Russian authorities to begin investigating the case?
We have heard a lot of noise from Moscow, but we have not yet seen any serious action. The omens are not promising. I heard just this morning that some countries’ intended high-level delegations to the funeral have not been able to obtain Russian visas. That probably tells us all we need to know.
The intransigence of the Russians is exemplified by the fact that they still hold in custody two Members of the Ukrainian Parliament, both of whom are members of the Parliamentary Assembly of the Council of Europe. When will my right hon. Friend get tough and insist on expelling Russia from the Parliamentary Assembly and the Council of Europe itself?
We do not have plans to take that step at this stage, but I assure my hon. Friend that we raise the matter regularly—indeed, the Minister for Europe raised it with the Russian ambassador only last week. I am going to Kiev later this week, and we will continue to work with the Ukrainians to try to secure the release of those two Ukrainians, as well as the Estonian border guard who was captured by the Russians six months ago.
7. What reports he has received on displacement of Bedouin in southern Israel.
9. What representations he has made on the potential demolition of the village of Umm al-Hiran in Negev.
We are deeply concerned about proposals to demolish Bedouin villages. We are monitoring the situation closely, including talking regularly to organisations that work with those communities.
In an earlier answer to an Opposition Member, the Foreign Secretary said that we were talking only about buildings in relation to the peace process. He forgot to say that in order to facilitate the peace process, we have to get people out of those buildings, and that is the big issue. May I push the Minister a little further? There are a number of impending demolitions of villages to make way for Israeli settlements. Will the Minister discuss that issue with the Israeli Government, urge them to reconsider the upcoming evictions and demolitions due for next month, and instead consider villages co-existing side by side in the spirit of peace?
I agree with the hon. Gentleman, but the displacement issues in southern Israel, and the potential demolition of the Umm al-Hiran villages, are not in the occupied Palestinian territories but in green line Israel. That is a slightly separate debate or concern—if I can put it that way—to the illegal settlements that have been put forward, but nevertheless we are concerned and are having a dialogue with Israel about that.
I welcome the Minister’s words, but may I urge on him a sense of urgency and purpose—urgency because the demolition order for Umm al-Hiran may be given in two weeks’ time, and purpose in the sense that action is needed? Will he ask the British ambassador to visit the village, and will he invoke the EU-Israeli association agreement that makes favourable trade relations dependent on Israel’s respect for human rights?
As I clarified, that is a different matter from the debate about the occupied Palestinian territories, but nevertheless we want a robust planning process that adequately addresses the needs of the Bedouin communities. We must keep pushing for that dialogue.
Will the Minister confirm that the displacement of the Bedouin constitutes ethnic cleansing?
Again, I reiterate the difference between the two issues: one concerns the illegal settlements, and the other is a planning matter that we have raised concerns about. I visited the E1 area, which is where much of the attention is currently focused, and we have discouraged the growth of settlements in that area. Were the plans to go ahead, we would have a break between the Hebron and Bethlehem conurbations, and that would effectively end the middle east peace process.
Is the displacement of the Bedouin from the E1 area contrary to international humanitarian law—yes or no?
It is contrary to international law in that sense, and any nation has obligations when dealing with occupied territories and their occupants. We are discouraging Israel from further build, but the land swaps will be integral to any future long-term peace agreement. That is why we are in this quagmire.
8. What recent assessment he has made of the extent of Iran’s financial and material support for Hamas and Hezbollah.
We have serious concerns about Iran’s support for militant groups, including Hezbollah and Hamas. That includes financial resources and training, as well as the supply of military equipment.
I thank the Minister for that answer. As part of our talks with Iran on its nuclear programme, will there be a specific condition on Iran to stop sponsoring and harbouring terrorism, whether that is supporting the Houthis in Yemen, interfering in Syria, interfering in Iraq with its militias against the Sunnis, or supporting Hezbollah, to ensure that we have a long-term solution, not a short-term fix?
Discussions around a nuclear solution are separate to those other matters, but my hon. Friend is right to raise the issue. Iran is having a destabilising effect in the region, and that is a violation of UN resolution 1747 which makes illegal the export of weapon systems and armaments from Iran.
Iran arms Hezbollah in Lebanon and Hamas in Gaza, and it now threatens to arm Palestinians on the west bank who currently support President Abbas. In view of the Minister’s previous reply, what specific representations have the Government made to the United Nations about that flagrant breach of UN resolutions?
The hon. Lady will be aware that the Prime Minister had his first meeting with the Prime Minister of Iran at the United Nations General Assembly and very much put those points down. She is right that Iran must question its role in the region. It must ask itself whether it wants to be a part of the problem or a part of the solution. We have spoken about Hamas and Hezbollah. Hezbollah is effectively propping up the Assad regime, because he is losing the officer class, which is depleted because of the war.
Next week, as chair of the British Group of the Inter-Parliamentary Union, I will be welcoming the first delegation of Iranian parliamentarians to visit this country for some time. Will my hon. Friend welcome that development? He knows not only that the House will give full and appropriate courtesy to parliamentarians from Iran, but that it will take the opportunity to engage them in the full and frank discussion of matters between us, which is the only basis on which parliamentarians can build a relationship.
My right hon. Friend is absolutely right. It is through full and frank engagement that we can get our message across. Dialogue with Iran has increased. We must ensure that Iran not only talks the talk, but that its actions speak as loud as its words.
11. What assessment he has made of the level of public demand for a renegotiated settlement between the UK and the EU.
I assess that mainstream opinion in the UK is that the EU is not currently delivering for Britain. We need to fix that problem, and only the Conservatives have a clear plan to do so. We will negotiate a new settlement with our EU neighbours, and one that works for Britain. We will then put that new settlement to the British people in an in/out referendum before the end of 2017. Only a Conservative Government will make that commitment. Labour and the Liberal Democrats do not want change, and UKIP cannot deliver it.
The Conservative party is the only sane and significant party to guarantee, following a renegotiation, an in/out referendum on our membership of the EU. How many countries has the Foreign Secretary visited to discuss that renegotiation, what levels of engagement has he had, and is there a positive desire for change in other states that matches ours?
I am grateful for the right hon. Lady’s three questions. The Foreign Secretary is a specialist in providing a pithy answer on a postcard.
Thank you, Mr Speaker, for that vote of confidence I have currently visited 23 of our partners in the European Union. In a nutshell, there is a very strong view that all member states want Britain to remain in the EU, an understanding that that can happen only if there is significant change in the EU, and a clear willingness to engage with us, particularly on our demands for improved competitiveness in the EU, which all member states want.
19. The Conservative manifesto at the last general election states:“European countries need to work together to boost global economic growth, fight global poverty, and combat global climate change. The European Union has a crucial part to play…A Conservative government will play an active and energetic role in the European Union to advance these causes.”Will that be the Conservative party’s policy in the next Parliament?
That is exactly what we are doing. The hon. Gentleman seems to subscribe to the view of the world in which Britain sits isolated on the edge. We are a major player in Europe. We have the second largest economy in Europe. We are leading the way in so many areas within the European Union. We have to seize this opportunity to shape the European Union in a way that works for Britain. It went off the rails somewhere over the past 20 years, and we must take this opportunity of reform and renegotiation to get it back on the rails. Crucially, we must then let the British people have the final say on whether the package we have negotiated is good enough or not.
16. Like you, Mr Speaker, I have complete confidence in the Foreign Secretary. I am sure he has sensed not only that there is increased public demand for renegotiation, but that there is absolutely no movement in public demand for that referendum. Is that his assessment, and will he commit to a referendum prior to the end of 2017?
I reiterate the commitment that the Prime Minister has already made that there will be a referendum by the end of 2017 if there is a Conservative Government. There is virtually no movement in polling evidence in the demand for a referendum. I will say something else to my hon. Friend: by creating the referendum we have—I will use the phrase again—lit a fire under our partners in Europe. They now know that they have to deliver change that is substantive and meaningful; not some backroom political deal, but something that will satisfy the British people in a referendum. That is what is driving the debate.
It is clear that the European Union needs to reform to create more growth, more jobs and more competitiveness, so what is the Minister’s reaction to the warning issued this morning from the executive vice-president of Ford, Mr Jim Farley, who said, on the prospects of “Brexit”, “We really hope that doesn’t happen and we believe that the UK being part of the EU is critical for business” Why does the Conservative party call for the march of the makers in one breath, yet pursue a policy that poses a direct threat to manufacturing jobs, manufacturing investment and trade? Is it that the Foreign Secretary does not see the contradiction, or is it instead a complete and utter absence of leadership when it comes to the European Union?
It is that we need to resolve this issue. Of course, most people in this country recognise the value of the single market to Britain’s economy, but that comes at a price and it is a price we pay in loss of sovereignty and loss of control over many of our own affairs, including some that we do not need to lose control of. The debate will be on the correct balance between what is done at national level and what is done at European level, on the accountability of the European Union institutions to the people of the European Union, and on the European Union’s ability to drive economic growth across all our economies. That is what people in this country want resolved, and by resolving it we will create a more certain climate for business in the future.
The Foreign Secretary has kindly shared with us that he has spoken to 23 other member states and that they all support the United Kingdom’s remaining in the European Union. Can he tell us whether he supports Britain remaining in the European Union? Does he understand the damage that his policy is doing to British business and British interests in order to maintain a temporary peace in his party?
What would cause continuing damage to British industry is not resolving this issue once and for all. The only way to do that is to have a frank and open discussion about the problems in the European Union, to renegotiate the package and to put it to the British people—and then we have settled it for a generation.
12. What steps he is taking to secure the return of the UK citizens who were aboard the MV Seaman Guard Ohio when she was detained by the Indian authorities.
We have regularly raised this case at the most senior levels of Government, and have pressed for the legal process to be resolved as soon as possible. My right hon. Friend the Foreign Secretary will be raising the issue yet again when he visits India next week. Last month, following requests from three of the men, we issued emergency travel documents. The men will still require permission from the Indian authorities before they are able to leave the country.
I thank the Minister for that answer, but it is now eight months since an Indian court quashed the charges against my constituent Billy Irving. He, and the other UK citizens, are still unable to leave India because the legal process has ground to a halt. Will the Foreign Office redouble its efforts to persuade the Indian authorities to conclude the legal process quickly and get these men home?
The hon. Gentleman knows that we have raised this again and again at the highest possible level. Indeed, I am meeting him, and other Members who have been assiduous in raising this with us, in the next couple of days to update him. What we cannot do, however, is simply ignore the Indian judicial process or interfere with it. That is not to say that we do not share hon. Members’ frustrations about the pace of progress.
These six British soldiers all fought for the British Army on the front. They feel utterly betrayed by the Government because of what they see as a lack of assistance in their hour of need. They were all acquitted and freed on 10 July last year. We must be able to do something to get these people home. We must redouble our efforts
My right hon. Friend the Prime Minister raised this with Prime Minister Modi in November 2014. The Deputy Prime Minister did so on his visit to India in August, as did the Foreign Secretary when he met his counterpart in October. I have done so numerous times at ministerial level and with the high commissioner here, and most recently British officials in Delhi raised concerns with the Ministry of External Affairs on 16 and 23 February. Members have been right to raise this again and again and we have kept Members informed. This has taken up a huge amount of time, but, in the management of expectation, I say again to the hon. Gentleman—I say it slowly and clearly—that we cannot ignore the Indian judicial process. We are dealing with a sovereign country, but we share the frustrations about the pace of progress.
13. What his priorities are for the 28th session of the UN Human Rights Council in March 2015.
Our priorities include the renewal of UN mandates on Syria, Burma and Iran, increasing international attention on Libya, Ukraine and the Democratic People’s Republic of Korea, responding to UN reports on Gaza and ISIL activity in Iraq, and thematic resolutions on freedom of religion or belief, combating religious intolerance, and privacy. My right hon. and noble Friend Baroness Anelay is representing us at the session.
I am grateful to the Minister for his answer, but does he not see that Government attempts to undermine the European convention on human rights damage our international reputation on this issue and diminish our influence on human rights?
No, and if the hon. Lady looks at our record, particularly when this Government held the chairmanship of the Council of Europe, she will see that, on the contrary, we upheld the standards and values embodied in the convention and successfully negotiated sensible, pragmatic reforms to the way in which the convention is implemented that are in the interests of all states.
22. What does the Minister think this session’s high-level panel on the death penalty can achieve, particularly when so many Human Rights Council members use the death penalty?
It is true, of course, that many of the members of the Human Rights Council, who have been elected by the membership of the United Nations generally, still have the death penalty. The United Kingdom, both at the UN Human Rights Council and in our bilateral and multilateral relationships of all kinds, continues to stress that we regard the death penalty as completely unacceptable.
Will the Minister use the opportunity of the Human Rights Council to raise the human rights crisis in central America, in particular in Mexico? Will he also raise these matters with President Peña Nieto during his visit and tie any future trade developments with Mexico to improvements in its human rights record and dealing with those who killed, probably, the 43 students—but also thousands of others who have died—and the forces that have acted with impunity in that country?
The hon. Gentleman will recall from the recent debate in Westminster Hall, in which he and I spoke, that we have a strong relationship with Mexico. We use that to seek improvements to Mexico’s human rights record and to give Mexico practical help in trying to improve its judicial and police systems in particular. That work will continue.
14. What steps the Government have taken since 2010 to increase British influence around the world.
Despite the very tight spending environment, this Government have since 2010 opened nine new diplomatic missions in emerging countries and fast-growing economies and upgraded a further six posts. We have opened an FCO language centre and a diplomatic academy, and shaped the international agenda, including through groundbreaking conferences on the preventing sexual violence initiative, cyber-security and Somalia, and hosting successful summits of NATO and the G8.
My constituents certainly recognise the increased standing of this country across the world under this Government. The Government have rightly made a priority of ending the practice of rape and sexual conflict as a tactic of war and addressing the shameful failure to bring perpetrators to justice. Will the Minister update us on this important initiative?
It is a cause of pride for this Government and this country that the FCO, particularly under the leadership of my right hon. Friend the Leader of the House, has for the first time got the international community to take seriously the scandal of the sexual abuse during war and conflict of countless numbers of women and, let us not forget, many men as well. We are now seeing the fruits of that, in the way in which countries such as Nepal, Bosnia, the Democratic Republic of the Congo and Kosovo are taking up the challenge to put right the wrongs of the past and amend their practices for the future.
When this question was handed out, I was not sure that the Government would be aware that US General Ray Odierno would express concern about our defence capability, following Government cuts, or that the British General Sir Richard Shirreff would describe the Prime Minister as “a bit player” in the Ukraine crisis. When will the Minister recognise how much this Government have marginalised Britain?
I wish the right hon. Gentleman could talk to the leaders of countries such as Poland, Latvia, Lithuania and Estonia, who have been grateful for the resolute political leadership this Government have given, and for the very practical contribution we have made to Baltic air policing and NATO training exercises to defend their security. The—[Interruption.]
I think the right hon. Gentleman is in the middle of his sentence.
I think that the right hon. Gentleman should reflect on the record of his Government and the state of decay in which they left the Foreign Office after their stewardship.
T1. If he will make a statement on his departmental responsibilities.
This week, we are delighted to welcome the President of Mexico and Senora Rivera on their state visit to the United Kingdom. Indeed, right about now, they should be being received by Her Majesty on Horse Guards parade. The UK and Mexico enjoy an excellent bilateral relationship, and we look forward to broadening and deepening that partnership this week My three key priorities continue to be Russia and Ukraine, the struggle against violent Islamist extremism and our plans for the reform of the European Union. Later this week, I will visit Ukraine to discuss the situation on the ground and to assess implementation of the latest Minsk agreement. I will then travel to Warsaw and on to Riga to meet my EU counterparts over the weekend.
As part of the Mexican state visit, it is good to see the flags of the British overseas territories flying in Parliament square today. I am encouraged to hear that London and Madrid are talking about better relations over Gibraltar. I seek assurances from my right hon. Friend, however, that there will never be any discussions over the future of Gibraltar’s sovereignty so long as the people of Gibraltar wish to remain loyal to this country.
That is our position, and I confirm that it will remain our position so long as there is a Conservative Government.
Last year, 2014, was dominated by news of horrendous violence against those of different faiths, from Boko Haram abducting Christian girls in Nigeria to the attacks by ISIL against Christians, Yazidis and other religious minorities within Iraq. In the light of those developments, does the Foreign Secretary agree that a global envoy for religious freedom, reporting to the Foreign Secretary should be appointed? If this Government choose to act, we will support them; if they do not, a Labour Government will act.
Our general approach is to try to get things done using the mechanisms we have. We have an extensive diplomatic network around the world, and we have large amounts of soft power at our disposal, including the leverage that our large aid budget gives us. I do not think simply creating new posts and ticking a box delivers in the way the right hon. Gentleman and the previous Government seem to think it will.
T4. The Minister will know that the UN has delayed by six months its report on human rights in Sri Lanka. A number of Sri Lankan constituents in my constituency are waiting for this report and are actively contacting their MP about it. Will the Minister push for the urgent release of this document, and will he please update us?
We have worked closely. I have been to Sri Lanka and met the new President, the new Foreign Minister and the new Prime Minister, and the new Foreign Minister has been here. We recognise the concern of all the victims. We remain firmly committed to the Geneva process. This will not be an indefinite deferral; the report is due by September. The extra time recognises the changed political context in Sri Lanka, and it will allow the new Government to deliver on their commitment to engage with the high commissioner and establish their own credible accountancy process.
T2. The persecution of the Rohingya by the Burmese Government still continues, and the appalling humanitarian situation they, and especially the refugees, face continues, too. Will the Foreign Secretary speak to Ban Ki-moon and ask him to go to Burma and personally to negotiate unrestricted humanitarian access for the Rohingya in the Rakhine state?
Ban Ki-moon chairs a Friends of Myanmar meeting in New York, which I have attended. He is fully aware of what is going on in Burma. We remain extremely concerned about the plight of the Rohingya, not least the white card issue that has just emerged, and we continue to lobby the Government in Burma on that basis.
T6. The ongoing crisis in Ukraine and our relationship with Russia have real implications for the United Kingdom’s energy security. Many might say that, had energy security been a more key component of strategic foreign policy for successive European Union Governments, we might now have more room for manoeuvre with Putin. Can the Foreign Secretary assure us that full consideration of our long-term energy security is currently at the forefront of, and central to, our response to the evolving situation in Ukraine?
Yes, it is a key agenda item. I can reassure my hon. Friend that the United Kingdom is in a much better energy security position than many of our European Union partners. However, as our non-military response to Russia essentially depends on EU unity, we often find that we are as weak as the weakest link in that chain. There is an urgent need to ensure that the European Union as a whole improves its energy security over the coming years, both for reasons of competitiveness and for the sake of our own national security.
T3. What work will the Foreign Secretary do with his international counterparts to build on the progress that was made at the United Nations climate change conference in Lima last December? What role does he think that the Commonwealth has in that regard, given the vulnerability of a number of small island states?
We are strongly committed to seeing a successful outcome to this year’s Paris meeting, and we played a leading role in the EU discussions on securing a forward-looking EU position. We will use our Commonwealth membership and our bilateral relationship with the Commonwealth countries to reach out to the nations to which the hon. Gentleman refers, so that we can seek the ambitious global agreement that I think Members on both sides of the House would like to see.
T9. There is another country in Europe that has been occupied and divided for not just one year, but 40. What priority are the Government giving to solving the Cyprus problem?
We continue to give strong support to the efforts of the United Nations envoy, Espen Barth Eide, to bring the two communities in Cyprus together. A settlement would be in the interests of all communities there. I was very pleased that yesterday the Foreign Office re-hosted a meeting at which the chambers of commerce of both Greek and Turkish Cypriot communities were represented by their presidents, both of whom spoke eloquently about the way in which a settlement would increase the prosperity of everyone on the island.
T5. There is huge frustration among my many constituents who have roots and family ties in the disputed territory of Kashmir. Little progress has been made for decades, and the region still suffers as a result of militarisation, violence and human rights abuses. What recent discussions has the Secretary of State had with India and Pakistan, and what hopes has he for a better future for Kashmir in which account will be taken of the views of Kashmiri people?
My right hon. Friend the Foreign Secretary raised the issue with Nawaz Sharif when he was here recently, and will raise it again when he travels to India. We are encouraged to note that some talks appear to be taking place between India and Pakistan, because we know how much concern there is throughout the country.
Given our admission that we were unsighted over Russia and Crimea, and given that we were short of Arabists following the Arab spring, is there not a case for spending more on our foreign policy capabilities? Would that not only ensure that we were better sighted, but reduce costs in the longer term because we would be able to avoid making further mistakes?
The Foreign Office makes a huge effort, in difficult fiscal times, to focus our resources on key elements of policy analysis and capability, including those involving the middle east and Russia, which, as my hon. Friend suggests, are particularly important. About 170 of our officers are now registered as having ability in Arabic, and a similar number are registered as having ability in Russian.
T7. We know that 163 Palestinian children are being held in Israeli military detention, and that many are being held inside Israel in direct violation of the fourth Geneva convention. What representations is the Secretary of State making to the Israeli authorities with a view to ending that brutal aspect of the illegal occupation?
We routinely make representations to the Israelis on all aspects of illegal conduct—of which that is just one example—and we will continue to do so.
As the Government prepare for renegotiating the European treaties, will they give their full support to the Swiss in their efforts to change their terms of free movement of people as a sign of their sincerity and a symbol that free movement of people is not an unchallengeable part of the European state?
As everybody knows, Switzerland is outside the European Union and has negotiated terms for access to the single European market, as has Norway, but those terms require the Swiss and Norwegians to accept wholesale the body of EU law without having any say in the making of it, to contribute financially and to abide by the principles of free movement. The Swiss have sought unilaterally to change that arrangement and they have been firmly rebuffed by the EU.
T8. Does the Secretary of State agree with his fellow Conservative and counterpart in Norway Vidar Helgesen that with the single market needing bold leadership for its completion and with Europe facing its biggest security crisis since the cold war, it would be a disaster for Britain to sleepwalk out of the EU?
I had another very good meeting with Vidar Helgesen when he was in London last week, and he is quite open in saying, as my right hon. Friend the Foreign Secretary has just said to the House, that Norway has access to the single market but has to contribute to the EU budget, implement EU law and accept freedom of movement without any say in how those decisions are made, which is why my view is that this country is better off in a reformed EU, rather than adopting the kind of status Norway has.
Is the Foreign Secretary able to update the House on any progress in the Syrian peace talks and in particular, if it remains the Government’s ambition to remove President Assad, what progress we have made in building up an alternative Government capable of taking on IS?
I have to tell my right hon. Friend candidly that the co-ordination between the civilian Syrian opposition and the moderate armed opposition is still disappointing. It is one of the areas on which we and our allies are working. We are committed to taking part in the programme of training and equipping members of the moderate Syrian opposition outside Syria, and that programme is beginning to gather pace now.
Was it the UK that first offered, or was it Ukraine that first requested, the presence of British military advisers, and can the Foreign Secretary assure us that their presence is more likely to lead to a peaceful settlement, rather than an escalation of the process?
There has been a discussion between the Ukrainian Government and ourselves and a number of other European Governments and the United States about various types of assistance, including non-lethal military assistance, and there was agreement among those different allied Governments to supply help to Ukraine. We think that the training will enable the Ukrainian army to operate more effectively than it has been able to do up until now, and that that offer of training would have been justified irrespective of the Russian intervention in the east.
Recent reports emerging from Iran say the regime has been secretly enriching uranium since 2008 at an underground plant in suburban Tehran named as Lavizan-3. What assessment has the Foreign Secretary made of this concerning news, and does he agree that no deal should be signed with Iran until the International Atomic Energy Agency has unfettered access to all the nuclear programme?
My hon. Friend is right that this is a new piece of information. We have no corroboration of that report at the moment, but he is absolutely right that we will need to look into it and be clear before we reach any conclusion with Iran in the nuclear negotiations.
The Minister, the hon. Member for Bournemouth East (Mr Ellwood), earlier said that he did not feel it was right to do anything about the Israel-Palestine situation until after the Israeli election, yet given that none of the major parties in that election is committed to withdrawal from the occupied territories, is not now the time to say that Britain intends to recognise Palestine?
If only it were that simple. I understand that the hon. Lady’s point is well made, but I can tell her exactly what any such statements now will do: they will play to the hard right in the Israeli elections. That will not make a settlement more likely; it will make it less likely.
rose—
Order. Foreign Office questions are a box office hit, and demand always exceeds supply. Last but not least, I call Mr Andrew Stephenson.
Pendle is home to a number of Pakistani Christian families, whose concerns I raise in the House. Given our long-standing cultural and economic ties, and the support that we provide to Pakistan via the Department for International Development, what more can my ministerial colleagues do to ensure religious freedom and tolerance there?
My hon. Friend raises an important issue. The Pakistani diaspora in this country is a large one and we have a very strong relationship with Pakistan, but we are concerned about the misuse of blasphemy laws there. I have raised the issue with the Prime Minister and through the parliamentary delegation that went to Pakistan only last week. Royal assent
I have to notify the House, in accordance with the Royal Assent Act 1967, that Her Majesty has signified her Royal Assent to the following Acts: Pension Schemes Act 2015 Serious Crime Act 2015.
(Urgent Question): To ask the Secretary of State if she will make a statement on the serious case review into child sexual exploitation in Oxfordshire.
I thank the right hon. Member for Oxford East (Mr Smith) for his question. No child should have to suffer what the victims of child sexual exploitation in Oxfordshire have suffered. The serious case review published today by Oxfordshire’s local safeguarding children board is an indictment of the failure of front-line workers to protect extremely vulnerable young people over a number of years. Reading the details of what happened to them has been truly sickening The serious case review makes it clear that numerous opportunities to intervene to protect those girls were missed, as police and social workers failed to look beyond what they saw as troubled teenagers to the frightened child within. I welcome the publication of the serious case review. It is only by publishing such in-depth accounts of what happened, and what went wrong and why, that children’s social care systems locally and nationally can address the failings that have betrayed some of our most vulnerable children. That is why this Government have insisted that serious case reviews be published, and in full The children’s Minister, the Under-Secretary of State for Education, my hon. Friend the Member for Crewe and Nantwich (Mr Timpson), has also written today, with Ministers from the Home Office and the Department of Health, to the Oxfordshire safeguarding children board requesting a further assessment of the progress being made, and we will send an expert in child sexual exploitation to support the board this month Sadly, Oxfordshire was not alone in failing to address the dangers of child sexual exploitation. We now know from Professor Alexis Jay’s and Louise Casey’s reports into Rotherham and the report by the hon. Member for Stockport (Ann Coffey) in Manchester that child sexual exploitation has been a scourge in many communities around the country. This Government have been determined to do everything within their power to tackle child sexual exploitation, and that is why we are today publishing an action plan setting out the action we have already taken to strengthen our approach to safeguarding children from sexual exploitation, along with the further steps that we think are necessary to address the culture of denial; improve joint working; stop offenders; support victims; and strengthen accountability and leadership We are setting up a national centre of expertise into tackling child sexual exploitation, to support local areas around the country, and there will be a new whistleblowing portal so that anyone can report their concerns. We have also prioritised child sexual exploitation as a national threat, so that police forces will now be under a duty to collaborate across force boundaries, and we will consult on extending the criminal offence of wilful neglect to children’s social care, education professionals and elected members This afternoon, I will be joining the Prime Minister, the Home Secretary and other Secretaries of State in Downing street to discuss with local and police leaders how we will collectively take forward the actions set out in today’s plan. The experiences of the children set out in this serious case review should never have happened. We are determined to do everything in our power to stamp out this horrific abuse and to bring the perpetrators to justice.
I thank the Secretary of State for her response. Does she agree that the victims, the 370 other children identified as at risk, their families and the public, who are horrified that these sickening crimes were allowed to continue for so many years, are owed answers to crucial questions which the serious case review could not address? How was it that there was a culture in the county council and the police whereby such serious incidents were not escalated to senior officers? How was it that a professional tolerance of under-age sexual activity developed, as the report says, to the extent that it contributed to the failure to stop the abuse Who takes responsibility for the catastrophic failings? The chief constable and the council chief executive have apologised, but they did not know what was happening. The chief constable is moving on; the former directors of social services and of children and families have left; the former leader of the council retired; the lead member for children’s services was reshuffled; and the chief executive of Oxfordshire council saw her position made redundant at the end of January, only for the council leader last week to admit that they had made a hash of it and so the situation has to be reviewed Does the Secretary of State agree that the highly commendable work done by the council, the police and other agencies to improve protection and prosecution since Operation Bullfinch cannot distract from the horrors of what went wrong? We saw failure to act on clear evidence of organised sexual exploitation; failure to provide protection to children; failure to draw serious issues to the attention of senior management; failure to heed the concerns of junior staff; chaotic arrangements for child protection; unminuted meetings; and a professional disregard for the illegality of young girls being forced to have sex with older men Should there not be wider, independent scrutiny of the internal management reviews which underpinned this serious case review? Do the public interest and redress for victims not dictate that those responsible for these failings should be fully held to account? Will the Government set up an independent inquiry into what went wrong and who made the mistakes that enabled this depraved exploitation of vulnerable girls to go on for so long, so that the lessons are learned from these awful crimes and from the failure of public bodies to provide the protection that it was their duty to provide to children who were suffering such unspeakable abuse?
I thank the right hon. Gentleman very much for his questions, and I fully respect the emotion and passion with which he and other Members will be discussing these matters—these very serious matters, as he has set out. He talks about failures and he is right to do so. He is also absolutely right to say that at the heart of this are the young people who have been utterly let down by the system and whose lives have been blighted. It is important that we think about all the victims and their families, and I am pleased to confirm that part of today’s summit and the announcements thereof is a £7 million fund to support those who have been victims. Clearly, however, there is much more that we all need to do The right hon. Gentleman asks how the culture arose and why things were not escalated. He also mentions the so-called professional tolerance of these crimes and asked who takes responsibility. On accountability, he set out the position of various people working within Oxfordshire, some of whom are still in their positions and some of whom have moved on. It is not for me to apportion blame—that is a matter for Oxfordshire county council, the police and the health agencies locally—and the purpose of this serious case review is to understand what went wrong and why, and to ensure that we learn the lessons for the future. He is absolutely right to highlight another point, which Maggie Blyth, the independent reviewer, talked about this morning when she said that although “there was no disregard of clear warnings at top level and no denial by those in charge, their lack of understanding of what was happening on the front line caused unacceptable delays. This allowed offenders to get away with their crimes. The review describes a culture in Oxfordshire where the value of escalation to the top was not understood.” The review also contains some heart-rending comments from the victims. One that particularly stands out was: “If a perpetrator can spot the vulnerable children, why can’t professionals?” The right hon. Gentleman is absolutely right to say that many more questions will need to be answered The right hon. Gentleman asks about future reviews and inquiries, and the letter signed today by Ministers from my Department, the Home Office and the Department of Health makes it clear that we are proposing that the local safeguarding children board leads a specific piece of work on the impact of the multi-agency approach to tackling child sexual exploitation in Oxfordshire. We have appointed Sophie Humphreys to work alongside Oxfordshire county council to gather the evidence on the effect of its reforms to front-line practice The right hon. Gentleman correctly highlights the fact that the council has taken action since these allegations all first came to light. As has been recognised by the serious case review, there has been tremendous investment in services to support children at risk of sexual exploitation, including the establishment of the specialist Kingfisher team, a multi-agency front-line service for victims of child sexual exploitation; the training of thousands of front-line staff in raising awareness; and an increase in the number of front-line staff as a whole. The right hon. Gentleman is absolutely right to highlight the fact that lives have been blighted by these crimes. Questions need to be answered, some of which will be addressed this afternoon in the Prime Minister’s summit in Downing street The right hon. Gentleman says that lessons need to be learned, which is a phrase that is often used in these sorts of cases. But that is not enough. We want action. It was very clear that those who came across this information, not just in Oxfordshire but in other authorities, did not act on it—and that is unacceptable.
Nothing more distressingly demonstrates how completely local agencies failed in this area than the words of survivors. One victim said, “I turned up at a police station at 2 am or 3 am with blood all over me, soaked through my trousers to the crotch. They dismissed me as being naughty and a nuisance. I was bruised and bloody.” Another victim said, “Social services washed their hands. ‘It is your choice’, I was told.” We must not only pay tribute to the victims for their bravery in coming forward, but recognise that such serious abuse has long-term and complex consequences. I ask the Education Secretary today to make it a personal priority to ensure that these survivors get the long-term and sustainable support that they need.
I thank my hon. Friend for her remarks. I know that she, as an Oxfordshire MP, has been deeply involved in these matters, and I pay tribute to her for her work. I can assure her that my Department and all relevant Departments will do all we can to help and support the victims of these crimes. She is absolutely right to talk about the culture of denial, and the unwillingness to look at the signs of physical and mental abuse inflicted on the victims, which will undoubtedly affect them for the long term. That is why dealing with these issues and ensuring that the front-line professionals take action is so important.
After Rochdale and Rotherham comes an account of the horrific events in Oxford. Let us be clear that it is the heinous crimes and the callous wickedness of Mohammed and Bassam Karrar, Akhtar and Anjum Dogar, Kamar Jamil, Assad Hussain and Zeeshan Ahmed that needs to be condemned again today. They are the ones responsible for the sadism, the grooming, the abuse and the torture that was inflicted on vulnerable girls in Oxford, robbing them of their adolescence, their health and their sense of worth. The serious case review report also reveals that both Thames Valley police and Oxfordshire county council completely let down those victims. In the words of one victim, “The police never asked me why” I went missing; “I made a complaint about a man who trafficked me from a children’s home. He was arrested, released and trafficked me again.” As we saw in Rochdale, the voice of victims was not listened to and prejudicial thinking around lifestyle choices blocked detailed investigation. These were young girls, exploited teenagers, suffering terrible abuse. Once again, we need to ensure that care homes, the police, social workers and health workers eradicate any cultural tolerance of the abuse of young girls. As Maggie Blyth from the Oxfordshire safeguarding children board said, there were “repeated missed opportunities” that could have been “identified or prevented earlier.” Government have a role to play, so let me put these questions to the Secretary of State. Is she satisfied that the safeguarding arrangements in place for children in Oxfordshire today are right and proper and will prevent more children from being vulnerable to child sexual exploitation? Do the Government now intend to establish an independent inquiry into Oxfordshire county council to see whether it has the capacity to safeguard its children? We know that the work of Alexis Jay and Louise Casey in Rotherham was instrumental in sorting out that council in its approach to child sexual exploitation. Will the same approach be taken with Oxfordshire? Will further action be taken against those agencies and individuals who are found to have failed these children The Prime Minister is today setting out new measures to end “wilful neglect”. What is the Government’s definition of “wilful neglect”? Is the Secretary of State satisfied that the definition places sufficient onus on individuals who come into contact with children to report signs of abuse? Will she and the Home Secretary now support stronger laws on child exploitation and abduction? Will she look again at child abduction warning orders and the specific offence of child exploitation Finally, will the Secretary of State now join the cross-party consensus—the Labour party, the Liberal Democrats, the Education Committee and all professionals in the field—and support age-appropriate statutory sex and relationship education to teach young people about consent and healthy relationships? We need to give young people the armoury and the education to know that this kind of sexual abuse is wrong and needs to be stripped out of British society?
I thank the hon. Gentleman for his statement and his questions. I agree with his analysis that voices were not listened to. He points out that prosecutions have already taken place for crimes that have been committed. He is right to say that there should be no holding back on prosecutions because of the perpetrators’ background. As the Prime Minister rightly said this morning, that relates not just to Oxfordshire. There have been other terrible cases, as we have seen in the past few months, if not years. The Prime Minister said that a warped sense of political correctness had potentially prevented some investigations from taking place The hon. Gentleman asks about inspections. Ofsted inspected Oxfordshire children’s services last year and highlighted, as he did, the steps that had been taken in relation to Oxfordshire children’s services. I have already mentioned the letter sent by my right hon. Friends this morning in relation to the appointment of a senior children’s services expert to go back into Oxfordshire to look into the points raised in the serious case review The hon. Gentleman mentions the Louise Casey report. That was a wider report on council governance in Rotherham, in particular. In Oxfordshire we are looking specifically at the children’s services departments, but clearly this is an ongoing issue. He mentions the offence of wilful neglect, which we have said we will consult on. That concept is set out in the Mental Capacity Act 2005 and has been proposed by my right hon. Friend the Health Secretary in relation to the lessons and the consequences of the Mid Staffs issues. It is a failure to act by a person who has a duty of care, in this case to children and young people The hon. Gentleman refers to the offence of child sexual exploitation. There are already many offences under which the perpetrators have been prosecuted, including, clearly, sexual relations with children and child rape. He mentions the education of young people in schools. I am fully in favour of excellent PSHE, sex and relationship education and education on consent, but it must be excellent. It cannot just be about ticking boxes. He talks about young people perhaps not knowing that what was happening to them was wrong. I think he knows that that is not the case, given the quotes from the victims in the serious case review. They knew that what was happening to them was wrong. They asked for help but they did not get it.
Does my right hon. Friend agree that every police officer, council official and social worker should consider whether a youngster is a child, and if they may be a child, they should be regarded as a child, listened to as a child and protected as a child, and that any professional who fails to provide that protection should risk disciplinary and criminal proceedings?
My right hon. Friend is right. The offences in this case and in many others were committed against children. There can be no doubt that children of the age involved cannot give their consent to what was perpetrated against them. That should have made it much clearer to those who received reports or should have taken action that they needed to do so, and they were professionally incompetent for not doing so
Does the Secretary of State agree that these ghastly crimes against children are a blight on any civilised society and that we must stop them occurring? Does she further agree that it is too often too easy to provide a fast knee-jerk response and get it wrong? Let us look very carefully at the evidence and consider how to respond. Let us look also at the way in which we are shrinking childhood in this country. Personally, I would like to see the age of consent raised. I oppose votes at 16 because that will bring the end of childhood closer. There is too much pressure on childhood and we as a society must look carefully at the preciousness of the childhood years.
The hon. Gentleman is right that what we have seen in Oxfordshire and elsewhere are abhorrent, sickening crimes, and they are crimes. He is right to say that any of us in any position of authority feels that those are a stain on our society and must be eradicated. He is right to say that we do not want to rush into responding, but where immediate action must be taken, it is important that it is taken. That is what we have seen in Rotherham, for example, with the appointment of the commissioners. The Secretaries of State have been meeting since last autumn to discuss the Government’s response to Rotherham in particular, which will be announced at Downing street this afternoon. We have taken time and there will be further consultations coming out of the response. We have already announced reforms to children’s social work practice, and that is a long-term response about improving training. He will understand that there needs to be a mixture of responses to something as sickening as this.
We must do everything we can to reduce the vulnerability of the young people we have heard about today. Further to the question from the Opposition spokesman and the Secretary of State’s response, my Committee agrees about the need for excellent sex and relationship education in schools precisely to give resilience to young people, to enable them to talk about consent in a meaningful way, as one witness put it, and to tell them about age gaps and predatory behaviours so that they start to recognise those. We wrestled with how we would get the curriculum time and the investment in teacher quality if we do not make such education statutory—reluctantly, because we do not want to impose further duties on schools. We came to the conclusion that that had to be made statutory if we are to deliver it. If the Secretary of State thinks it should not be statutory, will she tell us why, or tell us what else could be done in lieu of what we suggested to make these things happen?
I thank my hon. Friend the Chairman of the Select Committee for his remarks. The Committee produced an interesting report and I know that the Minister of State, my hon. Friend the Member for Bognor Regis and Littlehampton (Mr Gibb), gave evidence to the Committee. We will consider the conclusions carefully. In relation to consent, it is important to know that the victims in these cases knew that they had not given consent. There was no question about consent being given. They knew that what was happening to them was absolutely wrong. Sex and relationship education is already compulsory in secondary maintained schools. Most academies and free schools also teach it, and I suspect that many primaries do so in an age-appropriate way. I was at Eastbourne academy last week talking to the students there about what they call SPHERE, which is like PSHE. The academy taught it in a fantastic way. It did not need to be told to do so; it did not need such teaching to be statutory. It was doing it because, exactly as the Chairman of the Select Committee said, it was preparing young people to be resilient.
The whole House will be appalled at what has happened in Oxfordshire, but does the Secretary of State understand that we are appalled also that individuals who preside over these failing systems are not held to account? If there was a council where junior social workers have not referred these things up the system, where senior officers and senior councillors were unaware of them, that is a sign of a failing system within a council, and a proper independent outside inquiry is needed to get to the heart of why that system failed and to put it right, as was rightly done in Rotherham. Will the right hon. Lady explain to us why that is not happening now?
The serious case review is an important step in what the hon. Lady calls for. It identifies the fact that, as she said, in Oxfordshire’s case there were junior people who were producing reports but those did not reach a senior enough level. There are other councils, as we know, one of which is Rotherham, where junior people did put in reports which were raised at a senior level, and the people at a senior level chose not to act on them. I have sympathy for the hon. Lady’s point about accountability and people taking responsibility. It will clearly be a matter for Oxfordshire county council, the police and others to think about who needs to take responsibility for these matters. We have already seen that in Rotherham my right hon. Friend the Secretary of State for Communities and Local Government has appointed a whole new set of commissioners to run that council. There are other councils where those in charge have taken responsibility and have resigned.
I welcome the measures announced today and the Secretary of State’s indication that child sexual exploitation is now seen as a national threat, which shows the scale of abuse that I think is suspected. Thames Valley police suffered from many failings, but they have made some progress since 2013—I believe that 47 offenders have been successfully charged with 201 child sexual exploitation offences. What can she say at this stage about the support that she and her colleague in the Home Office, the Minister for Policing, Criminal Justice and Victims, will give to police officers and those on the front line who have to deal with these terrible offences?
My right hon. Friend is absolutely right that child sexual abuse will now be prioritised by every police force in England and Wales as a national threat, just like serious and organised crime, which means forces will now have a duty to collaborate to safeguard children, including through more efficient sharing of resources, intelligence and best practice. They will also be supported by specialist regional CSE police co-ordinators. I think that the national policing lead will be at this afternoon’s summit, where I expect to hear about much better training for all police officers.
Sadly, this report echoes many of the examples of child abuse we have heard about in my own borough of Rotherham and elsewhere. I have two things to say to the Secretary of State. First, Ofsted also carried out an inspection in Rotherham and gave it a clean bill of health when that clearly was not the case. Secondly, she is right to say that Louise Casey’s report on governance went wider than child protection, but it was set up specifically because of the child abuse taking place in Rotherham. Is the Secretary of State satisfied that the scrutiny by elected members in Oxfordshire is up to the standard necessary to protect our young children? It clearly was not in my borough, and people are rightly having to take responsibility for that. Is she happy that that is being done in the elected Oxfordshire county council as well?
The right hon. Gentleman is right to say that Ofsted inspected Rotherham before the issues came to light. The Ofsted framework has since changed, so the inspection carried out in Rotherham was based on a different framework and asked different questions from those of the inspection that we see today and the one that was carried out in Oxfordshire last summer. He is right to raise the issue of elected members, which is one of the questions that we will continue to go back to in Oxfordshire. He will be aware that the proposals on wilful neglect that the Prime Minister announced this morning will also apply to elected members.
I, too, pay tribute to the victims of these appalling crimes. Has the Secretary of State taken into account the fact that Operation Bullfinch, which brought the perpetrators to justice, has transformed the legal landscape in which cases can be heard? Have the good points that were brought out from Operation Bullfinch been taken into account across the country?
I thank my hon. Friend, who is absolutely right to put support for the victims at the heart of all this. He is right that things have moved on as a result partly of Operation Bullfinch and partly of other operations and lessons learned from other cases. It is a different landscape but, as he will appreciate, that does not take away from the harm done to the victims.
I called for the immediate removal and resignation of the Labour leadership of Rotherham council. Will the Secretary of State join me in calling for the resignation of the political leadership of Oxfordshire county council?
I think that is a matter for the leaders and elected members of Oxfordshire county council to consider. The serious case review obviously covers failings from 2004 to 2011. We have today asked for a further locally led assessment of child sexual exploitation in Oxfordshire and for Sophie Humphreys to continue that work. Let me say to the hon. Gentleman that this work is ongoing.
Two weeks ago I was with the Metropolitan police jigsaw unit and paedophile unit, and they will be delighted to a degree to hear her statement on education, because they feel that that is the answer, but they want it to be slanted more towards prevention. Teach what is normally taught, but also teach children about prevention, particularly on the internet. The Metropolitan police used to have a very good scheme that certainly worked for children and teachers, but it seems to have disappeared.
My hon. Friend is right about the importance of education. It is all about the quality of the teaching materials and of the teaching that goes on in schools. There is no point having some sort of lip service paid to lessons about consent or anything else if the lessons do not sink in. The Government have invested in the PSHE Association, supporting improved teaching materials and improved guidance on consent.
May I press the Secretary of State on the need for an independent inquiry? If the cultural issues that led to complaints and concerns not being escalated have not been addressed, why should there not be an independent inquiry?
As I said earlier, the serious case review is an independent inquiry and, under this Government, it will be published in full so that we can all see what has been said. As I have said, we propose that there should be a specific piece of work led by Oxfordshire’s safeguarding children board on the impact of the multi-agency approach to tackling CSE, and we are appointing a children’s services expert to work alongside the council and gather evidence of the reforms it has already made to front-line practice.
I know that many police officers at all levels of the service are appalled at the policing failures that led to the wider failures in this terrible set of cases. I appreciate that this does not fall within the Secretary of State’s ministerial responsibility, but does she share my view that the key thing in the training of police officers now is to change the culture of disbelief so that they treat vulnerable young women no longer as a problem but as victims of crime?
My right hon. Friend is right to point to the culture of denial and disbelief. As we heard from the right hon. Member for Oxford East (Mr Smith), there was sometimes a reluctance to believe allegations, even when victims presented themselves in a state at a police station. The Minister for Policing, Criminal Justice and Victims is sitting alongside me, and I know that he is as appalled as we all are about this. As we have learned, there are lessons for the police that will be picked up at today’s summit.
The Secretary of State earlier said, “We on this side of the House are concerned”. May I take this opportunity to remind her that all Members on both sides of the House are united in their determination to drive out child sexual exploitation? I ask her to look at two particular proposals to increase resilience to such exploitation among children: first, to feed into the Home Office review of child advocates the lessons from this review; and secondly, to take up a suggestion made by worried mums in my constituency for parents’ PSHE so that they can better protect their children.
The hon. Lady will appreciate that I cannot speak for Opposition Members, but I think that the tone of remarks from the shadow Education Secretary and others has shown that Members on both sides of the House are appalled by what has happened to the victims, and sadly not only in Oxfordshire, but in other local authorities. She will be well aware of what has happened to Slough’s children’s services and of the work that has been done there to set up the trust over the years. I understand her point about child advocates, which has already been taken up, and what she says about parents, whether in relation to PSHE or anything else. In this case, however, looking again at the serious case review, there were parents of victims also saying that they needed help, but they were not believed. That makes this case even more appalling.
As my right hon. Friend has said, child sexual exploitation has been a scourge in many communities across the UK. I am pleased that Lancashire police have taken a lead on those issues for a number of years now and regularly update me on local prosecutions. Will she say more about the level of support she can provide for the charities and non-statutory bodies that are doing such fantastic work to support victims but find themselves under increasing pressure at this time?
Although many statutory agencies will be responsible for dealing with these issues in supporting victims and their families, my hon. Friend is absolutely right to pay tribute to the charities and the voluntary and community sector, which provide that support as well. This afternoon, for example, representatives from the National Society for the Prevention of Cruelty to Children, Barnardo’s and Rape Crisis are attending a summit on this. I know from my role as Minister for Women and Equalities—the policing Minister will appreciate this too—that smaller organisations often find very valuable support in communities. We absolutely want to help them to do their job.
When the Education Committee carried out a year-long inquiry into child protection, we found that more needed to be done to support professionals in responding effectively and consistently to the early signs of neglect. Neglect causes long-term damage to thousands of young people every year. Therefore, should not prevention of neglect be as much of a priority as finding the perpetrators and supporting the victims, which the Secretary of State has talked about, and should that not include support for professionals, as recommended by the Committee and accepted by the Government two years ago in their response to our report?
The hon. Gentleman talks about the need to deal with neglect, and I entirely agree. Sadly, there are many vulnerable children across our country. I am sure that we see them in our role as constituency Members of Parliament and work with them and their families. I mention to him the work that this Government have undertaken through the troubled families programme, which is turning round the lives of thousands of children. We also have the new knowledge and skills statement for children’s social workers that has been prepared by the chief children’s social worker, Isabelle Trowler, who does a fantastic job in my Department, and the wider reforms that I have announced in training for children’s social work. It all very well to have lots of children’s social workers, but it is also very important to ensure the quality of their training and of the work that they do in supporting vulnerable children and families.
(Urgent Question): To ask the Home Secretary to make a statement on Yarl’s Wood immigration detention centre.
Detention is an important part of a firm but fair immigration system. It is right that those with no right to remain in the UK are returned to their home country if they will not leave voluntarily, but a sense of fairness must always be at the heart of our immigration system, including for those we are removing from the UK. That is why the allegations made by Channel 4 about Serco staff at Yarl’s Wood are serious and deeply concerning, it is why they required an immediate response to address them, and it is why the Government have ensured that that is being done All immigration removal centres are subject to the detention centre rules approved by this House in 2001. Those rules, and further operational guidance, set out the standards that we all expect to ensure that the safety and dignity of detainees is upheld. No form of discrimination is tolerated. In addition to the rules, removal centres are subject to regular independent inspections by Her Majesty’s inspectorate of prisons and by independent monitoring boards that publish their findings. The chairman of the independent monitoring board for Yarl’s Wood is Mary Coussey, the former independent race monitor. The most recent inspection by Her Majesty’s chief inspector of prisons found Yarl’s Wood to be a safe and respectful centre that is continuing to improve. The last annual report of the independent monitoring board commented positively on the emphasis placed on purposeful activities within the centre and the expansion of welfare provision, and raised no concerns about safety. None the less, the Home Office expects the highest levels of integrity and professionalism from all its contractors and takes any allegations of misconduct extremely seriously. As soon as we were made aware of the recent allegations, Home Office officials visited Yarl’s Wood to secure assurances that all detainees were being treated in a safe and dignified manner The director general of immigration enforcement has written to Serco making our expectations about its response to these allegations very clear. We told Serco that it must act quickly and decisively to eradicate the kinds of attitudes that appear to have been displayed by its staff. Serco immediately suspended one member of staff who could be identified from information available before the broadcast, and has suspended another having seen the footage. The company has also commissioned an independent review of its culture and staffing at Yarl’s Wood. This will be conducted for Serco by Kate Lampard, who, as the House will be aware, recently produced the “lessons learned” review of the Jimmy Savile inquiries for the Department of Health. However, more needs to be done. The Home Office has made it clear that we expect to see the swift and comprehensive introduction of body-worn cameras for staff at Yarl’s Wood. In addition, we have discussed with Her Majesty’s chief inspector of prisons how he might provide further independent assurance This Government have a proud record of working to protect vulnerable people in detention. We have reviewed the Mental Health Act 1983 and set out proposals for legislative change as a result; held a summit on policing and mental health, highlighting in particular the concerns of black and ethnic minority people; and commissioned Her Majesty’s inspectorate of constabulary to undertake a review of vulnerable people in police custody that will be published shortly. Before these allegations were made, the Home Secretary commissioned Stephen Shaw, the former prisons and probation ombudsman for England and Wales, to lead an independent review of welfare in the whole immigration detention estate. We will of course invite him to consider these allegations as part of that overarching review This country has a long tradition of tolerance and respect for human rights. Detaining those with no right to remain here and who refuse to leave voluntarily is key to maintaining an effective immigration system. But we are clear that all detainees must be treated with dignity and respect. We will accept nothing but the highest standards from those to whom we entrust the responsibility of their care.
I thank you, Mr Speaker, for granting the urgent question and the Minister for her answer and her explanation of why the Minister for Security and Immigration is not here today. I am very pleased to see the two local MPs, the right hon. Member for North East Bedfordshire (Alistair Burt) and the hon. Member for Bedford (Richard Fuller) Channel 4’s film on Yarl’s Wood, shown last night, revealed shocking footage about the detention centre, which has been under heavy criticism for the treatment of its 400 detainees since 2001. What was uncovered was deeply disturbing. Serious questions were raised over standards of health care in Yarl’s Wood. What was detailed included examples of self-harm by detainees, including three women who jumped from the stairs and people slashing their wrists in an attempt not to be removed. It took a freedom of information request to reveal that there were 74 separate incidents of self-harm needing medical treatment at the centre in 2013. Guards who appeared in the footage merely dismissed information about people harming themselves as “attention seeking”. Will the Minister explain why her ministerial colleague, Lord Bates, told Parliament on 24 February that there had been no serious incidents of self-harm taking place in the past two years Arguably the most concerning element was the contempt that was shown for detainees through the use of racist, sexist and generally abusive and degrading language. We saw a guard advocating violence towards a person who was detained there. One guard said: “Headbutt the bitch…I’d beat her up.” Another was recorded as saying: “They’re animals. They’re beasties. They’re all animals. Caged animals. Take a stick with you and beat them up.” These are appalling statements that should never be tolerated by anybody, particularly from employees of a company in receipt of millions of pounds of taxpayers’ money. Yarl’s Wood is not a prison but an immigration centre that has a duty to protect some of the most vulnerable, who are in most cases escaping violence and instability in their countries of origin in search of a better life. Frankly, some are there because the Home Office has taken such a long time to deal with their cases. Instead of being protected, detainees are verbally abused and poorly treated. This is not the first time that Yarl’s Wood has been the subject of parliamentary criticism. The Home Affairs Committee has been highly critical of the centre’s performance following damning reports of sexual misconduct and excessively long detentions. Of course I welcome the suspension of one of the people involved, and the fact that an independent inquiry is to be established, but the Minister is absolutely right that more needs to be done. We need a timetable for that inquiry. Will she send in her inspectors not just to visit but to write a report having spoken to detainees Has the Minister spoken to Rupert Soames, the chief executive of Serco, to express the Government’s concern? Serco’s right to bid for other contracts should be suspended pending any review. Despite reports of catastrophic failings in November last year, Serco was awarded an eight-year, £70 million contract at Yarl’s Wood. Will the Minister look at her procurement processes? All of Serco’s contracts should be reviewed immediately. The Select Committee has recommended in the past that those who fail the taxpayer should be put on a register and should not be given any other contracts. Only a few months ago, the Lord Chancellor sent in the Serious Fraud Office in order to discover why Serco had overcharged the taxpayer by £70 million I agree with the Minister that this treatment is inhumane. The United Kingdom has a reputation as a world leader in human rights—that is clear from the number of people who risk their lives to come here—and we simply cannot allow this behaviour to continue in a centre that has a duty to protect them.
I thank the right hon. Gentleman, the Chair of the Home Affairs Committee, for all that he and his Committee have done over many years to highlight problems in immigration detention centres. In 2009, his Committee reported specifically on UK Border Agency immigration detention centres, and this Government legislated to implement its recommendations The right hon. Gentleman is absolutely right. We are all shocked and appalled by the evidence we have seen, and action must be taken. Hon. Members should be under no illusions: this Government are breathing down the neck of Serco, and we want to see action swiftly The right hon. Gentleman said that one person has been suspended. In fact, one person was suspended before the broadcast. We were unable to see the programme before it was broadcast, but on the basis of evidence available before the broadcast, one person was suspended. Another has since been suspended, and I know that Serco will shortly look at whether to suspend others The right hon. Gentleman referred to a comment about self-harm by my colleague the noble Lord Bates in the other place. In fact, Lord Bates said that there were no cases of suicide or attempted suicide in Yarl’s Wood, and that is correct. There is evidence of self-harm, which we take extremely seriously, but there have been no suicides or attempted suicides The right hon. Gentleman said that the language and behaviour of the staff is completely and totally inappropriate. Hon. Members should be in no doubt that this Government and this House take that very seriously. The message to Serco is that this needs to be sorted out and needs to be sorted out quickly.
I spoke this morning to the chair of the independent monitoring board at Yarl’s Wood, and she is shocked and horrified about what was shown on television last night. There is no justification for what we saw, and the action taken by the Government and Serco is quite right. What bothers me is that we are here again: this is not new. I am also bothered by the disparity. The Minister was quite right to refer to a series of reports from the chief inspector of prisons, Nick Hardwick, whom we all know, and to the report of Mary Coussey of the independent monitoring board, but those reports are at odds and at variance with such individual incidents. These incidents keep happening, and I do not know who is missing what As the review takes place, as it must, I urge the Minister to look at this point in particular. Over a period of time, I have pleaded with the Government to allow proper journalistic access to and transparency in Yarl’s Wood—if the press cannot get in one way, they will get in another. There is also the refusal to allow the UN rapporteur the opportunity to go in. The regime in Yarl’s Wood is completely different from the one originally set up by the previous Government. I have seen it change over many years, but there is no way to convince people of that unless they can get in. As well as dealing with this incident, will she look at the disparity between the reports and such incidents, because we should not have to meet in the Chamber and discuss this again in future?
I pay tribute to my right hon. Friend for all his work, as the local constituency MP for Yarl’s Wood, in highlighting problems in the past. I am sure he agrees that to have a fair immigration system, there comes a point at which some form of detention is needed for people who refuse to leave the country voluntarily, but they must be detained with dignity and fairness to ensure that they are treated with respect My right hon. Friend will know that Stephen Shaw is carrying out a review of the whole immigration detention estate, and I look forward to that report. He will also know that the independent monitoring board has the keys to Yarl’s Wood: it can access Yarl’s Wood at any time. Knowing that, and given the review that is taking place, we will look at everything to make sure we have certainty and can be confident that detainees are treated with dignity.
The revelations on Channel 4 were shocking, but they were not at all new or even surprising for many of us who have worked with people in Yarl’s Wood over the years. It is eight years since I worked with a 13-year-old girl who attempted suicide in Yarl’s Wood and was taken to Bedford hospital, where she was shackled to her bed by prison guards. Since then, we have had numerous reports from charities and independent monitors about sexual abuse, sexual exploitation, self-harm and mental health problems left untreated. This is not just about isolated individuals I would say to the Minister that a system run for profit and to targets leaves very little room for compassion or humanity. Although it is absolutely right that individuals are prosecuted and brought to justice for the shocking things that we saw on Channel 4 last night, it is about time that we got a grip on the system. Will she make sure that the review of detention includes the impacts of private sector, for-profit involvement in detention on some of the most vulnerable people in this country?
The hon. Lady talks about having worked in this area for many years, including things she saw eight years ago. I agree that things were wrong and that they need to improve. This Government are proud of the measures we have taken—for example, on stop-and-search and mental health in custody—and the review we have instigated from Stephen Shaw is the next step in a natural progression to ensuring we safeguard people while treating detainees with appropriate dignity. I do not think that the question is about whether that is done through the public sector or the private sector; the question is about how we make sure that people in detention are treated with the dignity that they should rightly have. We are all shocked by what we have seen, and we need to make sure that it is rectified.
I have chaired a cross-party inquiry on the issue of immigration detention, and our report was published this morning. The panel’s concern is that if the response to the scandal at Yarl’s Wood focuses only on conditions, it is likely to tackle just symptoms, rather than the underlying causes. The Minister says that the question is about how people are treated in detention, but our question is why some of these people are in detention in the first place. Our evidence suggests that most of the problems arise because we detain too many people for far too long and inappropriately Will the Minister commit the Government to responding in full to our inquiry? In particular, will she look at the international evidence we have presented, which suggests that there is a cheaper, more humane and more effective way of operating by making better use of community alternatives?
My hon. Friend has worked tirelessly and ceaselessly on this issue, and I pay tribute to her and her committee for the report. I have a copy of it, and I have to say that it is quite lengthy. I have not had a chance to get through all its points, but I assure her that I will look at it, and I will make sure that we respond to it My hon. Friend talks about the fact that more people are detained. It is important to make it clear that we have taken measures so that when people arrive clandestinely in the UK, we can be certain who they are—their nationality and identity—and ensure that they pose no risk to the British public. I do not apologise for putting the safety and security of the British public first and foremost when someone arrives clandestinely by making sure that they are who they say they are, while treating them appropriately.
Women in Yarl’s Wood are detained on the instruction of the Home Office, and the Home Secretary is therefore responsible for ensuring that they are treated humanely. There is a history of problems at Yarl’s Wood going back many years, but we were told that it had been dealt with Yet in September 2013 it was reported that women at Yarl’s Wood had been sexually assaulted by guards from Serco, which the Home Secretary had contracted to manage the centre. I called on her to set up an independent inquiry, but she did not. In March 2014, a woman died in Yarl’s Wood. I asked an urgent question in the House, and again called on the Home Secretary to set up an independent inquiry. She would not come to the House, and she did not set up an inquiry. In May, more allegations came out, including that another vulnerable woman was sexually assaulted, and that a woman who poured boiling water over herself was left for hours in a state of shock. I called on the Home Secretary to set up a proper independent inquiry, and I again called on her to do so at the end of last year The Home Secretary has repeatedly refused to establish an independent inquiry, refused to investigate allegations of rape and sexual abuse, refused to let even the UN rapporteur visit and refused to come to this House to answer for it Instead, in November, the Home Secretary renewed Serco’s contract. She gave the company whose guards stand accused of abuse a contract for another eight years. We called on her to have an inquiry before she renewed the contract and she refused. Last month, she said that she would review the policies and procedures in detention centres. Again, that should have been done before the contract was renewed Here we are again with even more serious allegations. A pregnant woman was left to have a miscarriage without getting all the medical support she needed. Guards are calling women “animals”, with one saying, “Take a stick with you and beat them up.” Those are the Serco guards to whom the Home Secretary gave the contract just a few months ago. There is no point in Ministers pretending to be shocked at the news of abuse—it is not news. Even now, Ministers have not set up an independent inquiry; Serco has. We are leaving it to the company to set up the independent inquiry that should have been set up by the Home Office The Home Secretary should have come to the House today to answer this question. What has been happening is an utter disgrace, as is the continued failure to look into it. The Minister has been sent out to defend the indefensible. She should go back and tell the Home Secretary to take some responsibility for a change, to stop pregnant women and victims of sexual violence being held in Yarl’s Wood, and to hold a proper independent inquiry, because this is state-sanctioned abuse of women on the Home Secretary’s watch, and it needs to end now.
It is very disappointing that the right hon. Lady comes to this House, not having called for the urgent question, and makes comments about the Home Secretary not being here. She knows that the Home Secretary is at No. 10 at the moment dealing with child abuse—something that we all agree is an incredibly important, urgent matter that needs to be dealt with It is also disappointing that the right hon. Lady talks about abuses at Yarl’s Wood. Let us remember what the report on the announced inspection of Yarl’s Wood immigration removal centre in 2008 said. Let us remember who was in government at that time. The report stated: “we were dismayed to find cases of disabled children being detained and some children spending large amounts of time incarcerated.” It said: “Escort vehicles with caged compartments were inappropriately used to transport children.” It is this Government who have legislated to end the detention of children for immigration purposes In 2008, just 68% of detainees said that most staff treated them with respect. The figure is now 84%. The report said: “Not enough was done to communicate with detainees who spoke little English” It said: “Women complained about the food. Healthcare needed further improvement, particularly to address mental health and child health needs.” That was the report in 2008 under the right hon. Lady’s Government. It is this Government who have looked to ensure that those things are dealt with We have set up the review. We have set up the review into the whole immigration detention estate that is being led by Stephen Shaw. I am confident that he will uncover the abuse The right hon. Lady asked about the renewal of Serco’s contract. Let us remember what the policy is. The rules that determine the renewal of contracts were drawn up by Parliament in 2001. That is a rigorous and robust process, and it was set up by her Government. We will take no lessons on this matter from the Labour party. We have a proud record and we will root out the abuse.
The individual employees at Yarl’s Wood let down their colleagues, their company and their country with their vile comments, which were exposed on Channel 4. However, the issue is not just individual people; it is the policy of the overuse of detention in managing immigration. That policy was introduced by the last Labour Government and has been continued by the coalition Government. When will the two Front Benches wake up and smell the coffee? Immigration detention is costly, ineffective and unjust. It costs millions of pounds a year. Some 70% of people who go into immigration detention go back into the community. These experiences in Yarl’s Wood are a stain on the conscience of this country.
I thank my hon. Friend for his question and for the work that he has done as the constituency Member of Parliament for Yarl’s Wood. He is right that the individuals in question have let down many people. He is also right that it is not just about the individuals. We need to get to the bottom of what is going on there and to understand it exactly. The measures that we have insisted that Serco undertake urgently, including the use of body-worn cameras by all staff, will make a difference by exposing where there is abuse My hon. Friend talked about people being in detention for too long. I agree that people have been kept in detention for too long. That has happened because the previous Government’s immigration system allowed up to 17 appeals. The Immigration Act 2014, which we brought in, brings that number down to four. I hope that we will see a difference in the length of time people spend in detention. It is not something that any of us want to see, but it is a necessary evil if we are to have a fair, robust immigration system.
I am disappointed that the Minister is reacting in the way that she is. This is a very important issue. It is a stain on our country’s reputation for human rights. Does she agree that we all have to learn from the tradition of using these big, monopolistic companies? G4S let us down at the Olympics, Serco is involved in this case, Capita was involved in the tagging of individuals and now the Government are putting our probation service out to one of these companies. When will we learn that these companies have poor management, the wrong ethic, the wrong culture and the wrong priorities? It is about time we changed all that.
I think it was the previous Government who used private contracts. Private companies are not necessarily bad; they just have to be properly managed.
Yarl’s Wood has been a disgrace for well over a decade. It was a disgrace under the last Government and it is a disgrace under this Government. When children were detained there, they were left at serious risk of harm. We now have adults being left at serious risk of harm. That is completely unacceptable. Yes, the individual employees were at fault; yes, the company is at fault, but changing that will not fix the system. Getting in a new company, a new organisation and new employees will not solve the problem. What we have to do, as is suggested in the report by the panel that was chaired so well by my hon. Friend the Member for Brent Central (Sarah Teather), is completely rethink the system. No other country in Europe has indefinite detention and holds people for years on end. I hope that the Minister will look at that again. I hope that the Minister and the shadow Secretary of State will look at the report and change their policy.
My hon. Friend referred to children being treated badly in Yarl’s Wood. He will know that this Government have taken action and stopped that. I will look at the report, as I have said. I look forward to seeing what suggestions have been made. It is worth repeating that we have reduced from 17 to four the number of appeals a detainee can make against their removal. It is also worth saying that 63% of detainees are released within 28 days. We need to get that percentage up, but we also need to ensure that the system is fair for those who play by the rules.
I have been sickened by and ashamed at the reports about the treatment of detainees at Yarl’s Wood that we have seen this week and on so many previous occasions. I am also ashamed of some of the partisan comments that have been made in the discussion this afternoon. They are of absolutely no interest to the women I have met who have spent time in Yarl’s Wood and who have emerged incredibly distressed. I ask that we all think about the tone in which we conduct this discussion May I ask the Minister a specific question about the investigations and reviews that are taking place? In the past, there have been reports that women who have evidence to give or victims of abuse have been deported before their cases could be properly investigated. What assurances will she give that that will not happen, that all the evidence will be gathered in, and that those who have a story to tell will be heard and will remain in this country to tell it?
The hon. Lady is right to say that this is about the people—I absolutely agree with her about that. It is the victims of abuse that we really need to think about and put at the forefront of what we are doing. She will know that, through the Modern Slavery Bill, we are introducing new protections for victims of trafficking, including those who come to light in detention. I heard a horrific story recently about somebody who had been treated as a victim of domestic abuse, but it was only when her immigration status began to be questioned and she ended up in an immigration detention centre that she came forward and said that she was a victim of trafficking as well. It is absolutely paramount that front-line staff receive training to make sure that they can identify those victims so that we can get them into the national referral mechanism, give them the support they need and catch the evil perpetrators of those crimes. I totally agree with the hon. Lady that that must be at the forefront of what we are doing.
Detention is part of the immigration system, but we must ensure that all detainees are treated in a safe and dignified manner. On Sunday, I met a local family who are very concerned that a family member with mental health issues will shortly be detained before being deported. Although I appreciate that the Minister cannot comment on individual cases, will she say more about what is being done to ensure that those with mental health issues are safely detained if they need to be detained?
As my hon. Friend says, I cannot comment on the specifics of that case, but it clearly sounds like a heart-rending situation. We have taken action to make sure that those suffering from mental health conditions are not detained in police custody, and we are taking steps to ensure that they are not detained in immigration detention.
The Minister has said that about two thirds of the women in Yarl’s Wood are there for more than a month. Overwhelmingly, these are people who have not been convicted, or even accused, of any crime, but who are put in administrative detention for extended periods. What is the Minister doing to make sure that they have the high-quality legal advice and representation they require to make sure that their case is properly heard before she organises their removal?
To correct the hon. Lady, she said that two thirds are held for more than a month, but 63% are discharged within 28 days and either removed or released. The issue with the length of time for which people are detained is that the system that we inherited had too many layers, too many procedures and too many appeals, which meant that we could not get to the bottom of whether somebody was right to claim asylum or whether they should be returned to their home. By reducing the number of appeals to four, I hope we will see a shorter time period.
The managing director of Serco’s home affairs business has said that an independent review was required because the “public will want to be confident that Yarl’s Wood is doing its difficult task with professionalism, care and humanity” Given the catalogue of shame and controversy over many years, is not the only way to regain public confidence to strip Serco of its responsibility for running Yarl’s Wood?
I do not think that the answer is to strip Serco of its responsibility; the answer is to make sure that we get to the bottom of what has happened. My hon. Friend is right to say that any form of abuse is an embarrassment. We need the public not just to see that there are no problems, but to believe that there are no problems. We need them to be happy that detainees are being treated in an appropriate and acceptable way. We are holding Serco’s feet to the fire: I want to see action, we are making sure that it takes action, and we will take action against it if we need to.
In her opening remarks, the Minister said that a recent inspection had found Yarl’s Wood to be safe. Clearly, it is not. Could she explain the discrepancy between the reality and the inspection report, and what is she doing about it?
As I said in my opening comments, there have been a number of inspections of Yarl’s Wood by Her Majesty’s chief inspector of prisons and the independent monitoring board, which, as I have said, has the keys to Yarl’s Wood and can go in any time it wants. We have found no evidence that anybody is at risk. However, the allegations made in last night’s programme are very serious and we need to get to the bottom of them and take action.
The recent footage was disturbing, but, unfortunately, allegations of sexual abuse of vulnerable women and abuse at the centre are not new. Given the apparent gulf between official reports, what the Minister has said today and life at Yarl’s Wood, and given that we have seen so many repeated failures over such a long time and the reluctance of Ministers to act so far, can we be confident that change will really happen?
It is not fair to say that Ministers have been reluctant to take action—we have taken significant action. This urgent question follows an urgent question about Oxfordshire county council, and a summit on child sexual abuse is taking place at Downing street today. There needs to be a sea change in how all people in authority and all bodies treat allegations and victims. We all have a responsibility to take this seriously
With permission, Mr Speaker, I would like to make a statement on the independent investigation into the care of mothers and babies at the University Hospitals of Morecambe Bay NHS Foundation Trust, which is being published today I commissioned this report in September 2013 because I believed there were vital issues that needed to be addressed following serious incidents in maternity services provided by the trust dating back to 2004 There is no greater pain for a parent than to lose a child, and to do so knowing it was because of mistakes that we now know were covered up makes the agony even worse. Nothing we say or do today can take away that pain, but we can at least provide the answers to the families’ questions about what happened and why, and in doing so try to prevent a similar tragedy in the future We can do something else, too, which should have happened much earlier—and that is, on behalf of the Government and the NHS, to apologise to every family who have suffered as a result of these terrible failures. The courage of those families in constantly reliving their sadness in a long and bitter search for the truth means that lessons will now be learned so that other families do not have to go through the same nightmare. We pay tribute to those brave families today I would especially like to thank Dr Bill Kirkup and his expert panel members. This will have been a particularly difficult report to research and write, but the thoroughness and fairness of their analysis will allow us to move forward with practical actions to improve safety, not just at Morecambe Bay, but across the NHS I know that before we discuss the report in detail the whole House will want to recognise that what we hear today is not typical of NHS maternity services as a whole, where 97% of new mothers report the highest levels of satisfaction. Our dedicated midwives, nurses, obstetricians and paediatricians work extremely long hours providing excellent care in the vast majority of cases. Today’s report is no reflection on their dedication and commitment, but we owe it to all of them to get to the bottom of what happened so we can make sure it never happens again The report found 20 instances of significant or major failings of care at Furness general hospital, associated with three maternal deaths and the deaths of 16 babies. It concludes that different clinical care would have been expected to prevent the death of one mother and 11 babies The report describes major failures at almost every level. There were mistakes by midwives and doctors, a failure to investigate and learn from those mistakes and repeated failures to be honest with patients and families, including the possible destruction of medical notes The report says that the dysfunctional nature of the maternity unit should have become obvious in early 2009, but regulatory bodies including the North West strategic health authority, the primary care trusts, the Care Quality Commission, Monitor and the Parliamentary and Health Service Ombudsman failed to work together and missed numerous opportunities to address the issue. The result was not just the tragedy of lives lost, but indescribable anguish for the families left behind. James Titcombe speaks of being haunted by “feelings of personal guilt” about his nine-day-old son who died. “If only”, he says, “I had done more to help Joshua when he still had a chance”. Carl Hendrickson, who worked at the hospital and lost his wife and baby son, told me that he was asked to work in the same unit where they had died and even with the same equipment that had been connected to his late wife. Simon Davey and Liza Brady told me that the doctor who might have saved their son Alex was shooed away by a midwife, with no one taking responsibility when he was tragically born dead In short, it was a second Mid Staffs, where the problems—albeit on a smaller scale—occurred largely over the same period. In both cases perceived pressure to achieve foundation trust status led to poor care being ignored and patient safety being compromised, and in both cases the regulatory system failed to address the problems quickly. In both cases families faced delay, denial and obfuscation in their search for the truth, which in this case meant that at least nine significant opportunities to intervene and save lives were missed. To those who have maintained that Mid Staffs was a one-off “local failure”, today’s report will give serious cause for reflection As a result of the new inspection regime introduced by this Government, the trust was put into special measures in June 2014. The report acknowledges improvements made since then, which include more doctors and nurses, better record keeping and incident reporting, and action to stabilise and improve maternity services, including a major programme of work to reduce stillbirths. The trust will be re-inspected this summer when an independent decision will be made about whether to remove it from special measures. Patients who use the trust will be encouraged that the report says it “now has the capability to recover and that the regulatory framework has the capacity to ensure that it happens” The whole House will want to support front-line staff in their commitment and dedication during this difficult period More broadly, the report points to important improvements to the regulatory framework, particularly at the Care Quality Commission which it says is now “capable of effectively carrying out its role as principal quality regulator for the first time…central to this has been the introduction of a new inspection regime under a new Chief Inspector of Hospitals” As a result of that regime, which is recognised as the toughest and most transparent in the world, 20 hospitals—more than 10% of all NHS acute trusts—have so far been put into special measures. Most have seen encouraging signs of progress, with documented falls in mortality rates. There remain many areas where improvements in practice and culture are still needed. Dr Kirkup makes 44 recommendations—18 for the trust to address directly, and 26 for the wider system. The Government received the report yesterday and will examine the excellent recommendations in detail before providing a full response to the House There are, however, some actions that I intend to implement immediately. First, the NHS is still much too slow at investigating serious incidents involving severe harm or death. The Francis inquiry was published nine years after the first problems at Mid Staffs, and today’s report is being published 11 years after the first tragedy at Furness general hospital. The report recommends much clearer guidelines for standardised incident reporting, which I am today asking Dr Mike Durkin, director of patient safety at NHS England, to draw up and publish. I also believe that the NHS could benefit from a service similar to the air accidents investigation branch of the Department for Transport. Serious medical incidents should continue to be investigated and carried out locally, but where trusts feel that they would benefit from an expert independent national team to establish facts rapidly on a no-blame basis, they should be able to do so. Dr Durkin will therefore look at the possibility of setting up such a service for the NHS Secondly, although we have made good progress in encouraging a culture of openness and transparency in the NHS, the report makes it clear that there is a long way to go. It seems that medical notes were destroyed and mistakes covered up at Morecambe Bay, quite possibly because of a defensive culture where the individuals involved thought that they would lose their jobs if they were discovered to have been responsible for a death. Within sensible professional boundaries, however, no one should lose their job for an honest mistake made with the best of intentions; the only cardinal offence is not to report that mistake openly so that the correct lessons can be learned Recent recommendations from Sir Robert Francis on creating an open and honest reporting culture in the NHS will begin to improve that, and I have today asked Professor Sir Bruce Keogh, medical director of NHS England, to review the professional codes of both doctors and nurses, and to ensure that the right incentives are in place to prevent people from covering up instead of reporting and learning from mistakes. Sir Bruce led the seminal Keogh inquiry into hospitals with high death rates two years ago that led to a lasting improvement in hospital safety standards and has long championed openness and transparency in health care. For this vital work he will lead a team that will include the Professional Standards Authority for Health and Social Care, the General Medical Council, the Nursing and Midwifery Council, and Health Education England, and he will report back to the Health Secretary later this year The report also exposed systemic issues about the quality of midwifery supervision. While the investigation was under way, the King’s Fund conducted a review of midwifery regulation for the NMC, which recommended that effective local supervision needs to be carried out by individuals wholly independent from the trust they are supervising. The Government will work closely with stakeholders to agree a more effective oversight arrangement, and will legislate accordingly. I have asked for proposals on the new system by the end of July this year For too long the NMC had the wrong culture and was too slow to take action, but I am encouraged that it has recently made improvements. Today it has apologised to the families affected by events at Morecambe Bay, and it is investigating the fitness to practise of seven midwives who worked at the trust during that time. It will now forensically go through any further evidence gathered by the investigation, to ensure that any wrongdoing or malpractice is investigated. Anyone who is found to have practised unsafely or who covered up mistakes will be held to account, which for the most serious offences includes being struck off. The NMC also has the power to pass information to the police if it feels that a criminal offence may have been committed, and it will not hesitate to do so if its investigations find evidence to warrant that. The Government remain committed to legislation for further reform of the NMC at the earliest opportunity The report expresses a “degree of disquiet” over the initial decision of the Parliamentary and Health Service Ombudsman not to investigate the death of Joshua Titcombe. I know the Public Administration Committee is already considering these issues, and will want to reflect carefully on the report as it considers improvements that can be made as part of its current inquiry Finally, I expect the trust to implement all 18 of the recommendations assigned to it in the report. I have asked Monitor to ensure that that happens within the designated time scale, as I want to give maximum reassurance to patients and families who are using the hospital that no time is being wasted in learning necessary lessons. We should recognise that despite many challenges, NHS staff have made excellent progress recently in improving the quality of care, with the highest ever ratings from the public for safety and compassionate care. The tragedy we hear about today must strengthen our resolve to deliver real and lasting culture change so that these mistakes are never repeated. That is the most important commitment we can make to the memory of the 19 mothers and babies who lost their lives at Morecambe Bay, including those named in today’s report: Elleanor Bennett, Joshua Titcombe, Alex Brady-Davey, Nittaya Hendrickson and Chester Hendrickson. This statement is their legacy, and I commend it to the House.
I thank the Secretary of State for his well-judged statement, and echo entirely the sentiments he expressed. Families in Barrow and the wider Cumbria area were badly let down by their local hospital and by the NHS as a whole. The Secretary of State was right to apologise to them on behalf of the Government and the NHS, and today I do the same on behalf of the previous Government It is hard to imagine what it must be like to lose a child or partner in such circumstances, but to have that suffering intensified by the actions of the NHS is inexcusable. Bereaved families should never again have to fight in the way that these families have had to fight to get answers. The fact that they have found the strength and courage to do so will benefit others in years to come, and I pay tribute to them all, and particularly to James Titcombe This report finally gives the families the answers that they should have received many years ago. It explains in detail what went wrong, the appalling scale of the failings and, as the Secretary of State said, the opportunities missed to identify those failings and put them right I echo the Secretary of State’s praise for Dr Bill Kirkup, his investigation team and the panel that assisted them. The report’s analysis is thorough, and its recommendations are powerful but proportionate. The Opposition support all the recommendations made today. I understand that the Secretary of State will want to take time to consider each individually, but he can rely on our full support in introducing them at the earliest opportunity People’s first concern will be whether local services are safe today. The report identifies the root cause of the failures as a dysfunctional local culture and a failure to follow national clinical guidance. There are suggestions in the report that that culture has not entirely disappeared. The report finds: “we…heard from some of the long-standing clinicians that relations with midwives had not improved and had possibly deteriorated over the last two to three years…we saw and heard evidence that untoward incidents with worryingly similar features to those seen previously had occurred as recently as mid-2014.” I am sure the fact that problems have been acknowledged means that there has already been significant improvement, but will the Secretary of State say more about those findings, and about what steps he is taking to ensure that the trust now has the right staff and safety culture After safety, people will rightly want accountability, as the Secretary of State said, not just for the care failings, but for the fact that the problem was kept hidden from the regulators and the public for so long. When information came to light, it was not acted on. Lessons were not learned, and problems were not corrected. The investigation recommends that the trust formally apologises to those affected. The whole House will endorse that call, and will want it done both appropriately and immediately. Further, will the Secretary of State ensure that any further referrals to the GMC and NMC are made without delay? Will he also ensure that any managerial or administrative staff found guilty of wrongdoing are subject to appropriate action? A number of staff have left the trust in recent years, many with pay-offs. Will he review those decisions in the light of the report and take whatever steps he can to ensure that those who have failed are not rewarded One of the central findings of the investigation is on the challenges faced by geographically remote and isolated communities in providing health services. The investigation warns of the risks of a closed clinical culture in which “practice can ‘drift’ away from standards and procedures found elsewhere” Is not the report right to recommend a national review of maternity care and paediatrics in rural and isolated areas, and will the Secretary of State take that forward? Alongside that, there are concerns about the sustainability of the Cumbrian health economy. My hon. Friend the Member for Copeland (Mr Reed) has today written to the chief executive of NHS England to call for a review of the specific challenges it faces. I hope the Secretary of State will be sympathetic to that call On the CQC, the role of the regulator has always been to oppose poor care and challenge practice, but it is clear that it failed in its duty in this case. Given what was known, the decision to register the trust without conditions in April 2010 was inexplicable, as was the decision to award foundation trust status later in 2010, as was the decision to inspect emergency care pathways but not maternity services—in so doing, it failed to act on specific warnings. As the report states, there was and remains confusion in the system over who has overall responsibility for monitoring standards, with overlapping regulatory responsibilities. The Opposition support moves to make the CQC more independent, but does the Secretary of State agree that the journey of improvement at the regulator needs to continue, and that there is a need for further reform? Will he ensure that NHS England draws up the recommended protocol on the roles and responsibilities for all parts of the oversight system without delay, and does he agree that the CQC should take prime responsibility I want to close by focusing on two proposals that I believe get to the heart of the matter before us. I have thought carefully about how we truly do justice to the families’ campaign and learn the lessons of both this investigation and the Francis report. In my view, the answer is a much more rigorous system of the review of all deaths in the community and in hospitals than currently exists First, is the reform of death certification and the introduction of a new system of independent medical examination well overdue? The Kirkup report echoes findings that go back as far as Dame Janet Smith’s inquiry into the Shipman murders, which were repeated recently by Sir Robert Francis in his two reports on Mid Staffordshire. The previous Government legislated for those reforms and made provision for the independent scrutiny by a medical examiner of all deaths that are not referred to a coroner. That has been piloted and proven to be effective. The investigation says that those reforms could have raised concerns at Morecambe Bay before they eventually became evident The second point is that we need a better system for scrutinising deaths in hospital. The report recommends mandatory reporting and investigation of serious incidents of all maternal deaths, stillbirths and unexpected neonatal deaths. Is there not a case to go further, including by looking at moving to a mandatory review of case notes for every death in hospital, and at how we can use a standardised system of case note review to support learning and improvement at every trust To help to guide the Opposition’s new approach to quality improvement, Professor Nick Black has agreed to advise us and inform the review, which will be concluded by the end of the month. In our view, that reform is much needed, because rather than looking at a sample of deaths to avoid harm, we would look at every single death to learn lessons, which means that every single person matters. Ideally, the review should be cross-party. I hope the Secretary of State feels able to endorse the review I have announced, which will make recommendations that the next Government can act on immediately. Is that not the best way to do justice to the issues that the families have fought to raise, and to ensure that the legacy of their campaign is to ensure that no others go through what they have gone through?
I thank the right hon. Gentleman for his measured tone. I am sure he is absolutely sincere in wanting to learn from this tragedy. I thank him for his moving words and for his apology. He will understand that there is nervousness among the families because, in the past, when the Government have talked about rooting out poor care, we have been accused of running down the NHS. We have had a different tone today, and I welcome it To answer the right hon. Gentleman’s specific points on the quality of care at the hospital currently, the best person and people to make that judgment are the new CQC and chief inspector of hospitals, Professor Sir Mike Richards. He has said that, in his view, the care at the maternity unity in Furness general hospital is good, and indeed safe—it is more than safe; it is good. That should reassure many people who are using the hospital. He is also very clear that there are many, many improvements to make, and his overall rating for the trust is not good. The report highlights many areas that still need to be addressed, but it is important to give that reassurance On death certification, I assure the right hon. Gentleman that we fully support that policy. As he knows, it was recommended in January 2005, so it has taken a long time for both Governments to address. We fully support the policy and have had successful trials. We are committed to introducing it as soon as possible and we want to go further. There may be some common ground, because we, too, have been talking to Professor Nick Black about case note reviews. The latest advice I have had is that it would be technically very difficult to review the case notes of all the 250,000 deaths every year in NHS hospitals, because of the resource implications and the doctors’ time it would take. I asked whether it would be possible to do that. I was advised that, if we looked at case notes hospital by hospital, there would be a risk of trusts getting into big disputes about whether or not a death was avoidable. I asked Professor Black to help me to devise a methodology so that we can assess the level of avoidable deaths by hospital trust. We would be the first health economy in the world to do that. I hope we will have his full support as we take that forward On the decision to give the trust foundation trust status, the report makes it clear that Ministers were advised that they had no locus to intervene, because the process had already been set in train—the decision had been deferred but not stopped, so they were not able to intervene. It is clear that the level of knowledge in the Department of Health, as in the rest of the system, was wholly inadequate given what was happening in that hospital I should like to make one other point, on a comment made by Labour this morning that the report would say that the failings were very localised. In fact, the report says the opposite. I want to read what Dr Kirkup says in the introduction to the report: “It is vital that the lessons, now plain to see, are learnt and acted upon, not least by other Trusts, which must not believe that ‘it could not happen here’.” It is important that we take that lesson from the report extremely seriously I would like to finish on a note of consensus. I appreciate that it is not always easy for Oppositions to support the Government publicly as they put right policy mistakes that they have inherited, but I think there is one thing where we can make common ground: the need for culture change in the NHS. Policies can be changed over one Parliament, but culture change takes a generation. What the families who have suffered so much want to know more than anything else is that Members on all sides of the House are committed to that, so that we never again go back to the closed ranks and institutional self-defence that piled agony on to their tragedies, and that, once and for all, we all make the commitment that patients will always come first.
As a Member of Parliament for an area covered by the trust, I assure the Secretary of State that many thousands of workers in the NHS in my area do a really good job in very difficult geographical circumstances I was newly elected to Parliament in 2010. My experience, alongside that of colleagues whom I see in the House, as a constituency MP dealing with the huge institution that is the NHS has been that it is difficult to find out who is responsible, where and for what. Like everybody else, my heart goes out to the parents. I do not know how they have struggled on, with their loss and with being confronted with what almost seems like a professional or administrative closing of ranks and doors to their pleas for some information on what happened. It is just unbelievable My constituents do not understand why—this is mentioned in the report—a major incident in 2004 was not looked at. There were five more major incidents in 2006-07 and another five in 2008, yet still nothing was done. What will the Secretary of State do to reassure my constituents that when a major incident happens again—as presumably it could in any NHS hospital across the country—it will be acted on?
I am happy to do that. In fact, I can not only tell my hon. Friend what we are going to do, I can tell him what we have done. The main purpose of the new CQC inspection regime, with a chief inspector of hospitals and a special measures regime, is to make sure that these issues come to light much more quickly. The new regime has been very active: 20 trusts—more than 10% of all trusts in the NHS—have gone into special measures. We have seen dramatic improvements I would like to make a broader point to my hon. Friend’s constituents. He speaks very wisely when he says that this is not about the dedication and commitment of front-line staff. He is absolutely right. The Royal Lancaster infirmary is not the main focus of the Kirkup report, but of course as part of the same trust it suffered from the same management failings. There are Members of this House who have had problems at the Royal Lancaster infirmary and found that they were not listened to when they made complaints, because proper management was not in place. That will have affected his constituents. I hope they will take encouragement from the changes that have happened recently in that regard.
I thank the Secretary of State for the dignified and fitting way in which he was able to name some of the grieving parents and the babies they lost. We cannot escape the painful conclusion from the report that our hospital was compromised by some shocking failures in care and a deeply inappropriate defensiveness from certain individuals. Does he agree that the scale of failure laid out in the report may well serve to reopen the criminal investigation? Will he support the healing process that is now needed in our community, with resources if necessary, so that we can move on from this? Finally, will he set out a timetable by which he will look through all the recommendations and report back to the House on whether the Government will accept them? Will that be before the election?
I do not know the answer to the last question because we have received the report only very recently, but we will do this work as soon as possible. Indeed, if we have cross-party support, it may be that we can expedite the process. The hon. Gentleman worked very closely with James Titcombe and is absolutely right to talk about the seriousness of what happened. As with the Francis report, however, I would caution against the idea that this problem will be solved if a few more nurses are struck off. We need accountability—that is incredibly important—and where there is wrongdoing, people must be fully held to account. The big lesson is the lack of openness, transparency and trust. It is quite possible that the reason some people did not speak out about poor care is that they were frightened of the consequences of doing so. They thought they would not be listened to. Other industries, such as the nuclear industry in which James Titcombe worked or the airline industry, have managed to create a culture of trust where people on the front line who make mistakes feel able to speak out and be supported if they do so. That is the most important lesson we need to learn from today’s report.
I, too, want to the thank the Secretary of State and the shadow Secretary of State for their entirely appropriate contributions, both the statement and the response, on this immensely sensitive and deeply personally upsetting series of circumstances. I want especially to pay tribute to the families who lost loved ones as a result of what Dr Kirkup referred to as “serious failures of clinical care” He refers to the report as a damning indictment The dignity and determination of parents such as James Titcombe and Carl Hendrickson have led to this awful truth being laid bare today. Those parents are an inspiration to me, and they should be to all of us. I want to pick up on one point in particular that was raised during the Secretary of State’s statement. Dr Kirkup expresses disquiet that the NHS and the parliamentary ombudsman chose not even to investigate what has now been shown to be the needless deaths of at least 11 babies and at least one mother. May I press the Secretary of State to go further than he has in his statement and do everything in his power to ensure that the watchdog for patients is not a lapdog for senior managers? Patients need a powerful, effective independent investigator who listens to those who grieve, like the Morecambe Bay families, and not one who dismisses them without even an investigation.
My hon. Friend is absolutely right. There were, clearly, very serious flaws in the way the Parliamentary and Health Service Ombudsman operated, particularly in the case of Joshua Titcombe. My hon. Friend will know that the PHSO is accountable to this House through the Public Administration Committee, and not through the Government and the Department of Health. The Public Administration Committee is considering this issue in a great deal of detail to see what lessons need to be learned. I think one of the issues is the level of expertise within the PHSO and, with the greatest of respect, a certain lack of confidence in its ability to understand when there has been a clinical failure. I think everyone agrees that one of the things we need to do is to ensure that it can draw on medical expertise. It needs to make sure that its culture is as open and transparent as the culture it would like to see inside the NHS.
The Secretary of State said that the fitness to practise of seven midwives is currently being considered by the National Midwifery Council. Given that this matter goes back over a decade, were any health professionals, either doctors or nurses, referred to their regulatory bodies during any of the incidents he outlined earlier?
I am not aware that they were. If that turns out to be the case, that would be extremely worrying. Since Dr Kirkup started his investigation, he has been in touch with the regulatory bodies throughout the process. He has not waited until today to refer back to them any names of people where he thinks there may be a concern.
I thank my right hon. Friend for his deep and meaningful statement. In my constituency, the effects of what has happened in our trust have been deeply felt. I would also like to reach out to my hon. Friend outside the Chamber, the hon. Member for Barrow and Furness (John Woodcock). We have to put everything behind us. In my constituency, there is a campaign which says that the hospital is closing. The staff and the new management are beside themselves on this particular issue. Does my right hon. Friend agree that this has now got to stop? Hospitals and A and Es were never going to close down. At the end of the day, the staff are the only people who are going to suffer in all this.
I think this is a time when the whole House needs to unite behind the staff in that trust, who are working very hard to turn the situation around; indeed, they have made great progress. I had to call Nicola Adam of The Visitor to reaffirm the point that there are absolutely no plans to close the hospital. I hope the whole House will recognise that statement for what it is and that hon. Members will reiterate it in all their communications with their constituents.
I thank the Secretary of State and my right hon. Friend the Member for Leigh (Andy Burnham) for the tone of the statement and the Opposition’s response. I want to ask the Secretary of State about the point he made in his statement about the relationship between clinicians and midwives, which Dr Kirkup identified as having deteriorated over the last two or three years. He said that there was evidence of untoward incidents, with worryingly similar features to those that had previously occurred, as recently as last year. The Secretary of State mentioned extra numbers, but is he confident that the relationship between midwives and doctors is now resolved and that we have safe care at that hospital and elsewhere?
I think we can trust the CQC’s view that the care in the maternity unit is safe, but the hon. Gentleman is absolutely right to draw attention to the issue of the barriers between doctors and midwives, which is striking. That goes back a very long time: there seemed to be a kind of macho culture among the midwives to do with not letting the doctors in, which probably led to babies needlessly dying, which is the great tragedy. Making sure that that culture is changed, so that the patient’s needs are always put first, is obviously a massive priority. I know that the trust has made great strides in that area, but we all understand too that it takes time to change culture, and we need to support it as it goes on that journey.
I join the Secretary of State in paying tribute to James Titcombe and all the families who have fought so long for answers. I also thank Dr Kirkup for his excellent report. I welcome the action that the Secretary of State has announced today, but can he add to that list by saying whether we can bring forward having medical examiners to look into the cause of death before the end of this Parliament and, if not, say what the barriers to introducing that much overdue reform are? Will he also touch on recommendations 20 and 21 in the report, which refer to the need for a national review of maternity and paediatric services in areas that are remote, isolated and hard to recruit to? Indeed, the report goes further and says that the problem extends beyond those services. This is an issue we need to address to improve safety without deterring recruitment in these areas.
I am afraid I can only commit now to us introducing independent medical examiners as soon as possible. We are wholeheartedly committed to this. It is incredibly important for relatives, because where they have a concern about a death and possibly a mistake being made in someone’s care in their final hours, the availability of an independent examiner has been shown in the trials we have run to be very effective, so we are committed to doing that I should have answered the shadow Health Secretary on the point about a review of maternity services, because he raised it as well. NHS England is doing that review; we have already announced that to this House. Today it is publishing the terms of reference of that review. That is important, because there has been a big debate inside the health service—a debate with which many people will be familiar—about what the minimum appropriate size for maternity and birthing units is, and we need to get to the bottom of the latest international evidence.
During the period when I was writing the report on complaints in hospitals, I met Mr Titcombe. I was impressed by his persistence, because persistence is what anyone who is trying to tackle a complaint needs. I understand what he means when he says he is haunted by personal grief: I think of all those parents and relatives who have waited all this time to try to get some answers to their questions. The length of time it takes to answer people’s complaints is still not satisfactory. I myself have waited over two years and three months and I still do not have answers—I know that is not in his bag, but it is generally true of the whole of the United Kingdom. I support what my right hon. Friend the shadow Secretary of State said in calling for the medical scrutiny of all deaths that are not referred to a coroner. That is an important point. I want to ask the Secretary of State again: will he ensure that achieving the highest standard of complaints handling is included in the next NHS mandate?
No one has done more than the right hon. Lady to try to improve the standard for complaints, with the excellent work she did with Professor Tricia Hart. We are in the process of implementing her recommendations, but as the right hon. Lady knows, with the fifth largest organisation in the world, it is one thing to make a commitment in this place, but another to make it happen on the ground. There is definitely much work to do I also agree with the right hon. Lady’s comments about James Titcombe. This is a man who gave up his job working in the nuclear industry to come down to London and work in the CQC so that he could actively be part of the culture change that he wanted to see in the NHS. I do not think anyone could have done more than that. It is truly remarkable As the right hon. Lady has mentioned Wales, let me say that we have put 20 trusts into special measures in England and it is inconceivable that there will not be trusts with similar problems in Wales. I urge her to encourage the Labour party in Wales to look at introducing a special measures regime and a chief inspector of hospitals in Wales, because that has had such a powerful effect on improving standards of care in England.
I thank my right hon. Friend for his statement and Dr Bill Kirkup for his excellent report. Let me reassure him and the House that the Public Administration Committee is also preoccupied with the failings of the parliamentary and health service ombudsman in the conduct of these cases. I, too, have met James Titcombe on many occasions and have been extremely impressed by his extraordinary commitment to making sure that he is heard so that so many others can be heard May I also point out that the report reeks of the confusion that exists between CQC and the PHSO about what their respective responsibilities are? If we are talking about accountability, what we need is an organisation that is accountable for investigating clinical incidents in the NHS, whether they are down to particular local problems or broader systemic problems—by which we mean not that that is an excuse for what goes wrong; rather, it is so those systemic problems can be put right. I therefore very much welcome what my right hon. Friend has mooted will be the task of Sir Mike Durkin: to look at how that capacity can be developed, in the same manner, perhaps, as the air accidents investigation branch of the Department for Transport.
Dr Mike Durkin will be delighted that he has been promoted and given a knighthood for his wonderful work on patient safety, but it has not happened yet, even though he certainly deserves it. I thank my hon. Friend for his understanding of the complexity of these issues and the importance of the need for culture change. The work of his Committee has not been to scratch around the surface; it has tried to think hard about the solution. He is absolutely right that we need to end regulatory confusion. We now have a strong CQC, which is doing incredible inspections and is trusted across the system. However, we need a system in which people can get independent external advice quickly, which is why he was right to alert me to the potential of an air accidents investigation branch equivalent. I hope that is something that could be helpful for the ombudsman as well.
I am pleased that the Secretary of State has declared his intention to implement the medical examination review. The president of the Royal College of Pathologists, Dr Suzy Lishman, has said that introducing such a system would “improve patient care whilst reducing harm and saving money” She went on: “If bereaved relatives get the answers that they need around the time of death, if all their questions are answered then, then they don’t feel the need to sue the NHS to get the answers they deserve.” She has also said that it is “incomprehensible” that the recommended changes have not been implemented. Will the Secretary of State explain why there has been so much delay? From his answer to a previous question, I understand that he is not able to commit to implementing the reforms during the time of this Government.
With the greatest respect, I say to the hon. Lady that if she is suggesting that we have done nothing on this important issue over the last few years, nothing could be further from the truth. We have been trialling the right system; we think the trials have worked; and we want to make sure that we implement this in a way that is consistent with the many other things we are doing to improve patient safety, including proper case-note reviews of deaths in order to understand the level of avoidable hospital deaths and what we can do to bring the rates down. This is a priority for the Government, and we remain wholly committed to it.
Hon. Members will be aware of the Government’s ambition to create a new garden city at Ebbsfleet and of our intention to establish an urban development corporation to drive forward its development and delivery. I would like to take this opportunity to update hon. Members on the progress we have made This country has faced a shortfall in housing for many years, with young people and families struggling to find the homes they want and need, particularly in the south-east. We are committed to increasing their chances, and our programmes to accelerate house building are already seeing results. Our £1.5 billion large sites programme is expected to unlock 100,000 homes by the end of this month, and a further 200,000 homes could be unlocked as we take the programme forward. This is in addition to the plans in place to create housing zones on brownfield sites across the country Last year, we published our prospectus for locally led garden cities, and we are now working closely to support the development of a new garden town at Bicester, with a capacity to deliver up to 13,000 new homes. Our approach is locally led. We invite local areas to come forward, without any top-down, centrally imposed requirements. This approach will help make new garden cities acceptable locally—and, as such, to make them a reality With close transport links and large areas of brownfield land, the Ebbsfleet area has huge potential as a place to deliver a substantial number of new homes. It has long been identified—in fact, as far back as the last Government’s sustainable communities plan—as an ideal location for major development. Despite these ambitions, progress has been slow, and Ebbsfleet remains largely undeveloped. Our plans for Ebbsfleet aim to change that and to drive forward this historic development opportunity In last year’s Budget, the Government announced plans to create a new locally led garden city at Ebbsfleet, Kent, capable of providing up to 15,000 new homes predominantly on brownfield land or former quarries. The Government are seeking not only to increase the pace of development, but to create high-quality development. We want to build homes that are supported by local employment opportunities, green space and the necessary infrastructure, so that Ebbsfleet becomes a place where people want to live, work and raise their families To help realise this vision, the Government have announced that up to £200 million of infrastructure funding will be made available to support delivery. We also announced that a new statutory body—an urban development corporation—would be formed to bring real focus on driving forward delivery. Since then, we have been working closely with each of the three local authorities and other partners on the preparatory work to establish the urban development corporation and to set the scene for the future garden city. I put on record the fact that I welcome the cross-party support that the Opposition have given to these proposals I am pleased to report that house building is already under way in some parts of the proposed garden city. Last October, I opened the first phase of housing being led by Ward Homes at Castle Hill. Just today, Land Securities exchanged contracts with Persimmon Homes for the next phase of 170 homes at Castle Hill. Much remains to be done to increase the rate of development at Ebbsfleet, but this is welcome progress none the less In August last year, we consulted on the proposal to set up an urban development corporation. We set out the powers that we propose the corporation should have, including compulsory purchase powers, the transfer of the planning management powers that are currently exercised by the local authorities and, of course, the ability to invest money to secure the regeneration of the area In our consultation, we asked for views on the area in which the urban development corporation would operate, on the planning powers it would be granted, and on the composition of the board. The consultation was supported by an active engagement campaign, and the results demonstrated overall support for the proposal to create a development corporation for Ebbsfleet. In December last year, we published our response to the consultation, which confirmed our intention to continue with the proposal to establish a development corporation at Ebbsfleet Although supportive, the consultation did highlight some areas of concern, such as the impact of development on existing infrastructure. These issues were not unanticipated, and we announced in the autumn statement that there would be a review of the transport provision for the Ebbsfleet area. The Government also announced in the autumn statement the provision of the first £100 million to fund infrastructure and land remediation to kick-start development—obviously subject to due diligence. We are working closely with local partners to understand the scale of the infrastructure required and how best to accelerate delivery We want to ensure that, on establishment, the urban development corporation has in place the tools necessary to enable it to hit the ground running. It is crucial that the urban development corporation is able to pick up the reins from the local authorities and deliver its objectives seamlessly, without causing any unnecessary uncertainty among local communities and local businesses In August last year, we appointed Michael Cassidy as the chairman designate. He was the chairman of the City of London property investment board, and has extensive experience in a range of roles across the business and industry sectors. Since his appointment, he has actively engaged with local partners and the major landowners to develop a shared understanding of the work required to drive forward development More recently, we launched the recruitment process for a permanent chief executive. However, as this post will take some months to fill, we are appointing key interim personnel to maintain momentum and continuity. These interim posts will, in the meantime, continue to drive forward not only the set-up of the urban development corporation, but progress on the work to develop a shared strategy for the garden city We have made progress, too, on the process to recruit, through open competition, the remainder of the urban development corporation’s board members. Some 90 applications were received and interviews are under way. These will be in addition to the local authority representatives from Dartford, Gravesham and Kent who, as we have already made clear, will have a seat on the board The urban development corporation will develop a shared vision and master-plan for the locally led garden city that reflects the views of the local people. Much can be done in the meantime to set in place the foundations for this work, and to provide a platform from which the urban development corporation can work. We are progressing with the production of a development framework for the area. This will provide critical baseline data and act as the starting-point for the design of the future Ebbsfleet garden city In parallel, we are preparing the procurement process for a full master plan, which can then be taken forward by the urban development corporation. We want the design of the garden city to be as collaborative as possible. We will therefore use this preparatory work to make sure that future master planning is carried out in a way that encourages the full participation of the local communities and local businesses We recognise that there is likely to be a transition period between the establishment of the urban development corporation and the point at which it will be fully resourced to operate as the local planning authority. We are therefore working closely with the local authorities to agree and put in place a service level agreement, which will enable the local authorities to administer the planning service for the urban development corporation for a transitional period to ensure a smooth handover and to develop a partnership to deliver a locally led garden city. We are pushing forward with the final key stages of the physical set-up of the urban development corporation, putting in place the accommodation and technical facilities needed to ensure that the UDC is fully resourced and equipped to undertake its objectives Hon. Members will be aware that the Government tabled in the other place an amendment to the Deregulation Bill to change the parliamentary approval procedure from affirmative to negative for the establishment of urban development areas and urban development corporations. This amendment was accepted, and is now part of the Deregulation Bill. I should like to place on record my thanks to the hon. Members for City of Durham (Roberta Blackman-Woods) and for Wolverhampton North East (Emma Reynolds) and the shadow Secretary of State for their participation in discussions about how to proceed on this matter. I know that they share my wish to see this proposal make progress. The Government intend, subject to parliamentary approval, to lay a negative statutory instrument immediately following Royal Assent to establish the urban development corporation. A separate order to grant the corporation planning functions, making it the local planning authority responsible for the development of the area, will be laid at the same time I trust that that update will reassure Members of the Government’s commitment to creating a locally led garden city at Ebbsfleet that will be fit for the 21st century.
I thank the Minister for his statement, and for giving me advance sight of it. As he said, there is cross-party support for the development at Ebbsfleet, and Labour Members support it strongly. I agree with him that Ebbsfleet has huge potential to deliver a substantial number of homes and an outstanding new community Having been to Ebbsfleet, I have seen with my own eyes not just the opportunities that it offers but its terrain, which presents significant challenges. We want to see a new generation of garden cities and new towns, and we believe that Ebbsfleet could make an important contribution to such a programme. That is why, as the Minister said, we have sought to work with the Government constructively and on a cross-party basis to deliver the UDC. As the Minister also said, my hon. Friend the Member for City of Durham (Roberta Blackman-Woods) participated actively in the discussions with the Government, and is strongly committed to the delivery of a new generation of garden cities. She has spoken about the subject eloquently, in the House and elsewhere We naturally welcome the forming of an urban development corporation to drive this development forward, but we are concerned about the use of UDCs to deliver a full programme of garden cities. As the Minister knows, they are not set up to deliver garden city principles, which is why we pressed for the inclusion of a sunset clause. I am pleased that agreement was reached on that Although I welcome the Government’s initiative in establishing the UDC over the past five years, it would be remiss of me not to mention the number of mixed messages that we have received in regard to both Ebbsfleet and garden cities more broadly. In 2011 the then Housing Minister, the right hon. Member for Welwyn Hatfield (Grant Shapps), spoke of rebooting garden cities, and in 2012 the Prime Minister announced that he would publish a consultation on garden cities by the end of the year. Six months later, the Deputy Prime Minister said that some lively debate was taking place within the Government, but promised incentives that would deliver projects that were “big and bold”. In December 2012, the Government announced that Ebbsfleet would be the site for a large-scale development of 20,000 new homes Subsequently, however, rather than seeing the “big and bold” projects that had been promised, we saw reports in the newspapers that the Prime Minister was suppressing a document and had gone cold on the idea. Later that year, the Housing Minister said that he was not aware of a report that was supposed to have been published, but the Deputy Prime Minister said that there was a prospectus, and that the Government should be honest about their intentions. The Secretary of State then contradicted his own Housing Minister, saying that his Department had told him that there was a report, but not a report from the Department for Communities and Local Government. We were a little bemused by all that. However, a prospectus for garden cities was finally published, and in last year’s Budget statement the Chancellor of the Exchequer announced that there would be a new garden city at Ebbsfleet containing 15,000 homes—5,000 fewer than had been promised in 2012 Given the scale of the housing crisis and the evident cross-party support for garden cities, I should like to know what is behind the Government’s stops and starts on the Ebbsfleet initiative and on garden cities more generally. I should also like to know where the additional 5,000 new homes have gone. That seems to be something of a mystery I welcomed what the Minister said about infrastructure. The Government said last year that, once established, the Ebbsfleet UDC would be expected to identify sources of additional funding, further to the funding for basic infrastructure that had already been announced. Will the Minister tell us how much additional funding he and his Department think might be necessary to get the Ebbsfleet project moving, and whether its source in either the private or the public sector has been identified The garden city movement, which was founded by Ebenezer Howard, has a long and proud history of promoting and providing outstanding places for people to live in. Although I support what the Minister has said today, I am anxious for the founding principles of the movement to be respected, albeit in a modern setting. Perhaps the Minister will explain why he did not mention affordable housing, and why his predecessor told my hon. Friend the Member for City of Durham in a written parliamentary answer that “The Government do not impose a particular level of affordable housing for housing schemes.”—[Official Report, 9 April 2014; Vol. 579, c. 239W.] Can the Minister reassure us that the master plan will include a commitment to a significant proportion of affordable homes? If it does not, I fear that there will not be much garden to the garden city. The Government’s garden city prospectus invited communities to come up with proposals, or “big and bold” projects, as the Deputy Prime Minister called them. Will the Minister tell us how many bids have been submitted so far Let me end by echoing what the Minister said about securing the Ebbsfleet development. This is a long-term project that presents significant challenges but also has huge potential, and, as such, it requires a long-term approach from Members in all parts of the House. On that basis, I welcome the fact that we have reached cross-party agreement.
I thank the hon. Member for Wolverhampton North East (Emma Reynolds) for expressing what could broadly be described as cross-party support. She did, however, ask a couple of questions, and mentioned the pace at which the garden city programme had proceeded. She was absolutely right to refer to the terrain at Ebbsfleet. I think that anyone who watches our exchanges, or reads the Hansard report, and wonders why it has taken so long for us to reach this point needs to be aware of a couple of facts. I shall explain in a moment how the programme has been structured in the past, but there is no doubt that the terrain is an important element. Ebbsfleet is an astonishing place to visit: a map simply does not do justice to its contours and topography At one point, the hon. Lady asked how much garden there would be in a garden city. We want to deliver something of which we can all be proud. We need to have a vision of the way in which not just community housing but real communities should be built. That means ensuring that there is the right mix of residential, retail, commercial and open space for people to enjoy, so that they can get to know their neighbours and be part of a strong community. The community must be at the forefront of this project. We opted for an urban development corporation in this case—with Opposition support—because three local authorities and various landowners were involved. In fact, the Government have a small landholding interest. That makes the position very complex The hon. Lady said that it had taken several years for us to make progress. As she knows, we have been dealing with a legislative process over the past few months, since last year’s Budget statement. I found her comments slightly ironic. Let me politely suggest that she might like to stand up and name some of the eco-towns that have not been built since they were announced by the last Government We are now able to deliver on the garden city principles, at Ebbsfleet, at Bicester—which I visited again just last week—and in other areas because ours is not a top-down approach. We are not making decisions from on high; local authorities are coming to us and saying that they want to develop on the basis of those principles. It takes time for authorities to get organised and prepare to submit their proposals to the Government, but I think that that is right. The longevity of delivery that the hon. Lady rightly mentioned enables long-term plans to be developed properly, and to be locally designed, locally supported and locally proposed The hon. Lady referred to funding more generally, and to affordable housing. I repeat that ours is not a top-down approach. Once the urban development corporation has been set up, it will become the planning authority, and levels of affordable housing and section 106 agreements are a matter for planning authorities. On the basis of localism, we let the local authorities deal with such matters, and I trust them to do so. Some agreements are already in place, and are delivering substantial infrastructure and section 106 agreements for the area In terms of the total cost of development at Ebbsfleet, developing a prioritised infrastructure list will be one of the first tasks the development corporation will be taking forward. In advance of it even being established, we have been working with partners to identify the key items of infrastructure needed to support development. We do not yet have a total cost for the infrastructure because there will be many items that partners would want us to consider and include, and the development corporation needs to be the body that looks carefully both at what infrastructure is needed to support the garden city development and who should pay for it. Of course, much of the infrastructure building work will be paid for by developers, not by the Government or the development corporation directly. That is where the section 106 agreements that are already in place, and those that are developed for the major developments with outline planning consent, will take us forward.
Ebbsfleet in my Dartford constituency is home to some very ambitious housing projects. The full potential of the area will not be realised without proper investment and commitment to the infrastructure, not just of the garden city but the surrounding area. The Minister mentioned that the Chancellor announced £200 million of investment at the last Budget. Will the Minister give my constituents a guarantee that the Government are still committed to that and that local people will have an input into how that money will be spent? It appears that the Opposition want another 5,000 homes in the garden city. Does the Minister agree that we do not judge a good housing project on the number of homes we are able to cram into a particular area?
My hon. Friend has been a strong proponent not just of Ebbsfleet more generally but, as I saw on a couple of visits with him to his area, of making sure that this development is done in a way that is conducive to, works with and delivers for, the local community, recognising not just the community we want to build, but the communities and local authorities that are already in the area within the constituencies of my hon. Friends the Members for Gravesham (Mr Holloway) and for Dartford (Gareth Johnson). My hon. Friend the Member for Dartford has also worked closely with the local authorities who have their own affordable housing policies, which will be what govern the development of that area. Both of those authorities are clearly looking to secure a level of 30% of affordable housing, and I can assure my hon. Friend that today’s statement does not change what was said at the Budget last year or the finances announced in the autumn statement—I know that he has worked hard on that with his local residents and authorities. It stays in place, as was. What we are doing today is giving an update, in particular on the development and the incorporation of that corporation.
In welcoming the statement as the MP for Letchworth garden city, the world’s first, may I wish Ebbsfleet well? Does the Minister agree that the principles of garden cities—mixed tenure, a scheme of building that maintains garden city features over time, the features themselves, with allotments, space, commons, an agricultural area nearby, and separation of areas between residential, employment land and retail—can be applied not just to larger communities of 15,000 or 20,000, but to smaller communities too? In Hertfordshire we are looking at—the MPs are anyway—possibly pushing North Herts district council to go for a garden city or town that might be smaller than 10,000. Does the Minister agree that almost any size of community can be planned on garden city lines?
My hon. and learned Friend makes a very good point. One point I have made at various recent events is that we must make sure as we move forward that we build good-quality design, not just lots and lots of housing estates. There are two reasons for that. If we want people to be more accepting of development, not only have we got to make sure that people are involved in that through local plans and neighbourhood planning, but the development they see in their area must be of good quality. That requires good-quality design not just of the properties but the overall master plan. My hon. and learned Friend is absolutely right that having even small areas developed where, when possible and appropriate, there is a good mix of retail, commercial and residential, with good open space and good community areas, bringing people together, does not just deliver good-quality homes for people to live in and good-quality places for people to raise their families, but also builds good, strong, long-lasting communities, and that is something I wholeheartedly support.
Ebbsfleet is blessed in that there is already a Bishop of Ebbsfleet, which must be the first time that the bishop has come before the city, rather than a city creating a bishop. I want to raise two points. We will not need an urban development corporation for Bicester. All the land for it lies within the area of Cherwell district council, and we are determined to make a success of it, and to make a garden town for the 21st century of which the country can be proud. What we will need, however, is the Ministry of Defence to surrender every square foot of MOD land that it does not need as speedily as possible. As evidence that Cherwell district council is determined to get on with this as speedily as possible, as my hon. Friend the Minister will know but the House may not know, Cherwell had acquired land to build 1,900 self-build homes. This is an incredibly popular project. Local development orders are now in place. Queues of people are coming, wanting to acquire these plots for self-build homes. May I suggest that this project, witnessed by the Prime Minister yesterday, could be rolled out to other parts of the country, because there is clearly a large appetite among the public for building their own homes, as we have seen in Bicester?
My right hon. Friend has been a loud and strong proponent of the fantastic work being done in Bicester and of development on those garden city principles, and he is absolutely right. I visited Bicester last year and I visited again last week to see the excellent work done in just a few months, and the progress made to deliver the development in a good, strong, community-built way. He is right that this shows it does not have to be just one type of tenure. We can also develop the custom and self-build opportunities, which the hon. Member for Wolverhampton North East (Emma Reynolds) and I have agreed on in the House—there is cross-party agreement—in the last few months I would say, however, that we do not do well enough in this country in sharing best practice. I advise people across local government who are looking at developments and how to develop to look at what is happening in places like Bicester and to talk to those involved. They are strong proponents, they are happy to talk to people, and they have done some excellent work that they can share with others about how good-quality development can help build strong communities of which we can all be proud.
I beg to move, That leave be given to bring in a Bill to provide for a discretionary power to enable the Housing Ombudsman to attempt to resolve disputes between occupants of neighbouring properties in cases where nuisance is caused by tenants; and for connected purposes Members will know that houses in multiple occupation —so-called HMOs—are a growing feature of our towns and cities. Last year there were almost 200,000 in London alone, which was a growth of over 10,000 on the previous 12 months. There are now more than 1,000 HMOs in my borough of Enfield. Why have we seen this growth? Often HMOs offer cheaper and flexible accommodation. They are already a key component of our housing tapestry. HMOs are also an attractive prospect for private landlords. As the website of one property management firm puts it: “If you have a large property and are renting it out to just one tenant, consider transforming it into a HMO or hostel. This gives you the ability to take on more tenants and thus increase your potential for profit.” However, as the website also says: “If you want to turn your property into a hostel or HMO, there are certain responsibilities you need to consider”, most of which relate to the condition and safety of the premises. My Bill seeks to add to those responsibilities, particularly in the field of antisocial behaviour, without the heavy hand of regulation imposing greater burdens Some weeks ago a constituent came to me who lives next to one of the HMOs managed by the property management firm to which I have referred. Some of the tenants, who admitted that they smoked too much marijuana which made them behave erratically, made my constituent’s life a nightmare: scratching their car; constantly playing loud music; knocking on the doors well beyond midnight; and on one occasion smashing up their property. The police and the council batted the problem between them. My constituent could not, of course, over a period of time even build any relationships with the HMO residents, as they are often transient. The constituent, who prefers to remain anonymous for reasons the House will understand, has attempted to resolve the matter themselves. My constituent and their family are responsible, decent and hard-working, and do not immediately look to others, including the state, to solve their problems, but after weeks of discussion with the occupants and the landlord agent, they saw no progress. The state failed to solve the behavioural issues, and the agent simply recycled the tenants In a final attempt to resolve the problem, my constituent tried to contact the landlord. The agent would not disclose the landlord’s details. As far as we can tell, they made no effort to arrange a meeting between the neighbours and the landlords. In desperation, my constituent turned to their local MP, and I turned to this Bill. Clearly, the standard rules surrounding antisocial behaviour in private rented accommodation are simply not enough when dealing with packed HMOs. For example, the lengthy process for a neighbour to get a noise abatement notice against a single tenant is often too little, too late. Indeed, Mr Deputy Speaker, you will appreciate better than anyone the difficulty of controlling antisocial behaviour in a crowded House with many unruly occupants, but at least the boundaries here are clear Selective licensing of houses in multiple occupation acknowledges the unique issues and allows local authorities to crack down on antisocial areas, but as we have heard, many have failed to do so. However, authority-wide licence zones mean more costs for all landlords, not just the rogues. We need to give neighbours themselves the tools to hold landlords responsible, when appropriate. Put simply, when other steps fail to deal with the problem, or when landlord agents simply remove tenants and replace them with other challenging occupants, there is at present no recourse to the landlord. Landlords do not answer to neighbours for the consequences of contracts they have entered into with agents and tenants As we know only too well, antisocial behaviour is often treated as a problem for the victim, and there is no workable process to deal with the negative externalities that result from contracts being formed. However, the mediation that I propose, initiated by the ombudsman, would offer another solution. The Bill sets out a means of giving neighbours the right to seek mediation with the landlord, if the housing ombudsman agrees. At present, the ombudsman can instruct mediation only between a landlord and a tenant. Indeed, the advice from the ombudsman states: “The first person to tell about a problem with housing is the landlord. They might be able to put things right.” I could not agree more. I think that the same applies to antisocial behaviour next door, but at the moment, it is extremely difficult to locate and identify a landlord. Indeed, it is almost impossible when a landlord wishes to protect their identity The Bill would provide a means of dealing with the disturbing practice of recycling antisocial behaviour, which frankly takes too long for local authorities to sort out. I want to put a stop to the practice by giving neighbours who are the victims of antisocial behaviour the right to deal with the landlord of the property in question. I believe that that will help to resolve the problem in a timely fashion. The vast majority of landlords are good landlords, and they will want to stop bad behaviour when they are made aware of it. If there are landlords who do not care, the Bill will force them to take action. In many cases, the neighbours believe that the landlord is not even aware of the problems in the property that they have let out This change must be made, however, without getting the ombudsman involved in more generic neighbourhood disputes. This is not about disputes over high hedges, parking or planning. The Bill is not about interfering with the growth in HMOs. It does not confer rights on neighbours to object to the use of premises as HMOs. Rather, it is about easing the path of reconciliation by setting out clearly the right to take concerns directly to landlords when other reasonable steps taken by the victims have failed. The Bill would hold absentee landlords responsible for antisocial behaviour without having to introduce a special licence or blocking the HMO Who has not had constituents in their surgeries telling them that they are facing intolerable quality-of-life issues because of neighbours from hell? The House should seek to remedy that situation and make it easier for our constituents who do the right thing, the decent thing, and who wish to try to solve the problem for themselves. If we can facilitate that for them, we will be taking a great step forward. I commend the Bill to the House Question put and agreed to. Ordered, That Nick de Bois, Mr David Burrowes, Jim Fitzpatrick, Sarah Newton, Bob Blackman, Sir Bob Russell, Mike Freer, Mr Lee Scott, Mrs Mary Glindon, Sir Roger Gale, Graham Stringer and Ms Gisela Stuart present the Bill Nick de Bois accordingly presented the Bill Bill read the First time; to be read a Second time on Friday 27 March, and to be printed (Bill 179).
I shall continue the theme of housing: we have had a statement and a ten-minute rule Bill on housing, and this debate is about the Work and Pensions Select Committee’s report on support for housing costs in the reformed welfare system. There are two important debates scheduled for this afternoon, but given that we have had two urgent questions and two statements, our deliberations might have to be somewhat curtailed Our report dealt with the series of reforms to housing benefit and other support to meet housing costs that the Government have introduced since 2010. The report was published in April last year, and strangely we have been granted a debate on the Floor of the House today without having received the Government’s response to it. Normally, we would expect a Government response to a Select Committee report to be published before any such debate is granted. We have been waiting for almost a year to receive the Government response As I have said, our report was published in April 2014. We have still not received the Government response almost a year later, but that is not for want of trying. In September last year, the Minister for Welfare Reform, Lord Freud, wrote to me to apologise for the delay, saying that although the response had been prepared, the Department for Work and Pensions was still in the process of seeking “cross-government clearance” for it. I do not know whether that means there is a major split in the coalition over the report; perhaps the Minister could fill us in on why the Government’s response has still not made it out of the DWP and into the light of day As we still had not received a response by December, I wrote, with the Committee’s agreement, to the same Minister to ask that a response be submitted as a matter of urgency, but I have still not received a reply to that letter. As you know, Madam Deputy Speaker, effective Select Committee scrutiny is hampered if the Government fail to abide by the agreed process. I appreciate that today’s Minister is not the one I have been writing to, but I hope he will engage fully with the detailed and specific recommendations in our report—the Government have failed to do that for nearly a year. The recommendations are important and we hope the Government are taking them seriously The report covered a wide range of issues relating to housing costs and the welfare system, but perhaps the most controversial was “social sector size criteria”. We called it that to try to make it sound more neutral; any other form of words can be emotive, because it is called the bedroom tax, the removal of the spare room subsidy or the under-occupancy penalty, depending on one’s political view. However, it is the charge that has meant that social tenants deemed to have more bedrooms than they need have had their housing benefit reduced. The Government said that the aims of the reform were to reduce benefit expenditure, make use of the social housing stock and incentivise people to enter work. We actually agreed that using housing stock more effectively and reducing overcrowding were understandable goals. The question was: were the Government achieving them Although it is true that some reduction in housing benefit has resulted, it is not because people have moved house and are now more appropriately housed; it is because many people caught by the bedroom tax—the social sector size criteria—have merely had to subsidise their housing costs from other benefit or other income, and so of course it has saved the Government some money. However, we found that many people whom we genuinely believe the Government did not want to be caught by the bedroom tax were being affected by it, and many of them are vulnerable people. As many as 60% to 70% of households in England affected by the bedroom tax contain somebody with a disability The whole idea was that tenants would move to smaller houses, but we found that not enough smaller houses were available across the country. Some people might have been able to move into the private rented sector, which might have been more expensive for them, but even in that sector not enough suitable accommodation was available. Others of the vulnerable group were not able to respond by finding work, because of their illness and their disabilities. We also found that a significant number of people caught by the bedroom tax had specifically adapted homes, which means that it is difficult and expensive for them to move to smaller accommodation. Whoever came up with the idea that they could do so clearly has not been through the process, as I have, of trying to find a home that is easily adapted or has been adapted The only option for many people was to remain in their homes and so have their housing benefit reduced. All they could do was make up the shortfall. DWP research has shown that that often meant cutting down on household essentials or borrowing money from family and friends. The reduction in housing benefit was not insignificant for those who had no choice but to pay up—a 14% cut where the tenant was deemed to be under-occupying by one bedroom and a 25% cut where under-occupation was deemed to be by two or more bedrooms. In addition, the deduction is made on the basis of the total rent paid, without regard to the level of housing benefit actually received. Therefore, those in partial receipt of housing benefit would have to pay more proportionately. The Government’s statistics show that by the end of November 2014 the reduction had been applied to nearly half a million claimants and that the average reduction was nearly £15 per week. We found that this reform was having a particular impact on people with disabilities, including those I have mentioned already: those who have adapted homes; and people who need a room to hold medical equipment or to accommodate a carer—often a family carer. We recommended that anybody living in a home that has been significantly adapted for them should be exempt from having their benefit reduced. We also called on the Government to exempt all households that contain a person in receipt of higher level disability benefits—disability living allowance or the new personal independence payment Hon. Members should note our use of the word “exempt”; we wanted those groups of people to be exempt. The Government’s response is to say, “Oh, but they don’t have to pay in any case because they have access to discretionary housing payments.” Given the number of people who are reliant on DHPs, there must be something wrong with the original policy if so many people have to rely on some kind of “transitional” arrangement. But it is not transitional, simply because there are not the houses for these people to move to or they cannot move because of the kind of accommodation they require which does not fit the criteria set down by the Government The Government say, as they have been saying for the whole year we have been waiting on their response, that the protection is available through the DHPs. It is true that the Government have substantially increased the funding for DHPs, but those payments are awarded by local authorities to people facing hardship in paying their rent, including tenants affected by the bedroom tax and by the benefit cap, and they are still discretionary. Of course, they are also not meant to be long term, as this is a transitional protection. The other problem is that DHPs are awarded on the basis of eligibility criteria, which each local authority can set itself. That can create a postcode lottery, and we felt it was important that the granting of a DHP should be based on access to the help needed, rather than being dependent on where a claimant lived. As we often say, any benefit or award should be based on need, not on somebody’s postcode We were also concerned that some local authorities are taking income from disability benefits into account in the means tests they apply for determining eligibility for DHPs. It may be that individual households would qualify normally for a DHP based on just the raw criteria, but when the means test is taken into account they do not get it. Members in this House have said that it did not matter whether an individual or a family was subject to the bedroom tax because they would always get the money reimbursed or they would be helped out by a DHP, but for a large number of families that did not happen because of the application of this second means test. The benefits that were being taken into account were things such as disability living allowance and personal independence payments, but they are paid to people who are long-term sick and to disabled people to help them meet the extra costs of their disability. They are not meant to subsidise their housing costs. Those extra costs do not go away just because someone has to contribute something towards their rent because their housing benefit no longer covers the full amount We recommended that the Government should issue revised guidance to local authorities, making it clear that disability benefits should be disregarded in any means tests for DHPs. As yet, we do not know whether that has happened, and I hope that the Minister can tell us whether that sensible and modest request by my Select Committee has been put in place There is also the problem that DHPs were meant to be temporary and transitional. They were never intended to provide a long-term solution, which is why we hoped that certain categories of claimants would be exempt. That makes far more sense than having claimants apply every six months, or every year, for a DHP, or for help towards their housing costs. We are talking about long-term problems. If a claimant cannot move house or find work, why is it that they still have to apply for a DHP Local authorities seem unwilling to make longer term awards, so claimants often end up having to re-apply every six or 12 months. Each time a family has to apply for a DHP, they go through anxiety and uncertainty, and they never know whether they will get the award this time round We concluded that if DHPs are to continue to be used as the main way of mitigating the hardship that the reforms are causing, substantial levels of funding will be needed for the foreseeable future. Claimants need to be given certainty that long-term awards are available. During our inquiry, we visited some people who were caught in that particular Catch-22 situation and they really were worried about the future There is also the question whether there is sufficient funding for DHPs. Although central funding was increased to £165 million in 2014-15, it will go down again to £125 million in the next financial year—a drop of £40 million. During our inquiry, the Government argued that DHPs were sufficient because local authorities had not bid for the full amount of funding that was available, but we believed—this has been borne out by later evidence—that that was because the reforms were at an early stage. Local authorities were still trying to adjust to the changes, and claimants were often not aware that DHPs were available. The DWP’s own research found that 56% of people who had not applied for DHPs were not aware that they existed, but they were as likely as other claimants to report difficulty in paying the rent or being in arrears We recommended that the Government should review the whole DHP provision when more detail was available, which it must be by now, and increase the funding, but we now know that that will be reduced. Obviously, there has not been a proper review and, as a result, it will be harder and harder for local authorities to continue to meet the costs of the DHPs that their own criteria say they should be paying out I would be interested to hear from the Minister what the evidential basis is for reducing DHP funding next year. Does the funding level take account of actual assessed levels of hardship arising from reduced housing benefit, or is it based only on the amount of DHP that local authorities have been able to distribute so far? What steps are the Government and local authorities taking to inform vulnerable claimants that they can apply for DHPs to help them make up their rent shortfalls? Another aspect that has arisen as a result of the changes to housing benefit is the introduction of a cap on the total amount of benefits that a household can receive. The current limit is £26,000 a year. It is relevant to housing costs because it is the claimant’s housing benefit that is reduced when they hit the cap It is worth noting that almost everybody affected by the cap either lives in an area of the country with expensive rented accommodation, such as London, or are being placed in temporary accommodation because they are homeless. Local authorities often have no option other than to put homeless people in temporary accommodation because of the lack of other rented housing in the area. That problem is getting more and more acute in a number of areas, but temporary housing is normally more expensive than permanent accommodation and claimants can then fall within the scope of the benefit cap Local authorities often end up paying the shortfall between rent levels and housing benefit for those affected by the cap through DHPs, so there is in fact no overall saving to public funds. We recommended that the Government should exempt all households in temporary accommodation from the benefit cap, because it seems particularly unjust for those claimants to be affected when they had no choice over where they were housed. We also found that the benefit cap was having an adverse impact on disabled persons and their carers, and that is a particular problem when the carer lives with the disabled person—usually as the parent of a child, but it could be as the adult child of a disabled parent—but they are not considered, for benefit reasons, to be part of the same household. We recommended that the Government should exempt from the benefit cap all recipients of carers allowance in that situation. The Government said that the benefit cap was not intended to push carers into work, but that may well be the effect unless the recipients of carer’s allowance are exempted from the cap. I do not think that the Government anticipated that carers would be caught by the bedroom tax We also looked at the local housing allowance, which is the former housing benefit for tenants in the private rented sector. The Government announced reforms to the LHA in the June 2010 Budget, and the Committee published a report that year highlighting our concerns about the implication of the changes. Our 2014 report assessed the impact of the reforms. We concluded that there was a growing discrepancy between average rents and the amount of local housing allowance that households can claim. We found that, as a result, private sector landlords are increasingly reluctant to rent to LHA recipients. Evictions and non-renewals of tenancies are increasing, and the properties that do remain available to claimants are increasingly of poor quality and there are fewer and fewer of them We also looked at the impact on homelessness. We noted that, despite homeless statistics being down overall, rises are occurring in areas where demand for housing is high, and that homelessness among those not deemed to be “in priority need” had increased by 9% between 2012 and 2013. In order to qualify as priority need, households need to be vulnerable in some way. We are talking about single mothers or victims of special circumstances, such as a fire or flood, so many homeless people are excluded from the definition. It is therefore not surprising that many people who are homeless are not necessarily showing up in the figures. We were also concerned about younger people affected by the changes to the shared accommodation rate, which is the housing benefit paid to claimants without dependants who live in private rented accommodation. Basically, it means that they cannot rent a complete flat or house of their own; they can afford to rent only a room. The benefit had previously applied to claimants under 25, but from April 2012, as part of the LHA reforms, the Government extended the SAR to any single claimant under the age of 35 without dependent children. We found that in many areas insufficient accommodation at this level of rent was available. We heard evidence of possible adverse impacts on people with mental health problems and on parents with non-resident children, who would no longer have room to accommodate their children when they came to stay We concluded that the extension of the shared accommodation rate to single claimants up to the age of 35 might well have reduced the availability of safe, appropriate accommodation for younger people, some of whom may be vulnerable. We recommended that the Government should assess the impact of this change to the shared accommodation rate. If there was evidence that the change was resulting in some vulnerable young people having to live in situations which were inappropriate or put them at risk, we thought that the Government should consider introducing exemptions for vulnerable people and doing more to increase the provision of appropriate accommodation On the face of it, the introduction of universal credit may seem unlikely to affect housing costs, but housing benefit is one of the six benefits that will form part of universal credit. The biggest change in respect of housing benefit is that it will be administered by the DWP directly as part of universal credit, rather than by local authorities, as is the case at present. Universal credit, including the housing costs element, will generally be paid direct to claimants once a month, although exceptions can be made For some time now most claimants in the private rented sector have received their housing benefit direct and paid rent to their landlords. However, for social housing tenants, this represents a huge change, as their housing benefit has always previously been paid to their landlords and they have not been faced with handling the significant sums that housing benefit sometimes involves, especially when it is paid once a month In a report that we published in 2012 we looked at how universal credit would affect vulnerable claimants. One of the key issues that we considered was the challenge that some vulnerable people would face in coping with direct monthly payments of UC which included their housing costs. To test the impact of direct payment of housing costs on social sector tenants, the Government set up direct payment demonstration projects in six local authority areas in 2012. The findings from the research showed a distinct and significant drop in rent payment rates when tenants first migrated to direct payment. As a result, rent arrears increased, as did the number of tenants falling into arrears. Although tenants adjusted to the new system over time, much of the arrears that had built up in the early stages were not repaid, so total arrears continued to rise. Overall, tenants who went on to direct payment paid 95.5% of all the rent owed, compared with 99.1% who were not on direct payment. The Public Accounts Committee last week published a report on universal credit that concluded that these findings show that the DWP needs to reflect on how it will tackle the potential problems of paying the housing benefit element of universal credit directly to claimants. As we said about universal credit in 2012, it may work well for the majority of claimants, but it is the vulnerable minority who need special attention and extra support. This is particularly the case when it comes to housing costs because they often represent the largest proportion of a household’s benefit payments. If people fall into arrears and lose their homes, there can be all sorts of dire consequences, particularly for children What I have said so far applies predominantly to England and Wales. Since we published our report there has been a referendum in Scotland and the setting up of the Smith commission to look into further devolved powers. My Select Committee has not had time to look at the implications of the Smith agreement and how that might impact on the way in which housing benefit is administered and paid in Scotland. Nevertheless, our report was wide ranging. I have not touched on all the important issues that it covered, but colleagues from the Committee are in the Chamber and they may do so In conclusion, we continue to be disappointed that the Government have not been able to provide a response to the very important matters that we raised nearly a year ago. Many of the issues that we identified in April 2014 still exist in the system and some have been exacerbated with the passage of time. I look forward to the Minister’s update on the progress that has been made in addressing some of the concerns that I have raised.
I am pleased to follow the hon. Member for Aberdeen South (Dame Anne Begg), the Chair of the Select Committee. She raises a number of interesting points that were debated in the private Member’s Bill introduced by my hon. Friend the Member for St Ives (Andrew George), the Affordable Homes Bill, which proposed a number of changes to the social sector criteria—the bedroom tax, spare room rent or whatever one wants to call it. One of those changes would, under certain circumstances, automatically exempt people with disabilities from being required to pay for a spare room In law as it currently stands, under article 14 of the European convention on human rights, there is a legally enforceable right to get hold of discretionary housing payments. I have achieved that in Birmingham in a couple of cases, by using the threat of it rather than making the application to court. My constituency experience is that in the cases in which we should get DHP, in general we have got it. I agree that we should have an automatic exemption from paying for spare rooms for those people who need them because they have a disability, which is obvious, and those whose homes have been adapted. However, we have managed to get DHP in those cases, and we are getting longer DHP awards following the changes that defined the budget for two-year periods, so some progress is being made The other change proposed in the Affordable Homes Bill was that people who said that they wanted to move would not have to pay. Of course, that is between 10% and 20% of people. In fact, I think that the figures for Birmingham show that roughly half those who were originally having to pay for spare rooms no longer have to, although obviously people are flowing in and out of the system. I find it rather sad—perhaps the Minister will take note of this point—that although the Department gets monthly statistics from all local authorities on what is going on with awards of DHP and the like, spare room rent and so on, we do not get up-to-date figures on the situation One of the changes introduced in April 2013 was to enable people in the social rented sector to benefit in the same way as those who own their own homes if they want to let out a spare room to a lodger or boarder. Not only would they not have to pay for the spare room, but they could keep up to £20 a week of the additional money. Given that the applicable amount for a 25-year-old is currently around £71.70, £20 a week is quite a lot of money. I believe that only a handful of people in Birmingham have taken that up, but I think that is because people do not know that they can benefit I had a meeting last night with care leavers, during which we discussed housing, because it is absolutely critical for them. We discussed how tight their budgets are when they have to live on means-tested benefits, because they have to pay water, gas and electricity bills, so there are great merits in people sharing property in certain circumstances. I advise young people to consider sharing, rather than trying to live alone. They raised a concern that even though they got some priority as care leavers, they were still given only one choice of property—take it or leave it. I think that varies from local authority to local authority, but perhaps more could be done in that regard In my constituency advice bureau I get people who are very upset. The last person who was in tears was a constituent who was in overcrowded accommodation; they could not live comfortably in the two-bedroom flat they had. I find it sad that we are still not managing to deal with those who are under-occupying and those who are over-occupying in such a way that councils can resolve the issue. I recently had a case in which a pensioner wanted to downsize from a house but the council was being exceedingly difficult about it, saying, “When you took the house, certain adaptations were made, so we want you to reinstate them before we move you.” Obviously he is not paying the spare room rent, but he is still occupying a house that could be occupied by a family. I do not think that there is the urgency that there should be in local authorities to try to deal with overcrowding.
Actually, there is a need to ensure that people are appropriately housed and that they move, but very little of that responsibility lies with local authorities. The wrong way to go about it is just to take money from people who are over-occupying and would love to move but are not in a position to do so.
I personally think that it would be harsh to go around evicting everybody who is under-occupying, although that happens when people try to succeed to a tenancy; they are told that they cannot do so because the property is too big. I do not think that overcrowding is taken sufficiently seriously. Malcolm Wicks highlighted in his memoirs how he argued, when a Labour Housing Minister, for the need to bring in something akin to the current situation.
The hon. Gentleman should acknowledge that the proposals from the late Malcolm Wicks involved incentives to move, not financial penalties to be applied immediately whether or not houses are available.
I thank the hon. Lady for that intervention, but my reading of all the documents, including those memoirs, is different from hers. It was not about an incentive to move, which I do not think anyone would criticise. I think that his proposals were very similar to those that have been adopted by this Government, as seen in the written parliamentary questions.
I am grateful to the hon. Gentleman, who is being generous in giving way. Does he also recognise that it is wrong to distinguish between individuals on the basis of who their landlords are? Whether their landlord happens to be in the private sector or the public sector should make no difference to the level of support they get.
The hon. Gentleman makes a valid point. The scheme for working out how much space people need and paying them for it was introduced in the private sector many years ago. The Opposition will make the valid point that they did not make it retrospective, but the Government then say that if we want to deal with overcrowding and the like, this is one of the difficulties. Speaking personally, I would rather not do any of these things, but we do not have the finances for that. If we had chosen to take the Greek approach and said, “Can’t pay, won’t pay”, and then run out of money, we would not have had to do a lot of these things, but sadly we have to try to bring the books into balance over time.
The fundamental problem with this whole policy—I think the hon. Gentleman is taking this position as well—is whether it is about saving money or making better use of houses. The amount being saved even on the Government’s own initial estimates was not enormous, and when we factor in discretionary housing payments and all the other things that have to be taken into account, the savings diminish even further. This is not really something that will save a lot of money. [Interruption.]
From a sedentary position, the Minister says, “£1 million a day”, which is about the order of magnitude that we were talking about. A policy can have more than one objective. It can be designed to save money and also to deal with overcrowding. This year, I have not had anyone in my office complaining about social services criteria, but I often get people complaining about being overcrowded.
Is the hon. Gentleman aware that when the bedroom tax was introduced, 19,000 people in his constituency were already on the waiting list, of whom 8,000 wanted one-bedroom flats? There was already a long queue of people before the bedroom tax was introduced,
In my constituency, I was aware of a family of four living in a one-bedroom flat who wanted to transfer out of that into better accommodation.
I am not familiar with Birmingham, Yardley, but I wonder whether the fact that the lists were so long is a symptom of the legacy of the previous Government’s inability to build single-bedroom accommodation for the hon. Gentleman’s constituents to move into.
The hon. Gentleman makes a valid point. Social landlords have had a relatively simplistic approach to designing property to suit the demands of the market. That creates a difficulty, in as much as one should recognise that there are real difficulties in the financial costs of living alone, including paying rent. The hon. Member for Aberdeen South said that the changes to universal credit mean that people have to keep money aside for rent in a social housing property in the same way as they have had to in a private rented property, the logic being that it makes for a seamless move into work and therefore they are not frightened about getting a job In my constituency, I have worked with 6 Towns credit union, which is based in West Bromwich, to extend its service to Yardley, as it has done. It allows someone to be a preferred creditor. Basically, the housing element of universal credit or housing benefit is put to one side and made available for the landlord, be that a social housing landlord or a private landlord. It is important to do that, because we need to make sure that people do not end up in a mess. The idea is that budgeting is done through the bank account rather than the housing benefits system. That creates a situation in which people do not find themselves in great difficulty with budgeting as soon as they get into a monthly paid job There have been proposals to cash limit housing benefit by giving it all to the local authorities. I think that the Institute for Public Policy Research proposed something along those lines. That would lead to a situation where potentially many more tenants in social housing would have to pay towards the rent for their accommodation. I would be concerned about that, because it would put them in a situation that they could do little about. I favour the current process, which supports people with the housing costs they need to pay so that they can cope on a day-to-day basis This is a difficult area, and the Government have done many things that I would have preferred them not to do, one of which is the change to housing benefit, which it would have been nice to do gradually. However, we have to bring the books into balance, because if we do not, the interest rates on sovereign debt will go up and the amount of interest that we would then have to pay means that the cuts or tax rises that are necessary would become a lot greater than would have otherwise been the case.
rose—
Order. I appreciate that there is a feeling the House is not very busy and that the whole afternoon and evening stretches before us, but another debate is scheduled to take place after this one. If everyone follows the example of the hon. Member for Birmingham, Yardley (John Hemming) and speaks for approximately 10 minutes, all Members who have indicated that they wish to speak will have the opportunity to do so. I will not impose a time limit at the moment. The hon. Gentleman has set a good example, and I hope that everyone will follow it.
I am pleased to have the opportunity to participate in this debate. It was very well opened by my hon. Friend the Member for Aberdeen South (Dame Anne Begg), who is a dedicated and inspirational Chair of the Work and Pensions Committee. I want to put on the record my thanks to her for the way in which she has chaired the Committee and for all the things I have learned from her. She is the epitome of the iron fist in a velvet glove, and she manages to be both reasonable and radical at the same time I am speaking in this debate because I am a member of the Select Committee, and the Chair has already gone through some of the recommendations in our report. Given the importance of the report, it is disappointing that, a year on, we are still waiting for the Government response. I hope that the Minister will address that matter It is indisputable that we are the middle of a housing crisis. House building is down, homelessness and rough sleeping are rising, and houses are unaffordable for many people. The lack of social housing means that those with legitimate claims and in desperate need are deemed ineligible or not in priority need as local authorities try to implement housing strategies to manage demand with a only very few houses to allocate The private rented sector has filled the vacuum caused by the lack of affordable and social housing. As a result, the private rented sector in London has grown by 75% in the past 10 years. In my constituency, it is now common for families to live in private rented accommodation, although they previously either owned their own home or lived in social housing. Yet the ever-growing private rented sector is still failing to meet the demands of renters. It is easy to reduce discussions about housing costs to an evaluation of numbers and statistics, but the truth is that covering housing costs is crucial to securing a stable home life and a stable society. Affordable housing costs give families certainty and freedom from the fear of eviction, and help to foster communities Costs are spiralling out of control. The cost of renting has soared while wages have dropped. The lack of regulation in the private rented sector and the limited supply of housing in comparison with demand mean that private landlords are currently free to set their own prices. The cost of renting privately has increased consistently since 2009, and rents reportedly increased in London in 2012-13 by nearly 8% It is not surprising that so many people, both in and out of work, require help with paying their housing costs and have to resort to housing benefit. The number of in-work housing benefit claimants rose from 439,000 at the end of 2008 to more than 1 million in May 2014. The latest statistics also show that there were just under 4.9 million housing benefit claimants at the end of November 2014—increased from 4.2 million in November 2008—of whom 67% were in the social rented sector, but the rest were in the private rented sector The Committee’s report illustrated that the cost of housing benefit is rising, while the most vulnerable are failed when they rent privately. Over the past year, as a constituency MP, I have seen a spike in the number of people contacting my office who have been told that they are ineligible for social housing, but cannot secure private rented accommodation. That is due to a combination of factors, but one that has made things very difficult for people is the change in local housing allowance. Constituents tell me that when they go to the local authority, they are just given a list of private letting agents. The problem is that nearly all those on the list say that they do not take any tenants on benefits. Constituents are spending time and resources searching for suitable properties only to be told that they cannot be helped. That means that a large section of the private rented sector is unavailable to claimants, and that they are often forced to take poor, substandard property that fails to meet their needs.
We have found in the west midlands that private landlords are often willing to take people on housing benefit if they have a 6 Towns type of account that reserves the funds. There is a solution in the system as it stands. Perhaps that needs to be investigated. Obviously, 6 Towns does not operate across the country, but perhaps there are solutions that can be found within the current policy.
It is true that solutions can be found. Sadly, no one seems to have found them yet in my part of south-east London The Work and Pensions Committee looked at the problems that are faced by people on housing benefit. They are discriminated against when looking for private rented accommodation. For families, that makes trying to find a roof over their heads an uphill struggle. Given that tenancies typically last for six to 12 months, private renters often have to move just as they have settled in. Children who live in such places have their life chances restricted and their education disrupted, and are often not registered with a doctor. That cannot be acceptable Private landlords may be reluctant to rent accommodation or provide temporary accommodation to claimants for a number of reasons. It might not just be general discrimination, but might be due to constraints that are imposed by mortgage lenders, who say that they are not allowed to provide longer tenancies, or due to fears that local authorities will fail to allocate housing benefit in a timely manner. Giving private renters the option of allowing the housing benefit component of their universal credit payment to go directly to their landlord might allay those fears and enable private renters to control their finances more easily. The Government must work with private sector landlords to address their concerns about universal credit and offer greater support to those who rent property to housing benefit claimants. That work must start now.
I grateful to my colleague on the Work and Pensions Committee for giving way. I met my key local social housing provider on Friday. It said that there was a 15% gap in rent collection between those on universal credit and those not on universal credit. That is manageable over a year or so, but over the longer term it will create huge problems. I wonder whether my hon. Friend wants to comment on that point.
That is a valid point. It is something that we all encounter locally when we talk to housing providers. It needs to be addressed, so I thank my hon. Friend for her intervention. Another problem for private renters is that the change to local housing allowance is further restricting their access to the widest selection of available properties. Local housing allowance rates match only the 30th per- centile of homes within a broad rental market area. The Government reduced that from the 50th percentile. I believe that that needs to be re-evaluated urgently, especially in London. Rents have risen, but the local housing allowance was frozen in 2012-13 and uprated by 1% in 2014. There has been a reduction in the number of homes that can be rented out at that rate An analysis by Crisis shows that across Britain, one in 10 local housing allowance rates for 2015-16 is 5% or more lower than the estimated 30th percentile of local rents. Those include 77 rates that have already benefited from an additional increase due to the targeted affordability fund. As was outlined in the Select Committee’s report, analysis by the Institute for Fiscal Studies shows that rent levels did not decline as a result of the cap. In fact, the most recent rental figures show a 1.8% rise across the stock in England and a rise of 2.4% in London. That is well above the recent 1% cap and means that additional properties will fall out of the reach of those on benefit Private renters should not have to choose between having a roof over their heads and eating, but increasingly that is becoming a daily choice for many people in my constituency. The Government should consider increasing LHA rates by more than 1% annually in more pressured areas. Although the Committee welcomed the introduction of the targeted affordability fund as a means of increasing LHA levels in areas of higher rents, some areas may see rents rising by more than the maximum of 4% a year. The Government should amend the targeted affordability fund so that it can be paid at higher levels in areas where rent increases are greater than 4%. It should also use available rents rather than stock rents as a measure for the rental increase Rents are currently unaffordable across the private sector. In 2012, the Money Advice Trust stated that rent arrears were the fastest growing debt problem it had encountered and that the number of calls it received on the issue had risen by 37% on the previous year. At the end of 2014, the National Landlords Association reported that almost a third of private landlords had seen arrears that year. There were a record number of evictions of renters across the social and private sector in 2014 as a result of a combination of factors, including the bedroom tax, benefit sanctions, increased numbers renting with the reduced LHA rate, and rising private sector rents Recent figures from Crisis have also shown that the No. 1 leading cause of homelessness now is eviction from a private tenancy. The figures highlight not just the lack of affordability for renters when having to manage competing living costs, but how unsustainable rising rents will be for the private rented sector without Government intervention The Government must continue to monitor homelessness levels and take action to mitigate the impact on households and local authorities. The Department for Communities and Local Government reported that rough sleeping increased by 14% in autumn 2014. I am regularly contacted by constituents who tell me that they cannot be housed by their local council because they are not in priority need and that they have no option but to live in overcrowded accommodation with family members or to couch-surf, which is code for sleeping on the floor of a friend’s house. If they can be housed, they have been told that their only option is temporary accommodation. In my local area of Bexley, people are often temporarily accommodated in Manchester and Bolton, which means having to uproot their children from school and leave their support networks behind It always worries me greatly that, while a number of landlords are reputable, a number of others are not. There are private landlords in my constituency who line their pockets while renters struggle to pay their rent. I wrote to Her Majesty’s Revenue and Customs and the Treasury in November to ask about the Let Property campaign, which was launched in September 2013 to target the residential property letting market. Specifically, I wanted to know whether it had been successful in closing the tax gap on let properties, but the responses I received were not encouraging. They said it was too early to tell, but one of the figures they did give me was an estimate that the tax gap on letting income was just over £500 million. It is absolutely disgraceful that public money is going to landlords who do not then pay their way or their tax. We need to address that urgently.
Order. Before the hon. Lady addresses any further points. She may have been able to count, but she has now spoken for 12 minutes. I trusted her to speak for 10 minutes, so I trust that she is going to wind up very soon.
I will finish by saying that I think this is a most urgent issue. I do not usually quote from Conservative manifestos, but the 1951 Conservative manifesto said: “Housing is the first of the social services. It is also one of the keys to increased productivity. Work, family life, health and education are all undermined by overcrowded homes.” That was true then, and it is true now.
It is a pleasure to take part in this debate. I am sorry that I missed the first couple of minutes of the speech by the hon. Member for Aberdeen South (Dame Anne Begg), because she speaks very sensibly on this issue and many Government Members listen to what she has to say about it. I will pick up on a couple of points she made The hon. Lady has spoken in the past about the amount that we spend on housing benefit. It was a matter of concern to us all that the housing benefit budget seemed to be getting out of control in the run-up to the last general election. In fact, the housing benefit bill was forecast to rise over the current Parliament from £21 billion to more than £26 billion. This Government’s reforms have only pegged back that increase by about £2 billion a year, which, given the potential growth in the budget, is not very much at all The hon. Lady spoke about how the spare room subsidy has been working in practice. Like the hon. Member for Birmingham, Yardley (John Hemming), my constituency surgeries were visited by many people when the policy was first mooted, perhaps because they were scared by stories that were being circulated at the time about how it would affect them. There was a general lack of knowledge about discretionary housing payments and who can receive them for. I am pleased that we were able to help every person who came through the door of my constituency surgery advice centre seeking help in that area, and all received discretionary housing payments Interestingly, Daventry and District Housing, which serves a huge area of my constituency, saw the policy change coming down the line. It is a good housing association in many ways because it talks to its tenants on a regular basis and gets to know them, and it therefore made sure that they were ready for the change. Most tenants in Daventry and District Housing accommodation knew that the change was coming, and knew that discretionary housing payments were available and how to access them I sit on the Public Accounts Committee, which discusses these matters—I will mention the report that the hon. Member for Aberdeen South spoke about in moment—and it is fairly obvious that different parts of the country, different housing associations, and different councils have acted in completely different ways over this change. They have probably acted in their best local interests, which is fine, but it has led to different outcomes in various parts of the country that all have remarkably significant and different pressures on them In one of my first years on the Committee, its Chair, the right hon. Member for Barking (Margaret Hodge), took us to see a primary school and surrounding housing estate in her constituency. We had been talking about health and housing inequalities, and the trip was to see how primary education was working. I acknowledge that the pressures on housing in Erith and Thamesmead, or in Barking and Dagenham, are completely different from those in my constituency, and that is why local experts and housing associations in that area know their tenants well The interesting background to this debate concerns an area of spending that was constantly growing and needed to be brought under control—however we paint the picture, the Government’s moneybags were not particularly full when they came to office in May 2010, and although they are a bit better now, there are still tough decisions to be made. Such decisions must be based on fairness—I know that some Opposition Members do not consider this measure to be fair at all—and we must consider how we change a policy that is already enacted for those in the private rental housing sector but not for those in the public rental sector At this point I should say that I rent out a house. My private property in Lincoln is noted in the Register of Members’ Financial Interests and I rent it to a private sector tenant who to my knowledge is not on any type of benefit. There is a proper debate to be had about this issue, which was started in no uncertain terms by the previous Government This Government brought forward their proposals with the safety net of discretionary housing payments. I do not want to disagree with the hon. Member for Erith and Thamesmead (Teresa Pearce) because she will know her local area much better than I will, but perhaps I misheard her. She was talking about warrants for evictions, and perhaps she meant from the private rental sector.
indicated assent.
She did. I know from Ministry of Justice figures that warrants for evictions for public sector rental tenants were down over the period in question by 6%. An issue in the private rental sector might well need to be addressed, and that is probably in the south-east of the country rather than elsewhere, given the housing pressures that London might have My concern was the treatment of carers and those who are disabled. As the hon. Member for Birmingham, Yardley said, it would have been wonderful to exempt everybody from the change, but it was impossible to do so, and therefore discretionary housing payments were introduced. In my experience in my constituency, DHP has been granted for disability and caring in every single case it has been asked for. I pay tribute to Daventry and District Housing, the citizens advice bureau and the local council for the way in which they have dealt with those cases. The patch—I admit that it is a patch, and that I would much rather have seen it done in a much more solid way—seems to work. The extension of the term of DHP seems to have given people a better sense that they will be able to live in their property for a long period I conclude with comments on the Public Accounts Committee report on universal credit, which was published only a couple of weeks ago, and which the hon. Member for Aberdeen South mentioned. As she outlined, an interesting part of universal credit and one of the benefits that it will eventually wrap in—for many new claimants, that has started—is housing benefit. Housing associations up and down the country have had concerns about how that might affect them and how they will get their rents from tenants. However, the report shows how a change in the Department for Work and Pensions has been introduced—it has been seen as controversial by many, although a universal credit that aims to get as many people as possible into work and to make work pay better than benefits ever will is in fact policy on both sides of the House—how the programme has improved things and how it is now beginning to deliver what it was meant to deliver, and on scale across the country The report was groundbreaking in many ways. The Public Accounts Committee is very critical of all Departments that come before us where money is spent. We raised some issues, as detailed by the hon. Member for Aberdeen South, but if Members read the report they will see for themselves that we are much more comfortable with how the universal credit programme is going—that it is now delivering on scale and will deliver the savings expected. No matter on which side of the House hon. Members sit, they will welcome it in future, because it does exactly what it says on the tin The interesting paragraph is paragraph 6. The hon. Lady mentioned the potential problems of paying housing benefit elements of universal credit directly to claimants—the question was whether housing associations and others could maintain their incomes. I know from initial reports that her statistics are correct, but I would like to hear from the Minister, because I am pretty sure that new stats prove that there is not as much of a problem as she says.
rose—
I had better sit down and shut up, otherwise I will get the stare from Madam Deputy Speaker, which I never want to receive. Things are improving. We would expect that because when something changes, there is always upset at the beginning. Things are on the right track, but I would like to hear about it from the Minister.
Hon. Members agree that there are serious problems when payments of housing benefit rise so high. We disagree on our analysis of how it came about and what we should do about it. Unless we tackle the underlying issues, we will simply trim the edges, to the detriment of many households and families. As the Office for Budget Responsibility says in its review of spending on benefits and pensions, the main drivers for the increase in housing benefit are increases in rents and the number of people on low wages who have to claim housing benefit to make ends meet. The OBR was concerned that those two things would continue to be drivers in the coming decade unless action was taken. There is very little—I would say virtually nothing—in the steps that the Government have taken since 2010 to tackle those problems. Indeed, they may have made them worse We were told by Ministers during the passage of the Welfare Reform Bill that the private rented sector had become so intrinsically dependent on the housing benefit market that rents would fall as a result of the changes. Rents have not fallen. In many places, they have risen considerably above inflation. That is certainly true in my city, in the city represented by the Chair of the Select Committee and in London. The DWP accepts that this is the case. For the private rented sector, it has introduced additional payments in some areas to top up the local housing allowance—after it previously made reductions—because it accepts there is a growing gap between the actual rents available to people who want to rent and need housing benefit, and the payments they would otherwise receive. The promises that rent would fall as a result of the policy have not come about. I hope that in looking to see what savings are supposed to have been made, those additional payments will be factored in We are repeatedly told that this policy is about saving money. I think the Minister from a sedentary position said, “Oh, it’s about £1 million a day,” but that was based on the Government’s original statement that the policy would save about £500 million a year. Other experts said, at a very early date, that it would be lucky to be somewhere nearer £350 million, and that does not take into account the very high cost of discretionary housing payments, which are a cost to Government and so detract from any savings made. It is therefore not correct for the Government to say what they say For individuals, households and families, the impact is extremely serious. This is not the same, as is often said, as what happened previously in the private rented sector, dating back to about 1998 when size was taken into account. This is an impost on people now, whether they can move or not and whether there is anywhere for them to move to or not. One of the amendments tabled during the course of the Welfare Reform Bill by the Opposition—it was followed up through the House of Lords and incorporated into a private Member’s Bill that was not allowed to progress in this House recently—proposed that if people were offered a suitable alternative house and did not take it, then the cut in their benefit could apply. For many people, however, that just is not practical. I have just checked yet again, as I do constantly, the number of houses available for social rent in my city. This week, there were 54 in the whole city. Of those, 31 were one-bedroom, but eight were sheltered. The people affected by the bedroom tax are by definition under pension and retirement age, and so would not qualify for those eight.
That is not just the case in my hon. Friend’s city. In Oldham in my constituency, 2,048 people are affected by the bedroom tax and there are only 50 properties for them to move into.
I thank my hon. Friend for her intervention In Scotland, the priority given to people who are homeless—a much wider definition of homelessness has been adopted by the Scottish Government—means that there is real competition for smaller houses. The majority of people who present as homeless are single people, so they too need the small houses that other people are trying to fit into.
I refer the hon. Lady to the answer that the then housing Minister, the late Malcolm Wicks, gave to a question from the hon. Member for The Cotswolds (Geoffrey Clifton-Brown): “We hope to implement a flat rate housing benefit system in the social sector, similar to that anticipated in the private rented sector to enable people in that sector to benefit from the choice and flexibility that the reforms can provide.”—[Official Report, 19 January 2004; Vol. 416, c. 1075W.] If he said that then, why is it now such a bad idea?
It is interesting that the flat-rate housing allowance for the private rented sector should be raised. What the hon. Gentleman mentions was discussed as a possibility during the Labour Government. I was very much involved in housing, as the convenor of a housing committee in my council, and I remember that being discussed, but it was not implemented and there was a lot of opposition to the idea of doing that for the social rented sector, for all sorts of reasons. However, what the bedroom tax does is immediately say to people, whether they can move or not and whatever their circumstances are: “You may have to pay this extra money.” To argue that discretionary housing payments are sufficient is not good enough. Even in Scotland, where the Scottish Government eventually agreed that extra money for the discretionary housing pot should kick in, there are still people who either do not know about making a claim or make a claim and do not get it, and who have to keep making claims. What the Select Committee said—I do not think this was unreasonable; we are a cross-party Committee—was that if we take the view that disabled people who have substantially adapted houses will receive long-term discretionary housing payments, which is what is always said, it would be simpler to exempt them. It would be administratively simpler, because there must be administrative costs in taking forms from people, processing them and working out whether they are still eligible. I do not think that was an unreasonable proposition. As the Government have taken so long to read our report—presumably considering it and working out whether it is workable—I hope that the Minister will stand up today and tell us that they have accepted that reasonable proposition. If he did that, we would all be extremely glad I want briefly to say something about the housing benefit cap. If a lot of people—this was the evidence to our Committee—are in temporary accommodation, it is utterly unreasonable to stop their benefit suddenly because they find themselves in that position. The Government are fond of saying that, as a result of the cap, people have moved out of temporary accommodation, but I suggest that it is likely that they are moving from temporary accommodation to permanent accommodation. There is a movement of people in and out of the scope of the household benefit cap, but the amount that some people are losing is very significant indeed. Again, I fear that the legislation was more symbolic than something that seriously addressed the underlying issues. If we have a lot of people receiving high amounts of benefits overall—because, for example, they are living in very expensive temporary accommodation—we need to build more affordable houses This is an issue north and south of the border. The Scottish Government have not been building sufficient low-cost affordable homes. The number completed in my city last year was the same as it was in 2007, which was the year that the current Scottish Administration took office. They have not been building low-rent affordable homes at an increased rate, even though they may sometimes try to say that they are. Without those homes, people will be paying excessive rents in the private rented sector, and not just in temporary accommodation. That is the issue we need to tackle.
I begin by congratulating the Select Committee, in particular the Chair, on an excellent and extremely useful report. It is a thoughtful and well-informed cross-party report, so I hope that the Minister will be able to explain why, after a whole year, the Government have not been able to respond to it As the report points out, the Government set themselves three targets for their welfare reform programme and changes to housing benefit: reducing benefit expenditure, improving incentives to work and making the situation fairer. It is quite clear that the first test has been failed. The Office for Budget Responsibility shows that expenditure on housing benefit in 2009-10 was £20 billion. In 2013-14, the last year for which we have full statistics, it was £24 billion; and the OBR is predicting that by 2018-19, the spend will be £27 billion I was particularly struck by the table at the beginning of chapter 2 on the local housing allowance, which sets out the maximum amounts payable. For a one-bedroom flat or shared accommodation, the maximum amount payable is £250 a week. Everybody here will know, however, that a £1,000 monthly payment sustains a mortgage of £200,000. In my constituency, that would buy a four-bedroom house. The average cost of a new social housing unit is £120,000. How much better it would be if we could shift the finance from benefits to bricks and spend the money on building new homes. The problem with this Government’s policy is that it has made life more difficult for many people, while the benefits bill has continued to rise. As my hon. Friend the Member for Edinburgh East (Sheila Gilmore) said, that has happened because the Government have not addressed the underlying issues. The OBR shows that while housing benefit to unemployed people has fallen and is projected to continue to fall, housing benefit to those in work will rise steadily between 2012 and 2019. This is yet another indication of the cost of living crisis that people face, and it demonstrates that the new poverty is in-work poverty The Select Committee quotes Lord Freud as saying that the case load in the private rented sector is up “by around 8% nationally and by around 5% in London” That is because rents are going up, even though the quality of housing is going down. I hope the Minister will be able to clarify the position on rents, since the Select Committee reported before the Office for National Statistics admitted that mistakes were made in the assessment of rents in London. In other words, more people are in the private rented sector today, and more of them are on housing benefit.
I am aware of the proposal to transfer housing benefit money to local authorities with a view to building more properties. Let me ask this: what pays the rent of the people who are already in tenanted accommodation while the new properties are being built with that money?
That, of course, is the great conundrum. I hope to come on to demonstrate to the hon. Gentleman how the Government have intensified the housing crisis rather than eased it by bringing about the happy day when we have enough homes. What is happening is that people are renting because they cannot afford to buy, and they cannot afford to buy because house prices are rising faster than they can save. Today, the average house price is eight times the average income Under this Government, we have had record lows for house building, which is now down at 1920s levels, as well as record lows for home ownership. No action has been taken to protect people from rip-off rent rises. That is why the Labour Opposition propose to address these problems, give security to renters and build five times as many homes as the Prime Minister promised yesterday. It is equally clear that something needs to be done about raising low incomes. I shall not detain the House with our proposals to strengthen the minimum wage, but it is absolutely clear that that is part of the equation The Select Committee made a number of sharp criticisms of the bedroom tax, which was described as “a blunt instrument”. It said that its effect was particularly harsh in rural areas, which is true. If people in rural areas have to move, they have to move a long way out of the community in which their children might be going to school. The Select Committee pointed out that the impact is worst in the north-east, the north-west, Yorkshire and Humberside. It said that people in social housing often have no real choice when it comes to which accommodation they rent. It also said that the Department for Work and Pensions has adopted a much tighter definition of space than the one used by the Department for Communities and Local Government. It would be helpful if the Minister explained that as well However, what worries the Committee most is the impact on people with disabilities. We know that two thirds of those affected are disabled themselves or have a disabled family member. The Committee says that people are being pushed out of their homes when public money has already been spent on adapting them, and its Chair, my hon. Friend the Member for Aberdeen South (Dame Anne Begg), made that point today The criticism is justified. In answer to a parliamentary question, the Department for Communities and Local Government informed me that in 2013-14, local authorities had adapted 42,000 properties and provided an average grant of £4,227. The Department also said that the Government would spend £1 billion on adapting properties between 2011-12 and 2015-16. That is commendable, but the Government’s investment in disabled people’s living space is being undermined by the bedroom tax, because they are now being pushed out of those homes. The policy is hitting an estimated 100,000 people whose homes in the social sector have been adapted. That is disrupting lives and driving hardship, and it is a prime example of welfare waste. The Committee recommends the abolition of the bedroom tax in cases in which people have adapted their homes or are receiving the higher level of disability living allowance or personal independence payments, and the Opposition wholly support that recommendation The Committee also refers to the impact of the bedroom tax on carers, 60,000 of whom who have been very badly hit. It recommends that those who cannot share a room with a disabled partner, or who live in adapted homes, should be exempted from the tax. It also points out that carers are particularly badly affected by the benefit cap. I cannot help thinking that that is extremely unfair, because carers are doing the socially responsible thing. The Committee estimates that the free care that they offer is saving taxpayers £18,000 a year per person. The bedroom tax comprehensively fails the fairness test that the Government set themselves, and hits those who, through no fault of their own and through force of circumstance, cannot go out to work, so it is not meeting the “incentives to work” criterion either. That is why the Opposition are pledged to abolish it In most areas, people have not been able to move to smaller accommodation because of a shortage of smaller units and because of pre-existing waiting lists. The Government knew that when they introduced the bedroom tax, which is why they were able to forecast savings. That shows what a deeply cynical measure this has been The Committee also points out that the diversion of resources to dealing with the bedroom tax has involved a great deal of time, energy and expenditure on the part of the housing associations. It says that, according to the National Housing Federation, the costs associated with communicating with tenants, supporting them and tackling rent arrears will be equivalent to the amount that could be spent on building 17,500 new properties every year. That is why I say to the hon. Member for Birmingham, Yardley (John Hemming) that this is a perverse policy. It is a perverse diversion of resources from tackling the housing crisis to punishing the most vulnerable members of society. It is in fact another example of Tory welfare waste. This is before we even get on to the fact that if this Government are re-elected the average bill for a family, in terms of the bedroom tax, will be £3,800 over the lifetime of the Parliament, and we know from the Government’s own statistics that a further 1 million people will be caught in the net of the bedroom tax and 6.5 million people are at risk of having to pay it. The fact is that the Select Committee—an all-party Committee—recommended significant changes to the bedroom tax. The Government have failed to respond. People are looking forward to the general election when they can have a Labour Government who will abolish the bedroom tax.
I will try to respond to the points raised in the debate but I will also endeavour to observe your strictures, Madam Deputy Speaker, to keep my remarks relatively brief so that the House also has time for the second important debate today. I will do my best to balance the two competing tensions First, I will respond to the point made by the Committee Chairman, the hon. Member for Aberdeen South (Dame Anne Begg), about the lack of a response. The Government have the greatest respect for the parliamentary process and engage with the Select Committee. She will know that, with the exception of this report, no response by my Department has taken longer than six months, but I fear that there is a very simple and straightforward answer as to the reason for the delay and I am afraid it will not mean an early response. The Committee report spends quite a bit of time talking about the removal of the spare room subsidy—as we have done today—and the Government response responds to the various points made. As the hon. Lady will know, we have a coalition Government—something I hope will not be necessary after the election—and that, despite our coalition partners having agreed on this policy all the way through the Parliament, they now towards the end of it do not agree. Unfortunately therefore, despite the fact that the response is broadly ready to go, we have not been able to secure agreement across the Government. I am afraid harmony has not broken out and, until it does, the Government will not be able to respond to the Committee. I am probably just as disappointed about that as the hon. Member for Erith and Thamesmead (Teresa Pearce).
While I can appreciate there may be problems on the bedroom tax, would it be possible for the Government to publish a partial response to our proposals, addressing all the other points on which there presumably is agreement across Government? Our Committee had a lot of very interesting things to say on a whole range of other issues.
That is an interesting point. Let me take it away and see whether it is possible to do that in the time remaining. I have explained the reason for the lack of response to the Committee and, as I have said, it is the only report from the Select Committee that the Department has not responded to within six months. I am sorry about that, but the blame does not lie with the Conservatives in the Government; it lies elsewhere. [Laughter.] I am just being honest here at the Dispatch Box.
I think the Minister accepts that the Liberal Democrats believe there should be automatic exemptions for some of the people currently receiving discretionary housing payment, and does he not accept that if we automatically exempt people who are currently getting DHP the net effect on the public purse is zero?
No, I do not, and I just remind the hon. Gentleman that the Liberal Democrats agreed to this policy and it remains the Government policy. I am sorry they have not stuck to it because I think it is a very sound policy. Let me set out why I was not going to spend a lot of time on this because the Committee did not, but I am afraid that the hon. Member for Bishop Auckland (Helen Goodman) made a lot of rather ridiculous assertions about welfare spending and I must take her to task on them. Being accused by the Labour party of wasting money on welfare is extraordinarily rich. The last Government increased spending on the welfare budget by 60%, costing every household an extra £3,000. The increase in welfare spending over this Parliament is going to be the lowest since the creation of the welfare state, and we will have made cumulative welfare reform savings of nearly £50,000 million over this Parliament, benefiting people across the country. In-work spending is stable and forecast to fall next year, even with employment at a record high. The out-of-work benefit bill is back to pre-recession levels, at 2.2% of GDP, and real spending on housing benefit fell between 2012-13 and 2013-14, for the first time in a decade. The overall case load has fallen, and housing benefit reforms have saved more than £6 billion during this Parliament, compared with what would have happened if we had continued with the policies of the Labour party. So I am afraid that the hon. Lady needs to go back and look at the record. If she does so, she will see which party has wasted money on welfare—and it is not the party of which I am a member. She needs to look in the mirror before she makes those kinds of silly accusations.
I should like to draw the Minister’s attention to the numbers provided by the Office for Budget Responsibility, which show total welfare spending in 2012-13 of £213 billion, and in 2015-16 of £219 billion. All the numbers that I quoted to the Minister were OBR numbers.
I am not resiling from the numbers. Welfare spending has gone up over this Parliament, but it has done so at the lowest rate since the creation of the welfare state. The reforms that we have made to various welfare policies will have saved £50 billion over this Parliament compared with what would have happened if we had not made those reforms, and I think that that is sensible We have dealt with some of the issues that we inherited from the Labour party, and our changes are largely supported by the public. One such change is the benefit cap, and public support for that is very clear. The Opposition are not so enthusiastic about it, but 73% of the public support it and 77% of them agree that it is fair that no out-of-work household should get more than the average working household. In terms of fairness, that seems a pretty unremarkable policy, and it is one that we support even if the Labour party is unenthusiastic about it. Our reforms to housing benefit, including the removal of the spare room subsidy, are dealing with some of the issues relating to using the housing stock more efficiently and dealing with overcrowding. My hon. Friend the Member for Birmingham, Yardley (John Hemming) drew our attention to overcrowding, and to the fact that not all local authorities are good at dealing with situations in which smaller families want to move to a smaller property while other properties are overcrowded. He made a sensible point.
I tried to intervene on the hon. Member for Bishop Auckland (Helen Goodman) to ask her whether Labour would reduce under-occupation by adopting a policy that involved evicting people living in under-occupied accommodation. Does the Minister accept that if we do not remove the spare room subsidy, the only alternative open to Labour if it wanted to reduce under-occupation would be to go round evicting people from under-occupied properties, which does happen in certain tenancies?
The Opposition clearly do not have a sensible policy. I will comment on this briefly, because I want to move on to address some of the points made by the Chairman of the Committee and others. Labour’s policy to remove the removal of the spare room subsidy would cost about £0.5 billion a year. The Opposition have set out three ways in which they would pay for that, and when we had an Opposition day debate in December, I went through them in some detail to demonstrate that they simply would not work. They say that their proposal to ensure that the building trade paid its fair share of tax would raise £380 million, but we have already dealt with those changes in the 2013 autumn statement, so that policy would raise no money. Their proposed change to the stamp duty reserve tax, which they characterise as a tax cut for hedge funds, would actually fall on pension funds and retail investors—in other words, on people who are saving for their retirement. Their third proposal is to end the employee shareholder scheme, but that would save no money in 2015-16 The shadow Secretary of State, the hon. Member for Leeds West (Rachel Reeves), has said that the first thing she will do when she walks into the Department for Work and Pensions as Secretary of State will be to change our policy on the removal of the spare room subsidy. If she did so, however, she would have to find £0.5 billion to pay for it and at the moment she has not set out how she is going to do that. The first thing her officials are going to say to her is, “Secretary of State, where are you going to find half a billion pounds?” Labour is unable to answer that question at the moment Hon. Members also referred to universal credit, with my hon. Friend the Member for Daventry (Chris Heaton-Harris), an experienced member of the Public Accounts Committee, being very supportive of that. He asked me a specific question, picking up on a point made by the Select Committee Chair; this was about rent arrears, with reference being made to a specific set of pilots. My understanding is that the difference was that for direct payments, where the money was being paid to the landlord directly, 99.1% of rent owed was paid, but the figure fell to 95.5% where people were managing the payments themselves. Over time, however, the impact of direct payments lessened significantly; half the arrears occurred in the first month, and by the 18th payment the figure for tenants who were being given the money and making those rent payments had risen to 99%, which is more or less the same as for direct payments to landlords That is important, because a key point of universal credit is about putting households on out-of-work universal credit in the same position as they will be in when they are in work: taking responsibility for paying the rent themselves. I listened carefully to what the hon. Lady said, because she made the comparison with the position in the private sector, where that is already the case, and then referred to the fact that in the social rented sector it was a change. It is a change, but the vast majority of the people who rent properties in the social rented sector are perfectly capable of managing their money, being given responsibility for it and paying their rent, just like everybody else. Some people will need some budgeting support and some support to move from the position they are in now to taking that responsibility, and that support is going to be delivered through our universal credit support delivered locally. A small minority of claimants may be unable to do that, and we have put in place alternative payment arrangements for them. That approach has been developed as we have rolled out universal credit carefully without our “test and learn” approach. She will know that we have also put regulations in place to enable us to share with social housing landlords the fact that someone is in receipt of, or has made a claim for, universal credit, so that they are able to put in place the appropriate support for vulnerable tenants A number of Members also referred, in the context of the removal of the spare room subsidy, to the amount of discretionary housing payment. That is one area where we are able to deal with some of the specific issues, for example, on significantly adapted accommodation. A specific amount of the discretionary housing payment, about £25 million, is for local authorities to enable people to stay in adapted accommodation. Of course, where properties have been specifically adapted for tenants with mobility needs, it does not make sense to insist that they move. That is exactly why we have made the money available to enable councils to deal with that, and I trust local authorities to make those sensible decisions. They have the facts at their disposal, will know the circumstances of people locally, will know the facts about the disabled adaptation grant that has been paid and are in the best position to make those decisions locally. I believe in localism and in trusting local authorities to make the decisions. Sometimes they might make decisions that people will characterise as wrong, but I am prepared to trust them to make sensible decisions On the availability of properties, it is also worth saying that in the social rented sector there are 1.4 million one-bedroom properties, with more than 130,000 new lets a year. So there is a significant amount of turnover; about 10% of the one-bedroom properties turn over each year. So if social landlords are properly managing and prioritising their housing stock, that should enable them, over a period, to enable people to move into smaller properties. Some 60% of social sector tenants are either single people or childless couples and require only one bedroom. Landlords are starting to respond to that, and we are seeing local authorities and housing associations now properly designing their housing stock to meet the demographic need of their potential tenants.
On a point of clarification, were those overall numbers that the Minister was quoting to the House inclusive of old age pensioners or not?
Those were 1.4 million one-bedroom properties across the social rented sector, with 130,000 new lets. I think that that is the total number of properties that are available.
I know that the Minister is very busy in his Department and in the Forest of Dean, but I was wondering whether he would join me on Friday when I will be cutting the ribbon on some new properties built by Newark and Sherwood Homes in the village of Bilsthorpe. If he were able to come, I would be more than happy to let him take the scissors off me. If not, perhaps he could praise Newark and Sherwood Homes for the work it is doing in developing new homes in Sherwood and Newark.
I will have to stick to praising Newark and Sherwood Homes, and to allow my hon. Friend to retain control of the scissors, which he is more than capable of doing, so that he can open that new development on Friday. I am afraid that, at this point in the parliamentary cycle, one’s diary is quite full If we look at the affordable homes programme, 77% of approved homes are one and two-bedroom properties, which is up from 68% in the last round. New house building is now following that approach Finally, let me turn to the point about local housing allowance raised by the hon. Member for Erith and Thamesmead and others. The allowance was intended to exert a downward pressure on rents. That means not necessarily that rents will go down but that the pressure on rents will be less than it otherwise would have been. In other words, it might mean that rents do not rise as much as they would otherwise have done. The hon. Lady specifically asked about parts of the country where the pressure is higher. As she said, there is something called targeted affordability funding, which means that where rents are significantly diverging from benefit rates, we have increased LHA rates by up to 4%, which is, I think, the right approach I will conclude now as I am conscious of the time. I have set out for the Chair of the Committee the reasons why we have not responded to the report, and I have addressed a number of concerns, which was a challenge given the amount of time that I had. Our policies are working. They have driven the lowest rise in the welfare bill since the creation of the welfare state, and they are also helping to get people back into work, which is why we are seeing a record number of men and women across the country in work, and that demonstrates the success of our long-term economic plan Question deferred (Standing Order No. 54). Department of Health
It is a pleasure to open this debate on our report into child and adolescent mental health services. For the record, I am married to a full-time NHS adult forensic psychiatrist who is also the chair of the Westminster Parliamentary Liaison Committee for the Royal College of Psychiatrists. I thank the many organisations and individuals who have contributed to our report, my fellow Committee members and the Clerk of our Committee, David Lloyd for his exemplary leadership and work over the course this Parliament May I start by setting the scene? This report was launched in part because of the number of children and young people who were being admitted to hospitals many hundreds of miles from home when they were in mental health crisis and needing the highest level of support During the course of our inquiry, we identified serious and deeply ingrained problems with the commissioning and provision of child and adolescent mental health services, and we found that they ran throughout the whole system from prevention and early intervention services to in-patient services for the most vulnerable children and young people We welcomed the setting up by the Government of the Children and Young People’s Mental Health and Wellbeing Taskforce, and many of our recommendations were directed at that taskforce. I am sorry that it has not yet reported, but I understand that it is to report very shortly, and we look forward to seeing its recommendations. The taskforce knows that it is a matter not just of tweaking the CAMHS system but of fundamental change. I hope that it will clearly set out how that will be implemented. We have legislated for parity of esteem, we have written it into the NHS Mandate, but all that counts for nothing if it does not translate into better services for children and young people The key recommendation in our report is about the importance of prevention and early intervention. However, services cannot be planned without knowing the extent of the problem. It is a matter of great regret that the five-yearly prevalence survey was cancelled under the previous Government. That means that our data are 10 years out of date. I very much welcome the reinstatement of that survey. In his response, will the Minister give further details of the extent? I know that he has already announced that the funding has been identified, but many professionals are waiting to hear further detail about exactly what will be included. That would be very welcome While we wait for the prevalence data to appear—it would be nice to hear the expected time frame in which we will hear the results—we all acknowledge that there has been an alarming rise in the level of distress and need reported by all those who work in the field, including those in the voluntary sector, in teaching and in CAMHS. There are unprecedented levels of demand at a time when, unfortunately, 60% of local authorities that responded to a survey from YoungMinds report cuts or a freeze in their CAMHS budget. That is where the front line of prevention should be The compelling evidence that we heard throughout our report was that early intervention prevents children from presenting when they have become more unwell, so that is where we need to focus our resources. Clearly, the Government were right and everybody welcomes the investment in 50 extra beds in the areas of greatest need—some of which are in my area—but it costs around £25,000 a month for a child or young person to be treated in an in-patient setting. For every young person who is in one of those beds, we have to ask whether they would have needed to be admitted to hospital in the first place had those resources been properly directed to prevention services. We need double running. If we just keep investing in in-patient beds at the expense of prevention, we will fill those beds and there will be a demand for more I hope the Minister will recognise the need for double running so that we focus relentlessly on prevention and early intervention. As he will know, if we are looking at in-patients and admissions, the very last place that any young person should be at a time of mental health crisis is in a police cell. I pay tribute to all those who, over a number of years, have campaigned on that. The problem is not new. I am one of the few MPs—or perhaps not so few—who has been inside a police cell at night, because for many years I was a forensic medical examiner. It was always profoundly shocking to think that children as young as 12 or 13 across the west country were being taken into police cells under section 136 of the Mental Health Act 1983—an horrific experience It is sometimes an individual case that finally brings an unacceptable practice to an end. I pay tribute to Assistant Chief Constable Paul Netherton of Devon and Cornwall police for highlighting the awful case in Torbay of a child who was detained in a police cell, and I pay tribute to Chief Constable Shaun Sawyer because they have taken steps to bring the practice to an end. Although as a Committee we called for this to be a “never event” within the NHS, in effect the procedures that will be put in place will be equivalent. Finally, on this Government’s watch, we will see this unacceptable practice coming to an end. That is long overdue and very welcome In focusing on the need to keep that timely support for children and young people, I also hope that the taskforce will set out what can be done to address some of the perverse financial incentives in children and young people’s mental health services. For example, a child who is admitted to hospital no longer has to be funded by the clinical commissioning group—in other words, they are handed over to specialist commissioning— creating all sorts of inappropriate decision making in the system. It also means that children are more likely to be readmitted because there are no step-down services. Therefore, a focus on active intervention to try to prevent that admission and keep children at home is very important. I also look forward to hearing the taskforce’s recommendations on how that can be done consistently across the country, because another issue we raised was the extent of variation in practice I will now turn my attention to volunteers. If we are to retain a focus on the earliest intervention and prevention, we have to recognise the value of our volunteers. I would like to pay tribute to a number of volunteers in my constituency. I am a patron of Cool Recovery, a charity that provides mental health support to carers and those affected by mental health problems across south Devon. There are many such organisations working directly with young people. Representatives from Spiritulized, which supports young people in Kingsbridge, recently came to Parliament after being shortlisted for an award for the work it is doing in mental health first aid out in the community. In Brixham there is the Youth Genesis Trust and volunteers from The Edge. Work is also being done in schools. Representatives from South Devon college, which is based in my constituency, recently came to Parliament after it received an award for its work in student well-being and prevention of mental health problems Those organisations are reporting that both the demand for their services and the level of complexity have never been greater. Part of the reason for that, as the Minister will know, is the increasing waiting times for CAMHS. That means more young people are becoming much more unwell before being seen in the CAMHS setting. I hope that in his response he will be able to say exactly how we can balance that across the whole system. I very much welcome the investment in services for eating disorders and self-harm and early interventions in psychosis, and of course the Improving Access to Psychological Therapies programme. However, as he will know, fundamentally the issue comes down to funding. We will never achieve parity of esteem for mental health unless we address the funding inequality, with 6% of the mental health budget going to services for children and young people, and that budget itself is an inappropriately small slice of the overall funding pot for the NHS. How will we actually drive change in increasing funding?
I agree with everything my hon. Friend has said and very much welcome her Committee’s report. I agree on the need to address the funding issue. In particular, it is critical that we achieve what I call an equilibrium of rights to access between mental and physical health in order to address the awful problem on waiting times, and that must include children’s mental health services.
I thank the Minister for that intervention. It is very welcome that we now have waiting time targets as a right for people with mental health problems, alongside those for people with physical health problems, but the challenge is not so much about the budget for children and young people’s mental health services, but what we take that from, because there are no areas of slack in the mental health budget, as he will know. I think that the mental health budget overall must achieve some parity. Again, if we look at prevention and the really small amounts of money, in relative terms, that are required to keep excellent voluntary services running in our communities, we see that it would be the greatest waste and tragedy to lose those vital services in our communities for the want of what are really quite small sums. When children, young people and voluntary services came to give evidence to our inquiry, we heard time and again that what they need is stable, long-term funding. They do not require a great deal of money, but they are currently limping from one short-term budget to another. Another issue raised was that if funding is available, it often gets directed to a new start-up project, not towards a project in the same community that may have proven value.
The hon. Lady is no doubt aware that some of the small, really good charities will find that a bigger charity that is very good at filling in application forms will get the funding and then subcontract the work back to the small charity that was doing it before, having taken a cut of the funding as well.
I absolutely agree. The other problem is that sometimes those larger national charities may have no local presence or understanding We need greater flexibility so that commissioners within health and local authorities are able to provide stable, long-term funding and to set the priorities for these new pots of money. It is always easy to announce new projects, but we must allow funding to be directed at existing services that have a fantastic proven track record. The value for money that we get from these services is extraordinary, as is the value that young people place on them. Young people have told me—this applies particularly to a rural constituency such as mine—that it is no good having a CAMHS service in a neighbouring town if they cannot get to it because there is no transport. That is why voluntary services are so particularly valued I was going to discuss our comments on schools, but my hon. Friend the Member for Brigg and Goole (Andrew Percy), as a former teacher, is far better placed to talk about that, so I will leave it to him to elaborate. I just want to touch on the new challenges that young people face with cyber-bullying, sexting, and image sharing. This is a 24-hour pressure; there is no safe haven for them in these circumstances. I welcome the fact that the taskforce will comment on not only the challenges but the opportunities that the internet may give us to assist young people.
My hon. Friend is making some important remarks, as has her Committee. Somebody who suffers from a condition such as depression or anxiety, and has already been taught coping techniques, often finds it helpful to have a mentor. Perhaps apps, mobile phones or the like could reinforce those coping techniques at times when life seems difficult. That is an important part of the picture.
I thank my hon. and learned Friend In using the internet, one of the challenges is how to know which of the sometimes thousands of resources that will pop up as a result of a search are valuable and to be trusted. It would be useful to have a mechanism for directing people to those that have the best evidence base behind them, and have been rated by young people as being the most helpful. While these kinds of resources may be welcomed by some people, they will not be the most appropriate for everybody. We need to have choice and a range of resources. That also applies to IAPT—improving access to psychological therapies. Cognitive behavioural therapy has an evidence base behind it, but it does not necessarily work for everybody. Those who do not find CBT helpful must have other avenues they can go down, including longer-term support where that is appropriate In closing, I draw the Minister’s attention to another area of early intervention—perhaps the earliest of all. Does he have any encouraging points to make on the provision of perinatal mental health services? I look forward to his response.
It is a pleasure to follow the hon. Member for Totnes (Dr Wollaston), whose very thoughtful and incisive speech drew on both her own rich experience and the Select Committee’s excellent report In the September recess each year, I organise a series of consultation meetings across my constituency. The one I enjoy most is that with young people. It is organised with a range of youth groups, such as Members of the Youth Parliament, and brings together a good number of young people aged from 18 to their early 20s. It is really sparky and lively, and they pull no punches in raising issues. When I ask them what are the top priorities that I, as their Member of Parliament, ought to take up on their behalf, it has been very striking just how high mental provision has come in the past couple of years. That would not have been the case when I was young The fact that young people themselves put such a high priority on mental health as an issue should send us a very clear warning signal. That does not only apply in Sheffield. Following ballots of tens of thousands of young people across the country, the Youth Parliament has made mental health one of its two priority campaigns this year. If it is so important for young people and they are pressing us on the issue, we should be deeply concerned In advance of today’s debate, I have been in contact with three of the groups I work with in Sheffield: CHILYPEP —the Children and Young People’s Empowerment Project; Young Healthwatch; and STAMP—Support, Think, Act, Motivate, Participate—which is a group of 14 to 25-year-olds who have come together with the specific objective of improving mental health support for other young people. They are concerned about the current state of provision, or what they would describe as the lack of provision, and they fear for the future and the impact of cuts on an already desperately inadequate service The groups have identified three key problems. The first is that reductions in funding are taking place at a time of increasing need. The second, which very much echoes the points made by the hon. Lady and the report, is about the lack of early intervention. The STAMP young people’s manifesto states: “Act now, tomorrow could be too late!” That indicates the severity of what we are talking about. The third is that young people are abandoned at 16.
On the issue of resources, budget cuts have been inflicted on local authorities, such as Coventry. Some of them have had to find about £3 million or £4 million, which is an extra burden. The Government hope that local authorities can somehow resolve that situation, and then they wonder why they have problems with young people.
My hon. Friend makes a very important point. Such a matter is close to my heart in Sheffield, where funding from central Government will halve over the lifetime of this Parliament. That is putting an enormous strain on all the related services and support for young people that can play a broader role in alleviating some of the difficulties. In Sheffield, we are very conscious that our position is in sharp contrast to that in wealthier parts of the country The first point is about cuts at a time of increasing need. We know that budget cuts to front-line services are difficult and can be devastating at any time, but cuts to child and adolescent mental health services are being made at a time of increasing need. From 2011-12 to 2013-14, Sheffield CAMHS saw a 36% increase in referrals, and a 57% increase in initial appointments. If we are serious about reducing stigma, talking openly about mental health problems—we have made enormous advances in doing that—and having parity of esteem, we should welcome those referrals. However, that demand comes against the background of what has effectively been a 4% budget cut, disguised as a requirement to drive efficiency savings. That has had severe consequences for the level of support that young people are receiving. There has been a stark increase in waiting times.
It is certainly true that councils are faced with really tough decisions, given the 40% cuts to local government budgets. My understanding is that within the overall mental health budget of £14 billion, only £0.8 billion goes on child and adolescent mental health services. That seems to be a disproportionately small sum of money, given the scale of the problem.
My hon. Friend makes a powerful point. It is a relatively small sum of money. Perhaps that indicates that a relatively small level of resource intervention could make a significant difference As I was saying, the consequence of the rising demand and falling resource in Sheffield is that some 18% of young people—almost one in five—wait over 13 weeks for treatment. The cuts not only impact on young people up to the age of 17, but have a knock-on effect on adult mental health services and on acute and emergency provision.
Although demand is rising, there is still a current of demand that does not even present itself. There is a huge level of unmet demand, simply because people do not present themselves to systems such as CAMHS, but try to self-medicate or whatever.
I am very grateful to my hon. Friend for that intervention. While on one level we have seen enormous progress in the openness with which we confront mental health issues and the willingness of people to come forward, we must be deeply conscious that there is still a wider problem of people who do not present. The absence of resource and the inability of the system to support people with needs when they do seek help sends out a powerful message, because young people are very well networked. Those who might be on the tipping point of coming forward to seek help will get the message from their friends, “What’s the point, because you have to wait so long?” That is an important point That brings me to the second point that young people raise with me, which is the importance of early intervention. Again, that was emphasised by the hon. Member for Totnes. In the words of STAMP: “Act now, tomorrow could be too late!” I want to share the harrowing words of one 18-year-old young woman who is involved in the STAMP project in Sheffield: “Sometimes I think, do I have to kill myself to get help? I probably do. It happens all the time. People are desperate for help, the only way they can get it is if they are at harm, so people harm themselves or attempt suicide just to get put on another waiting list. It just shouldn't be like that.” She is right; it clearly should not be like that. Nobody should have to reach crisis point before receiving the support and care that they need, and certainly not our young people At a time of increasing need, we need to look at how we can do more with less money. Early intervention is a way of doing that. The hon. Member for Totnes made that point powerfully.
I appreciate my hon. Friend’s speech very much. He has put a thought in my mind about a point that the hon. Member for Totnes (Dr Wollaston) also raised about early intervention. Given that the cuts to other local authority front-line services have been worse than decimated in places such as Stoke-on-Trent, those services that would have been early intervention-type services—and, indeed, pre-early intervention services—are just not there any more.
I thank my hon. Friend for making that powerful point. The situation in Stoke, Sheffield and Coventry underlines his point that there used to be a hinterland beyond the NHS of youth groups, activities and support networks, many of which were supported by local government funding in combination with funding that was often raised within communities. The withdrawal of that funding, as local authorities have increasingly had to focus on statutory services, has put many of those groups at a tipping point and left the support that is available very weak The third point that young people have made to me is about being abandoned at 16. Historically, CAMHS in Sheffield have worked with people up to the age of 16, leaving those beyond that age—before they turn 18 and become part of adult provision—to fall through a hole. Things looked a bit brighter for 16 and 17-year-olds when the clinical commissioning group committed just £300,000 a year to a service for them, although I am not sure why it did not include 18-year-olds as well. However, budgets are squeezed and it has since been announced that the funding will be cut by a third. That is another example of the budget pressures being experienced and it is happening within the NHS as opposed to local authorities, which we have discussed In effect, £200,000 allows the service to work with little more than 100 young people aged 16 to 17 in a given year. On funding relative to need, there are 12,627 young people aged 16 to 17 living in Sheffield and it is estimated that 10% of them have some sort of mental health challenge. That leaves more than 90% of those we could expect to need support with no service at all. We cannot keep talking about reducing stigma, eradicating stereotypes and parity of esteem between physical and mental health without funding services properly when people—especially young people—need that help. We have serious questions to answer on the challenges posed to us by the issues raised with me by young people in Sheffield and those raised by the Youth Parliament We know that, nationally, mental health problems account for 28% of morbidity, but only 13% of expenditure is committed to mental health. Where is the parity in that? I hope the Minister will address that when he responds to the debate. We need to put our money where our mouth is. I am pleased that Labour has committed to increasing the proportion of mental health spend on CAMHS, which is currently a tiny amount of 6% even though three quarters of adult mental illness begins before the age of 18.
I agree with the hon. Gentleman about the need to increase resource in children’s mental health services. Is the proposal he mentions designed to increase investment in mental health or to shift resource from adult mental health to children’s mental health?
I am sure my hon. Friend the Member for Liverpool, Wavertree (Luciana Berger) on the Front Bench will come back to this issue. My understanding is that our proposal is both to increase the overall resource available in the NHS and to shift resource within the service towards supporting CAMHS We will also train NHS staff and teachers to spot problems sooner. We will expand talking therapies and work towards a 28-day waiting time standard for access to both adult and young people’s talking therapies. That is crucial, given what I have heard from young people. Moreover, as I said a moment ago, we will invest an additional £2.5 billion in the NHS to fund extra nurses, doctors and other health workers, to relieve pressure on the service. We owe it to our young people to respond to their calls and I am pleased to have had the opportunity to articulate some of their concerns.
rose—
Order. Let me give Members guidance about how long we have for this debate. The wind-ups will start at 6.30 pm, so I do not think it necessary to have a time limit as long as Members take about 10 minutes each, including interventions. If everyone takes 15 or 16 minutes, we will not fit every Member in. We do not need a time limit just yet, but if those speaking could aim for 10 to 12 minutes, including interventions, that would be helpful.
I will certainly observe that time limit, Madam Deputy Speaker, and I congratulate the hon. Member for Totnes (Dr Wollaston) on the report from the Health Committee, which was interesting and important reading I want to make a few remarks about adolescents. If we had to be reincarnated, I doubt that anyone in this room would choose to be reincarnated as an adolescent. They are neither fish nor fowl; they are attached to one family but dominated by their peers. They are going through new states of mind and body, which are exciting and disturbing in equal measure. They are no longer a child but are not quite an adult. They are advancing in knowledge and understanding, but hormonally and emotionally confused. It is probably the most difficult stage of anybody’s life to negotiate, and I believe it is quite hard to be genuinely and consistently happy. In a society without clear norms and rites of passage, it is probably doubly difficult Should we therefore be surprised that adult mental illness is on the rise—the hon. Lady called it an alarming rise—or does that indicate that we are in a pathogenic, sick-making society? Are we simply getting better at diagnosis, or are we applying clinical language to describe the mood swings of adolescents, which are more normal than we like to believe I find the figure of one in 10 surprising, although there are undoubtedly some troubled youngsters out there who will not get back on track or lead a normal life without extensive help. There are those in the early stage of psychosis or in the grip of a debilitating neurosis, or the depressively suicidal—I know a fair deal about that. As hon. Members have said, it is crucial that good services exist for such people, and nobody would disagree that diagnosis should be early and treatment sensitive and effective. I applaud—as does everybody—the new commitment and resources, the drive for parity of esteem, people speaking out and so on However, I have one problem with the current enlightened mindset and what I call the myth of the normal. Probably no one here would claim to be in perfect physical health—at least not for long—and we generally cope with the ailments, aches and pains of ordinary life, seeking help only when something dramatic happens or our own immune system cannot cope. I do not see why that should not apply to our perspective and our take on mental health. It is not a black or white issue—it is not an either/or. The world does not divide into those who have mental health issues and those who do not; there are simply those whose lives have been disabled by their mental health issues, and others who, by and large, have coped Many years ago I used to teach adolescents about mental health in a Bootle comprehensive school, which was my own idea. I used to discuss the issue as a spectrum, and I hoped to encourage a degree of sensitivity. Children in the playground badly misuse mental health vocabulary. They call one another “psycho”, “mong”, “retard” and so on—the school yard can be an awfully cruel place. As part of our course we went to visit an old-fashioned mental hospital called Winwick in Rainhill. It was a large, relatively benign, caring and good institution of its kind—I had previously worked in a less good institution, Oakwood hospital in Maidstone. I basically wanted the children to understand what mental ill health was like, and for them to have a deeper sensitivity towards it. I vividly recall one episode in a corridor. An elderly and somewhat confused old lady approached the party. She was happy to see young faces reminiscent of her grandchildren. The boys—tough Bootle lads—backed away in fear. They did not know what to do or how they were expected to react. At that stage, I thought I had clearly failed to get something across. We are still failing to get quite a lot of things across. We have a myth of the normal and believe that the world divides into the sane and the insane, the normal and the well, and those with issues and those without That is still going strong. The House of Commons applauds with all the enthusiasm of a revivalist meeting when someone owns up to having mental illness, and we pat ourselves on the back for being enlightened. However, when a prominent Member of the House has a memory lapse on TV, which was a mental failing—he said it was an age thing—we scream like banshees, “Bill, Bill, Bill!” at Prime Minister’s questions. That is not a fine example of an atmosphere conducive to good mental health. It is worse than the school yard, but it will be repeated again at 12 noon tomorrow The terrifying thing about adolescent mental illness is that the individuals will never have had anything like it happen to them before. There is no frame of reference for what they are going through—it is all new. For them, as they grow up, a chasm opens up between those who can hack life and the small minority who cannot. The dread is that they are doomed to be in the latter category more or less for ever. That is the underlying and horrible fear. Successful peers will surround their failing selves. Their fear is that there will be future adults and future casualties, the copers and the failures Those young people buy, as do big chunks of society, into the myth of the normal—the belief that mental illness and frailty is not on a spectrum like physical illness, or something that touches everyone to some extent, but something abnormal, unusual, permanently blighting and for keeps. The truth is that mental illness is not that. Unless we get that across, we will make matters a whole lot worse.
It is a pleasure to follow the hon. Member for Southport (John Pugh) and his contribution to the debate. He made extremely good points I should like to refer to an experience I had some 12 or so years ago of running an organisation in Birmingham called Malachi Community Trust, which worked with young people with emotional, behavioural and mental health issues. More often than not, it also worked with their families, including parents and their wider families, to resolve their issues. We worked with qualified cognitive behavioural therapists and teachers—they were primary age children—in the school setting. It is interesting but deeply saddening that so many items in this extremely good report take me straight back to some of the conversations of 12 or 14 years ago I want to give a brief outline in the unfortunately few minutes that are available of what Malachi did—it is still going strong. It used musical theatre to engage with young people and as a tool to identify their issues. It enabled processes to be set up to work with those children and young people who had more profound mental health issues. Pertinently for today’s debate, it acted to stabilise the situation for children who were on waiting lists to see CAMHS staff. Back then, there were three, four and five-month waits, or longer. Malachi was not the only group that did that work, although it was and still is particularly good—I have fond memories of what it did. Malachi and other organisations were very good at that stabilisation. They were good at holding those young people in a place where they were not deteriorating while waiting for CAMHS workers. My fear then, and sadly now, is that an awful lot of children—some of our most vulnerable citizens—are waiting for CAMHS workers and their conditions are deteriorating, and their needs are getting worse and not better, because of the waiting lists One of the big issues we identified was family breakdown. Parental conflict and family breakdown is a very strong factor in mental ill health in children. A statistic suggests that one in four young people in Stoke-on-Trent are affected by family breakdown and divorce. That means that approximately 15,500 children in Stoke-on-Trent alone will be affected by parental breakdown and divorce. That does not immediately mean that those children will have a mental health issue, but it is a factor that makes them more vulnerable. To pick up on some of the comments made by the hon. Member for Southport, children need the skills and the ability to have resilience, so that if there are factors that might tip them into having mental ill health issues, they have the resilience to address them. Sadly, for all too many of our children there is not the ability to build that resilience My hon. Friend the Member for Sheffield Central (Paul Blomfield) referred to local authorities. The ability to gain that resilience from services such as those offered by local authorities is not possible in Stoke-on-Trent, where local budgets have almost been wiped out for some children’s services. I seem to be constantly talking to people who used to work for the local authority in children’s services, but have now gone off to do other things because they can no longer be afforded. The main thrust of what I want to say is that more than 10 years ago there was a shortage of access to CAMHS. We do not seem to have gone anywhere with that. It seemed to get better, but it is now getting dramatically worse Healthwatch Stoke-on-Trent helpfully brought to my attention a list of issues that they are concerned about. When I say “they”, I mean children, young people and the adults supporting them. It makes deeply saddening reading. The first item on their list of what they want is a single point of access for real-time professional advice and guidance that can refer them to mental health services with the support they need when there is a crisis. This was again being talked about more than 10 years ago when I was attending meetings in what was still then, despite the fact it had been going for 10 years, a fledgling CAMHS. Nevertheless, even back then there was talk about having a single point of access. We have come full circle on the need for a single point of access Those children, young people and the adults supporting them talk about information, options and guidance to navigate the range of services and pathways available to them, and evidence-based interventions that are appropriate to them, with follow-up support as needed—the right service, first time. It is sad that here we are, so many years later, without that service—or, where a service has been developed, it has gone because of the cuts. The Government are now having to undertake a review to take us back to the probably better work being done in the period leading up to 2010 These people want a greater use of technology and access to online support. Technology has come a long way in the past 10 years, and I welcome that good suggestion from the children and young people themselves. They would like more support from schools and direct interventions on school premises in the school day, such as counselling, peer mentors and quiet spaces. There are quiet spaces in some of the good schools that I am blessed to have in Stoke-on-Trent. For example, St Thomas More school has a specific arrangement and understanding that young people who feel that they need to go out and get their head together can use the space that has been made available. I am sure other schools do that as well, but that example was highlighted to me. Malachi was doing innovative work on support in schools 15 or 20 years ago. I made the point in an intervention on the hon. Member for Totnes (Dr Wollaston) that when Malachi lost bids to big national charities, those charities would then subcontract back to Malachi, because they knew they had an in with the schools and could provide the service Going back to the list, those children and young people and the adults supporting them want clearer step up, step down work given that their mental health needs change and fluctuate, as well as more early support from non-mental health practitioners and their peers and/or older mentors. Their final point is that they do not want to be stigmatised when seeking and accessing help, which is so important. In addition to those things that the children and young people want, they have asked for clear referral routes and pathways through services, so that they get the intervention they need quickly, without being referred to multiple services—often waiting some time for an assessment—before finding that the service is not the right one for them anyway: having waited three or four months to get into the system, they then find that it is not what they needed and they have to start all over again The children and young people have also asked to be involved in planning their own care, to be part of setting their own outcomes and goals, to be consulted when changes are made to service provision and for their parents to be given support so that they can support them. The parents themselves, the carers, have asked for there to be clear access to services—that comes up time and again—and parenting support in the community that is easily accessible and non-stigmatising. Going back to my Malachi days, one of the hugely important things we did was to work with the parents, supporting and helping them, enabling them to take on a lot of the work of maintaining and helping their own children There are a few more items on the list, but I am conscious that I will rapidly run out of time if I am not careful, so I want to move on to a few of the risk factors. Again, they are not new, but things that we have come across too often, and it is important to raise them in the context of Stoke-on-Trent. In a report on this, the first factor listed among those that will have an impact on children and young people’s mental health is—this comes up time and again—deprivation and poverty: “The close association between mental disorder”— as it is termed— “and economic disadvantage was clearly illustrated by income analysis in the Mental Health of Children and Young People in Great Britain in 2004 survey”, so this is not new evidence. That is a huge problem in places such as Stoke-on-Trent, where we still have such high levels of deprivation—indeed, they have been made worse recently I have mentioned parental conflict and breakdown, but there is also communication/speech and language delay. In Stoke-on-Trent there is a huge problem with language delay. Fantastic projects such as Stoke Speaks Out are addressing it, but if a child is having difficulty expressing their needs, how much more difficult will it be for that child—that young person—to be able to eloquently, or indeed adequately, put across what they want from the system that is trying to help them? Attainment in education is still an issue, despite the dramatic improvements that we saw in Stoke-on-Trent. Then there is housing and homelessness; and again, the poor standard of so much housing still in Stoke-on-Trent is a tragedy I want to make an observation about children in care and some of the organisations. The local authority in Stoke-on-Trent has seen a rise in the number of children in care in just a short period. From July 2010 to June 2013, there has been an increase of 38% in the number of children needing support in care in Stoke-on-Trent. That is a massive increase in the number of young people in the care system, which is a huge risk factor for mental ill health I close by observing a couple of things about Stoke-on-Trent. There is, as I have mentioned, Healthwatch Stoke-on-Trent and the good work it does. There are other organisations doing fantastic and excellent work, including Young Carers—part of North Staffs Carers Association. I have had the huge privilege on a number of occasions to meet the young people from Young Carers and hear about the amazing things that they—children—are called upon to do, quite often looking after their parents, and the huge impact that has on their mental health. Finally, there is another scheme, whose details I have unfortunately lost in the pile of papers in front of me. Home Start has been running in Stoke-on-Trent for about 30 years. Sadly, because the local authority is so strapped for cash and has had to cut its budget, after all that time and after helping thousands of families, Home Start is now closed. It is gone. It is another resource that is no longer there to help the people of Stoke-on-Trent That is the backdrop to the report by the hon. Member for Totnes and to what the Minister is doing with his investigation, both of which I welcome. It saddens me so much, however, that we seem to have gone nowhere in 10 years. Let us try to make sure that we do something about this in the coming months rather than in the years ahead.
In listening to the hon. Member for Stoke-on-Trent South (Robert Flello), I recognised some important themes that were also evident in the speech of the Select Committee Chairman, my hon. Friend the Member for Totnes (Dr Wollaston). Both touched on what we can do to help people with mental health problems through volunteering, mentoring and bringing services together so that we have a more substantial whole that will help to tackle the fragmentation between different services and make something more rational and more joined up I was a governor of a residential school for young people with emotional and behavioural difficulties in the 1980s—Shaftesbury House in Royston. It was an Inner London education authority school, which did extremely good work with some very troubled young people. At that time, however, there was a different understanding of mental health issues from what we saw a few years later in 2001 when I was my party’s spokesman on mental health. By that time, there was much greater recognition that deep-seated mental health problems start at ages much younger than adulthood. Previously, there was a feeling that some of these issues were emotional, behavioural and developmental, but they were not seen in their true context I thus slightly disagree with the hon. Member for Stoke-on-Trent South. I think our understanding of mental health issues and what they mean for children and adolescents has changed over the period that he spoke about—and certainly since 2001, we know far more about the onset of these illnesses and about how they should be treated. I agree with him, however, that we are seeing a great number of young people affected by these issues. The hon. Member for Southport (John Pugh) talked about the ups and downs of adolescence and whether there was such a thing as a normal period of adolescence I believe that issues such as family breakdown, drugs, social media, and domestic violence put considerable pressure on young people, and it gets to the point where some adolescents have a series of crises. They can be intermittent, but there is often a recognisable crisis for which help is needed. It is more than just highs and lows; it is something more serious. In those circumstances, the delays about which we have heard can be particularly acute Two young people contacted me recently to raise issues about how child and adolescent mental health is dealt with. They were both very unhappy with the current situation. I thank the Minister for meeting one of them—a young lady who has been through CAMHS —to talk through the issues. She was very appreciative of hearing about the taskforce that has been set up, and it does the Minister great credit that he was prepared to meet her and that he has accepted that there are problems in the system that need tackling. Delay is certainly one of them. Another is the amount of help available, and particularly whether there are sufficient numbers of trained staff—psychiatrists, community psychiatric nurses, therapists and so forth. We have never had the numbers we need, and I hope the taskforce will consider that issue The Hertfordshire Partnership Foundation Trust has a youth panel that is deliberately aimed at revealing concerns. The young lady who came to see the Minister had been on that youth panel. She had suffered from anxiety, bulimia and depression; she had been bullied, but got no proper response from her school. She waited nine months for CAMHS, and had still not been given an appointment when she attempted suicide. Even after she had been in hospital, she had to wait for six weeks. She had only five sessions of therapy in 20 months at a time when she was experiencing serious crises. Another young lady who has been in touch with me was taken into an in-care unit, and it was three weeks before she saw a psychiatrist, although she too had experienced a bad crisis.
I cannot disagree with what the hon. and learned Gentleman is saying or the examples that he is giving, but does he accept the general point that one of the problems when it comes to planning effective interventions is the lack of current and accurate prevalence data that would enable the relevant agencies to plan and commission services that meet local requirements?
I agree. I am sorry that action to deal with that problem was cancelled some years ago, because such action is definitely needed I was talking about the young woman who was taken to an in-care unit. She said that the staff always seemed to be overworked, and she was given no opportunity to exercise. She felt that, although she had been placed in the unit, nothing was being done to address her condition. I think that a great deal needs to be done to improve child and adolescent mental health services On page 76 of its excellent report, the Select Committee refers to the Minister’s taskforce, and says that the “current fragmented commissioning arrangements” must change “to allow rational and effective use of resources in this area, which incentivises early intervention.” That is an extremely important point. On page 77, the Committee deals with education and GP services and makes another important point, namely that this is not just about specialist CAMHS, but about school-based counselling. It quotes Mick Cooper, professor of counselling psychology at the university of Roehampton, as saying: “Due to its short waiting times, convenient location, and broad intake criteria, school-based counselling is perceived by many stakeholder groups as a highly accessible intervention. It is able to offer a wide range of young people professional therapeutic support in a direct and immediate way.” I think it is time that we joined up those services, using schools as a platform. In my constituency, there is an initiative called the North Herts Emotional Health Support Service, which aims to make a start with that. It has estimated that one in 10 young people aged between five and 16 is likely to be affected by a “clinically significant mental health problem” at some point, and has calculated on that basis that 18,000 school-aged children in north Hertfordshire are affected, including about 6,000 with emotional disorders. It has looked at the schools in question, and says: “Evidence suggests that vulnerable children, young people and their families find it easier to access services” at a school. It has trained a team of mentors consisting of teaching assistants, teachers and volunteers, and has identified a “bank of quality-assured local counsellors and…therapists” who can provide the sort of art and drama therapy that was described by the hon. Member for Stoke-on-Trent South. It has two local lead therapists whose job is to oversee the training and supervising of the mentors. It speaks of the importance of “offering consultancy and training” and “co-ordinating”, and hopes to engage a “part-time administrator”. It has made considerable progress with that model, and, although it will need to be evaluated, I think that we should do something similar The service is harnessing the good will of people who volunteer, and there are people who will do that—when I was a mental health spokesman, I met people who volunteered to work for Rethink and MIND—but it also uses the skills of professionals to train the individuals concerned, under supervision. It is giving us a lot of coverage and an ability to help young people relatively cheaply. That is a consideration in these times. I therefore suggest to the Minister that looking at such initiatives and those described on that page of the report is a possible way forward Many young people spend a lot of their time using social media of course—thumbs clicking at great speed. This is not necessarily a bad thing. People with anxiety or depression or another mental health condition could find online services that could help them and they could reinforce the coping techniques that they have been taught. I hope the taskforce will look at that. I think it might be fruitful.
I am grateful to be called to speak in this debate after the hon. and learned Member for North East Hertfordshire (Sir Oliver Heald), who has ministerial experience in this sphere. I do not, but I have some experience in other spheres of finding money for it and I know how difficult that can be. I therefore congratulate the hon. Member for Totnes (Dr Wollaston), Chair of the Select Committee, on her report. We in Coventry find it very timely, and we look forward in due course to the Minister’s taskforce and its report, leading, we hope, to what the hon. Lady very precisely referred to in terms of improvements to services—better services for children and adults on the ground, which is where it matters. She also said she found having to grapple with out-of-date figures—it is rather surprising that we should have them—frustrating. I therefore thought I would take part in the debate in order to bring up one or two up-to-date figures on a particular aspect of young persons’ and adolescents’ mental health that is becoming more and more prevalent, and disconcertingly and alarmingly so in Coventry: self-harm We have seen a terrible and frightening increase in self-harm over the past five years. The first figures we had were back in 2010 and the figures for 2014 have just come out. They show an alarming increase from 50 referrals in 2010 to over 300 in 2014. That is a terrifying rate of increase. It has been going pretty steadily at over 20% year in, year out, and, as my hon. Friend the Member for Stoke-on-Trent South (Robert Flello) pointed out so tellingly, it points to the impact deprivation and poverty can have on children, as there is a fairly well-established causal link between pockets and areas of deprivation and poverty and the tendency among adolescents to self-harm and referrals Those referrals come on top of what we already know is a crisis in A and E. They are only exacerbating that, and leading to youngsters with terrible mental health problems being turned away—doors closed in their face. It is a situation that in Coventry has led to a clear and recognisable crisis, and to an emergency meeting of the scrutiny board to examine exactly what the situation is, to report on it, and to see what measures can be taken to deal with it It is often all too easy to blame lack of resources and the Government, but, as the Chair of the Select Committee said, there clearly is a lack of resources. Towards the end of my brief remarks, I will discuss the fact that mental health services have always been the Cinderella services of the health service. I think that is fairly well accepted both outside and within the NHS. If we are to embark on yet another reorganisation and integration of health services as a whole, I hope that the underfunding and the lack of past attention that has affected and led to the present situation in mental health services will not be overlooked. It is not as though all the services can be integrated equally or proportionately, but if certain services are not to be further damaged, they will need to receive particular recognition and get preferential priority in the integration—I do not like the word “reorganisation”—which all the parties agree needs to be done carefully. This should not be rushed. We do not want another reorganisation forced on the health service. It should be done sensibly and gradually, and with sensitivity to the individual needs of the services that are being integrated.
Does my hon. Friend agree that the Caludon health centre at the University hospital Coventry does a very good job in very difficult circumstances? Yesterday, I met some young people from Coventry college who told me about the pressures that they were under. They are worried about exams and about whether they will be able to get a job after their exams, because the number of young people out of work in the west midlands is extremely high. Does my hon. Friend agree that we need to consider all the pressures that young people face these days?
Yes, I do indeed. The pressure in the education system to achieve results at any cost simply adds to the problem, as do the deprivation and poverty to which other Members have referred. All those factors have resulted in a situation in which incidents of self-harm are increasing at the rate of 20% a year. Referrals in Coventry are going up, and that constitutes a crisis, given that our accident and emergency services are already overcrowded and hard pressed Let me explain what that crisis means in regard to the number of weeks involved. Normally, effective substantive intervention would be expected within 18 weeks, but in Coventry the average wait for a substantive intervention has been 44 weeks. That is in a sector in which early intervention is clearly the most effective route to the successful management and eventual elimination of a mental health condition. That simply is not good enough, and I put that to the Minister for consideration by his taskforce We have asked the local council what can be done. As my hon. Friend the Member for Coventry South (Mr Cunningham) has said, budgets have been heavily cut. According to current Government plans to reduce public expenditure to 1930s levels—from which I know the Minister of State, Department of Health, the right hon. Member for North Norfolk (Norman Lamb) has dissociated himself—Coventry would experience a further 50% cut over the next five years. There would be nothing left. Fortunately, however, that is unlikely to happen, as I am sure that there will be changes of one kind or another to those plans, or to those making the plans, in the very near future It is impossible for the councils to find more funds, because they are under tremendous pressure, but there has already been a £50 million cut in the budget for CAMHS. It has been cut from £766 million. I think that that relates to the £800 million figure quoted by my hon. Friend for Eastleigh—
Easington.
Easington. I beg my hon. Friend’s pardon. The CAMHS budget has been cut to £716 million, which is a cut of £50 million. That is an enormous cut.
The hon. Gentleman is making a powerful case, particularly on resourcing. Clearly, we would all like to see more resources going into adolescent mental health challenges, but does he share my view that if we get this right, with proper standards, proper implementation and early intervention, there could be a net saving to the Exchequer overall?
I absolutely agree with the hon. Gentleman. I think the whole House would agree with his intervention, which was short and to the point. As in so many situations, prevention is better than cure. It is also a lot cheaper. We all know that, and there is a case for it in this context, but it will require investment up front. That is where the Government do not get it, because they usually take a short-sighted view of these matters I wish to make two points in closing. First, if local councils do not have the resources at the moment, we cannot look to them to provide these services and so they are likely to get overlooked. Lastly, will the Minister confirm something about the leak—I am sure he will have read about this in the press—from his taskforce, which speaks of the perverse incentives that have arisen, particularly in relation to mental health, from the Government’s reorganisation? Have they exacerbated the problem? As a result, is the real cost of that reorganisation to the mental heath services not £50 million, but possibly a much higher figure In any event, we all know from our constituency experience that we have had losses. Last night, I saw in a television programme that we have lost hundreds of doctors and thousands of nurses, and the prospect in the next few years is an accelerating trend on both. So the Labour party’s commitment for 20,000 new nurses and 8,000 new doctors is a bold one, but it is manageable. It is also absolutely necessary if we are to deal with any of our current problems. That is the message I would like to leave the House with. We need early intervention; a commitment to increase the number of doctors and nurses; parity of treatment—and even ahead of that— in the integration of mental health services; and the restoration of the CAMHS budget as soon as possible.
It is a pleasure to take part in this debate as a member of the Committee, and I associate myself with the kind words of our excellent chairperson, my hon. Friend the Member for Totnes (Dr Wollaston), about everyone who gave evidence, and about all the Clerks and House staff who supported the inquiry. It was one of the most important and far-reaching inquiries we have undertaken in the past few years, and I was proud to have been a part of it, because the issue is so important I wish to make a few general comments about this whole area and then to talk specifically about the role schools can play in mental health services for children and young people. I noted with interest the comments made by the hon. Member for Stoke-on-Trent South (Robert Flello). The comments today have generally been quite consensual, although something I will say a little later about funding may be less consensual. He pointed out that 10 years ago we were having many of these same conversations, but things have really moved on in the past 10 years, not least in this area; we heard in our inquiry about the increase in demand. Although many of the pressures young people faced 10 years ago are similar, a whole host of other pressures on young people now did not exist then, particularly those of a cyber nature, be it those arising from Facebook, Twitter or online bullying. When I started teaching in 2002 people did not have a great deal of understanding or expectation of any of those things, but they have now become so widespread that we have had a massive increase in demand in this area In addition, the way in which mental health services and care are delivered has changed beyond recognition during that period, and some would argue that it has not always been for the better. As we know, between 1998 and 2010 the number of mental health beds reduced from 35,000 to 25,000, and we have seen a continuing shift away from in-patient treatment units. What came out of this inquiry, and what I have seen in my constituency in mental health service provision for both young people and adults, is that although that more traditional unit-based, hospital-based, bed-based system of treatment has changed, what has replaced it has not necessarily always filled users with confidence or has even been consistent across the country. As our report makes clear, there is a lot more we need to do As I have said, I wish to focus on what we heard from young people. It was great that our inquiry had a session with young service users, including some from Hull, near my area, who came down to tell us about how they have engaged with local voluntary, local authority and, of course, school services. In our inquiry, we heard that the support schools offer young people is very patchy across the country, changing even within cities or within counties. Some young people we heard from, and some of the other evidence we took, made it clear that some of the best support they had received had come from dedicated teachers who understood mental health issues, really wanted to engage with those young people on them and help them access services. Having a teacher who was engaged and who understood what to look for in mental health really helped young people. Some pupils had different experiences. They felt that teachers either lacked the skills or were too uninterested to deal with the problem. Very often that can be because teachers are scared of mental health issues. In some cases, therefore, pupils experiencing mental health problems did not receive the support that they needed I started teaching in 2002. When I think back to some of the young people we had to deal with, I can see that many of them probably had mental health issues. At the time though, those pupils were dismissed as being badly behaved or as having background problems. As a practitioner, I was sometimes guilty of not understanding the signs that were being presented to me. However, teachers cannot be blamed for that; they work in a pressured environment. The pressures around school standards seem to get more intense every year and with every Government initiative What we did hear in our evidence was that 61% to 85% of schools are providing access to school-based counselling. Although that is a wide variation, it is a positive thing. We heard that some schools engage really proactively with the local authority and the NHS in this area. Unfortunately, though, we also heard of others that do not engage so well. Some schools seem to think that mental health issues are for health services and social services, but not for schools. When we talk about integration in all areas of health care, this area is one in which we need it the most and, potentially, it could have the biggest impact. My hon. Friend the Member for Totnes talked about early intervention. When we fail in that regard, the consequences are picked up by other services. That means that we have increased referrals and more behavioural difficulties in our schools, which leads to more exclusions. Those exclusions have consequences not just for the management of the school but for that young person’s life chances What can we do in schools to make a real difference? Increased collaboration among the services is vital. Although we talk about integration and greater collaboration, we need someone at some point to take responsibility for that and to be held accountable when that collaboration does not work. As we heard in our evidence sessions, some schools are keen to take the lead in that regard, and others less so. Clearly, this is an area where we need greater clarity The curriculum was raised by a number of young people, particularly around personal, social, health and economic education. They said, “We learn everything in PSHE. We learn about sexual activity, financial matters, career advice and career choices, but what we do not learn about is mental health and well-being.” Ofsted found that 40% of PSHE provision required improvements nationally and that one third of young people say that they want to know more about how to deal with stress and how to access help for eating disorders. Some 38% said that they wanted education around bereavement, which surprised me We have seen some good things happen with the curriculum. We heard in our inquiry that the ICT curriculum now contains a section on cyber-bullying. Clearly, some improvements have been highlighted but an awful lot more still needs to be done. The focus should be on young people as much as it is on teacher training. In our evidence sessions, we heard from the Secretary of State about how a great deal of effort has gone into providing teachers with the tools to deal with mental health issues and to improve training, and that is really important. When I did my postgraduate certificate in education, I do not remember receiving a great deal of education about mental health and young people’s emotional well-being. Clearly, that needs to change, but the focus should be not only on equipping teachers better, but on ensuring through the curriculum that young people are able to understand mental health issues. The stigma needs to be removed through both teacher training and the curriculum, and young people who have had experience of mental health issues should be involved in developing that curriculum I wanted to say a little more about youth services, but I do not have a great deal of time. We have heard a lot about council spending reductions and the impact that that can have. The truth is that whoever was in power, we would be in this position, with council budgets having been reduced. In my area, I am very pleased that North Lincolnshire council has made a concerted effort to reverse the cuts to youth services instituted by the previous administration of a different party, which cut the services by £194,000. Even in these tough times the council has been able to put in an extra £100,000 of funding and over the next three years will add to that a further £300,000 Local authorities can do that if they have the necessary vision. In the case of North Lincolnshire, the driver for that is a very good portfolio holder in the cabinet who understands that we have to get it right early. That means that we need proper investment in positive activities for young people, because that allows savings elsewhere down the line. Despite all the difficulties that we have faced in local government funding, where there is leadership and vision, people who understand the value of these services can find the money to invest in them. With that, I will end as I am conscious of time and I know that one of my colleagues wishes to speak.
I congratulate the hon. Member for Brigg and Goole (Andrew Percy), with whom I serve on the Health Committee, and the hon. Member for Totnes (Dr Wollaston), who so ably chairs the Committee. Although this report is the third report of the 2014-15 Session, I think it was the first report produced under the hon. Lady’s chairmanship, so it is quite an historic document. It is an important piece of work on a subject that has been neglected As time is short, I shall try to stick to a particular structure. I thank the Royal College of Paediatrics and Child Health for providing a briefing and for asking us to highlight some of its concerns about variations in services and funding for transition services and mental health care provision for prevention and early intervention. A number of right hon. and hon. Members have referred to those issues. I also want to make a few points from the perspective of local government. As we have heard and as the hon. Member for Brigg and Goole observed, this is an area of joint responsibility where local government, given the correct support and resourcing, can make a significant difference On the scale of the problem, it is a shocking statistic that 50% of mental illness in adult life, excluding dementia, starts before the age of 15, and 75% of mental illness starts before the age of 18. Apart from the mental health manifestations, there are often increased physical health problems associated with the deterioration in mental health. Disturbingly, since 1980, as others have mentioned, there has been no decline in the number of deaths caused by self-harm, suicide or assault, with more than 1,000 10 to 18-year-olds dying this way every year in the United Kingdom. The problem is particularly prevalent among boys An hon. Member spoke about the value of prevention and early intervention and alluded to a cost-benefit analysis, and he was absolutely right. Quite apart from the fact that it is the right thing to do, if we look at it purely in terms of the opportunity cost, we see that mental health problems that start in childhood and adolescence result in increased costs of between £11,000 and £59,000 per child annually, according to figures provided by the Royal College of Paediatrics and Child Health. Those are huge additional costs. With upstream interventions of the kind other Members have argued for, early identification of mental health difficulties should be established as a core capacity of all health, social care and educational professionals who work with children and young people, because the benefits would be considerable Another issue that has been talked about, and which I feel I must mention, is the provision of an evidence base on which to plan interventions. Indeed, the chief medical officer highlighted the lack of accurate prevalence data in evidence to the Committee. I fully understand that the Minister is carrying the can and making the arguments, but that survey had not been carried out for quite a few years. Although it has now been commissioned, my understanding is that the data will not be available for use until 2017. If we are to have a scientific or empirical basis on which to plan commissioning and resources, either in early years or in whichever tier is thought appropriate, we need an up-to-date and relevant evidence base of data.
On the hon. Gentleman’s point about prevalence data, with which I agree, is not the real point that many of the contracts in mental health are block contracts, whereby a fixed amount of activity is purchased? If we do not know exactly what the prevalence really is, that is a bit of a shot in the dark.
I cannot disagree with that. I come from the perspective that we need to plan interventions on the basis of evidence, but how can we do that without current and relevant data on child and adolescent mental health? We certainly need that data. On the structure of the contracts, I am a firm believer in integration. There may well be issues with block contracts. The Health Committee received evidence from the south-west indicating that there are vast areas of the country where there is very little access to certain types of in-patient mental health provision, which is clearly unacceptable. One might have thought that a large block contract would make that less likely, but apparently that is not so. However, I am not an expert in commissioning; I am simply trying to identify the policy areas Having spent a number of years in local government, I have no doubt that local authorities wish to tackle some of the barriers that young people face in accessing mental health services. It is a complicated area, and we need to enable local areas—the hon. and learned Member for North East Hertfordshire (Sir Oliver Heald) just referred to larger block contracts—to commission better services, and perhaps that is better done on a more local level.
Does my hon. Friend realise that one of the problems with block contracts is that, because of their size, they freeze out small voluntary organisations that could deliver services on a local basis?
That is true. Some of the organisations that submitted evidence to the Health Committee and subsequently provided briefings made that point Another issue of concern is the complex commissioning landscape for CAMHS, which can result in poorly co-ordinated services and a lack of clarity about roles and responsibilities, leading to gaps in provision and poor transitions from child to adolescent and from adolescent to adult. The service is certainly underfunded. We often talk in this place about parity of esteem. As other Members have reported, CAMHS nationally is receiving about £1.8 billion of the £14 billion that is spent on mental health. Local authority-provided services, which are often having to bridge the gap, are facing huge financial challenges. My local authority, which I share with my hon. Friend the Member for North Durham (Mr Jones), has had to cope with cuts of £250 million over the lifetime of this Parliament. That is forcing councils to make extremely difficult decisions about which services are funded I fully understand the point made by the hon. Member for Brigg and Goole, but I also fully understand the difficult decisions faced particularly by authorities in the north that seem to be suffering disproportionate cuts. Councils are embracing their new public health responsibilities—
I hope the hon. Gentleman understands that both my local authorities are in the north of England; I would not want him to get his geography wrong.
I am certainly aware that some authorities are facing higher cuts than others. My area is one of relatively high deprivation, but we seem to be in a far worse position than some in the south that are more affluent and do not have the same kinds of pressures In rural areas, in particular, people face problems with travelling long distances, a lack of accessibility to specialist services, and long waits. One issue is the 12-week target for referral to CAMHS in cases where children and adolescents are referred out of their local areas. Transition between services varies from one area to another. In some areas it happens at 16, in some at 18, and in some at a point in between. These issues all need to be addressed Fundamentally, this issue comes down to funding. I welcome the establishment of the taskforce and the provision of £30 million over the next five years to improve services for young people with mental health problems. However, we must recognise that councils play a vital role in working with health services to target support and co-ordinate services, and they should play a key role in directing the funding.
I apologise for not arriving for the first part of the debate; sadly, I was detained elsewhere. I wanted to say a few words about this excellent report. I commend the Chair of the Health Committee and its other members for producing a very well-balanced report that does not appear to be partisan in any way but does point to some of the problems that still exist in our child and adolescent mental health services, and to some of the possible solutions, if any future Government were to adopt its recommendations. The other impressive thing about the report is that it does not apportion blame. It merely observes that there are challenges, without attributing blame on a partisan basis or to a particular group or individual. It can often be hard to implement the recommendations in these reports if it is felt that a finger is pointed at a particular body Clearly, mental health challenges are widespread. As other Members have observed, they generally start when people are younger; it is unusual for a mental health challenge suddenly to appear out of the blue. That is why this report and looking at early intervention is very important if we want to tackle mental health services for citizens and mental health outcomes for our constituents. The mental health unit at Heatherwood hospital in my constituency has been transferred to Reading. It strikes me that that is very positive in many ways, because it enables more integrated services to be provided in a larger establishment, which has more resources and is better able to deal with the people who present themselves there I want to focus on a couple of positives that I very much welcome among the recommendations. One is the recommendation to develop, implement and monitor minimum standards. It seems to me that that is exactly what we do in every other area of health care. When I was shadow Minister for Science and Innovation, it was precisely what the Medicines and Healthcare Products Regulatory Agency and the then National Institute for Health and Clinical Excellence intended when it came to interventions requiring medical trials and proper evidence. Minimum standards are an absolute minimum, to put it that way, if we are absolutely serious about ensuring that care is consistent and does not fall below a well defined level in services and the way in which they are provided It is clear that the recommendations on intervention and recognition in schools and GP surgeries are already very well known among Members. In the 10 years that I have been here, I have heard debates in which such points have been highlighted. It is good to see a recognition in print that there needs to be more awareness in schools. I thank my hon. Friend the Member for Brigg and Goole (Andrew Percy), who was a teacher for many years before he entered this place, for his words on this subject. Without the relevant guidance, it is quite tricky to distinguish between children who, just from their background or families, one thinks are just being tricky, and children who are presenting with a diagnosable and observable emotional or clinical mental health condition. On in-patient care for people under section 136 of the Mental Health Act 1983, times have moved on. The days when the idea was that somebody in such a unit should feel that it was akin to a prison must be well behind us. I very much welcome much of the work already done in the NHS and elsewhere to make sure that although such units are secure and can protect the vulnerable young people housed in them, they are developed not just as a location in which to keep them safe, but as a place with the services—the cognitive behavioural therapy, the psychiatrists and the psychologists—required to reintegrate them into society Without criticising the report, I would have liked it to go a little further on online resources and the digital world. It seems to me that we often see Twitter, social media and technology as a huge danger with all sorts of negative consequences, and that we seldom see the positive applications that could be made in the online and digital world. I very much welcome the acknowledgment of the extra stresses and burdens that social media place on young people in particular. I also welcome the allusion to how, perhaps with more resources and more proactive health care providers and more proactive people with an interest in mental health conditions, technology could be made part of the answer. When somebody is being bullied on Twitter or social media, technology could be used to create a little pop-up saying, “Hey. This looks like bullying. Would you like to analyse how you’re feeling about that?” There could be all sorts of excellent uses of digital technology to help people through a process, through a partial process of CBT or in identifying the problems they face, and online resources could be exceptionally helpful in that regard. A lot of the process is about acknowledgment and recognition and then of leading people on to the next step, but if they do not feel that fulfilling the criteria for having a mental health challenge will be an embarrassment or that stigma will be attached to them, such technology could guide and lead them to getting additional help. When the Government look at the report, perhaps they could look even further into using the online world and digital technology as part of the cure As a former shadow Minister, I would like to say that if we had a pill that cured 50% of people of any illness or mental health condition that they had after six weeks, we would say that it was a miracle cure. Certainly for less acute mental health conditions among adolescents, cognitive behavioural therapy is that wonder pill. We need to see more investment in, further roll-out of and quicker access to such services.
I thank the Chair of the Health Committee, the hon. Member for Totnes (Dr Wollaston), and the other members of her Committee for their thorough and valuable report, and for giving us the opportunity to debate this important issue When we discuss complex commissioning and funding arrangements, as we are today, we must not lose sight of the people at the heart of the matter. I remind the House that we are talking about some of the most vulnerable children and young people, who are often scared and in states of high distress and trauma. They and their families deserve the very best care and support that our NHS can offer. However, as the Health Committee found, for too long they have been overlooked I think that anyone who has read the report would agree that it is damning in parts. It concludes: “There are serious and deeply ingrained problems with the commissioning and provision of Children’s and adolescents’ mental health services. These run through the whole system from prevention and early intervention through to inpatient services for the most vulnerable young people.” We have heard that Members from all parts of the House share the concerns that are expressed in the report. It was valuable and helpful to hear not only from members of the Committee, but from other Members who have experience from their constituencies and from before they came to the House Many Members in this debate and in previous debates in the House have raised horrifying and tragic cases involving their constituents. Most Members know all too well the pressure that too many parts of CAMHS are increasingly under. Sadly, the reports of children facing long waits for treatment, being sent hundreds of miles for a bed or not getting any help at all are too common. In my capacity as shadow Minister for public health with responsibility for mental health, I have received too many messages from young people across the country that paint a picture of services that are under immense pressure and of waits that pass the three month and six month marks. Indeed, we heard from my hon. Friend the Member for Coventry North West (Mr Robinson) about constituents who have waited 44 weeks The Minister is open about the scale of the challenge and acknowledges that there is much to do. The Government accepted in their response to the report that the mental health and well-being support that is offered to children and young people, as well as to their families and carers, often falls short. The Government accept that there is a need to improve the system. Today’s debate has been a much needed contribution to the parliamentary and public understanding of the challenges that the system is facing. It has been an opportunity for the House to hold the Government to account on their response and on the action that they must now take to get to grips with these challenges The shortage of beds, which the Select Committee highlighted, is of great concern to many Members. The Government response refers to NHS England’s commitment to commission 50 more beds. We understand that NHS England has opened the majority of those beds. I hope that in his response the Minister will confirm when the remaining few will open. Does he consider the additional 50 beds to be sufficient, in the light of the pressures that CAMHS is facing The system clearly is not working in some parts of the country. Members on both sides of the House will have been shocked to read in The Observer a few weeks ago that commissioners from NHS England sent out an e-mail on a Friday night to warn that there would be a national shortage of in-patient beds for children over the weekend and that it was likely that children would need to be placed on adult wards. Almost a year ago, the chief executive of YoungMinds said that the increase in the number of children placed on adult wards was entirely predictable following cuts to mental health services. I hope the Minister will say what more he can do to assess and reassess the situation Ensuring that we have enough beds to prevent children from having to travel hundreds of miles from home for treatment or to avoid being detained in police cells is, of course, critical, and Members have addressed that issue. However, as the Committee points out, “commissioning extra inpatient capacity alone will not be enough to alleviate the current problems being experienced” in relation to in-patient services I appreciate that some of the issues are long-standing historical challenges, but it is certainly fair to say that this Government’s reorganisation has exacerbated those challenges. The Committee’s report states: “Despite the move to national commissioning over a year ago…NHS England has yet to ‘take control’ of the inpatient commissioning process, with poor planning, lack of co-ordination, and inadequate communication with local providers and commissioners.” NHS England itself has acknowledged weaknesses in commissioning as a reason for bed pressures and patients being inappropriately admitted to specialised units. The Committee highlighted the concerns that professionals have been raising for more than a year about the new split in commissioning between tier 4 services, which are the in-patient beds commissioned nationally by NHS England, and lower tier services, which are commissioned by clinical commissioning groups. It does not take a genius to work out that that arrangement results in the perverse incentive for CCGs to refer children to tier 4 in-patient services, because they do not have to pay for them, rather than treat them in the community, where they have to fund the places. We know that treatment in the community can be so much better for many of those young people’s outcomes and their long-term recovery, but the current situation is exacerbating many issues and problems The Minister himself has said that current fragmented commissioning arrangements make “no sense” and are “dysfunctional”. It would be helpful to hear from him what more the Government plan to do to address the situation. In their response to the Committee, the Government said that their taskforce would look at determining a way in which commissioning can be sufficiently integrated. Given that we had to read about the taskforce conclusions on the pages of The Times a couple of weeks ago, perhaps the Minister will do us the courtesy of updating the House on what action the Government will take The Government have also announced that NHS England has funded eight pilots looking into collaborative joint commissioning arrangements for children and young people’s mental health, so it would be really helpful to have an update on the progress of those pilots The commissioning confusion caused by the NHS reorganisation would be a challenge in itself, but, combined with the cuts to local authority CAMHS and early intervention services, it is having a devastating impact. There has been £50 million-worth of cuts to CAMHS since 2010. There have also been cuts to local authority CAMHS and to early intervention in psychosis services, a reduction in social workers and a decimation of the early intervention grant in many parts of the country, which is putting pressure on in-patient services, particularly in areas with higher levels of deprivation. I listened to the speech by the hon. Member for Brigg and Goole (Andrew Percy), but Liverpool’s budget has been cut by 56%. The idea that Liverpool city council is not interested in youth services could not be further from the truth, but the reality is that applying the funds available to it to youth services is incredibly challenging According to research by YoungMinds, two thirds of councils in England have reduced their CAMHS budget since 2010. When the charity asked NHS trusts and councils about other mental health spending targeted at children and young people, such as youth counselling or specific services for schools, it found that more than half of them had cut their budgets, some by as much as 30%. It is therefore unsurprising that the Committee reported that poor provision of lower tier services has likely been a key factor in the increase in the number of children and young people requiring admission to in-patient services In their response the Government refer to extra funding for early intervention in psychosis services and crisis care, but will that not merely take us back to where we were before these cuts? What proportion of the new funding that the Minister has announced will be directed towards services for under 18s? I am particularly interested in the work of the Government’s taskforce on ways to incentivise investment in early intervention—again, it would be helpful to have an update on that. Will the Minister match the Opposition’s ambition to increase the proportion of the mental health budget that is spent on children over time—again, that point has been raised by hon. Members on both sides of the House Schools are an obvious place for prevention work to take place, and I was interested to hear the intervention from the hon. and learned Member for North East Hertfordshire (Sir Oliver Heald) about the experience of schools in his area. The Committee found that in too many schools counselling services are unavailable, even though they can provide lower level preventive intervention that can stop problems subsequently becoming more serious. Again, will the Minister update the House on his work with colleagues in the Department for Education to improve that situation? Will he meet the Opposition’s commitment to produce a strategy to help local authorities with their local NHS and schools to work together, to ensure that all children can access school-based counselling or therapy if they need it? Does he agree that in future all teachers should have training in child mental health so that they are equipped to identify, support and refer children with mental health problems A few other issues were raised in the debate, although I am conscious that we want to hear from the Minister and I have just three minutes to respond. The work force were mentioned, as was ensuring that all GPs are trained in mental health. The Opposition have committed to ensuring that training for all professional staff in the NHS includes mental health. Does the Minister support that ambition? Data were mentioned by Members on both sides of the House, and up-to-date data and information are critical to provide safe and effective services that meet the needs of children, young people, their families and carers I share the Committee’s concern that the most recent data from the Office for National Statistics on children and young people’s mental health are now 10 years old, and the Minister said that CAMHS has been operating in a fog without that information. I welcome the commitment to a new national prevalence survey of child and adolescent mental health data, and that that is a priority. Again, it would be helpful to have an update on that. Can the Minister set out the time frame for work that will take place before February 2016 when we understand that that data set will start In conclusion, as we have heard, significant questions remain. Much of the Government’s response to the Committee’s report has referred to the work of the CAMHS taskforce, which the Minister has established and is yet formally to publish its report, even though elements of it have been leaked to the press. It would be helpful for the Minister to update the House on when the taskforce report will be published in full, and to say whether he intends to follow it with tangible action—I appreciate that there will be recommendations, but it would be helpful to know what the Government intend to do Children and young people are struggling with mental illness, and in some cases their illness is becoming so severe that they are turning up in A and E—just this week a response to a parliamentary question showed that young people are turning up in A and E with mental illness not just once but two, three, four or five times. They often wake up in hospital beds too many miles from their families and friends, and are simply not receiving any help at all. We are having this debate on their behalf, and I hope the Minister will tell the House what action he will be taking to put that situation right We must get to a point where a child can feel that it is as safe to talk about their mental health as about their physical health, and where all children feel that they can tell someone about their anxiety as easily as they can speak about their headache or a stomach bug. Crucially, when they do that they must get the help they need, when and where they need it. I look forward to the Minister’s response.
The debate has been undertaken in a rational way—we have not had the hurling of abuse from one side to the other. My hon. Friend the Member for Windsor (Adam Afriyie) said that the report is objective and that it analyses problems and seeks to come up with solutions. The debate has been conducted in that way, which I welcome I am grateful to the Health Committee for its work, and for the inspired leadership of my hon. Friend the Member for Totnes (Dr Wollaston), who speaks with great authority on the subject. She is a force for good in this place. I thank her for her leadership My hon. Friend said that the report was triggered by the awful practice of youngsters being shunted around the country in the middle of a crisis. The situation with adults is just as bad. That practice should not happen other than where there is a specialist need and a specialist service that cannot, with the best will in the world, be provided in every locality. We have sought to analyse the causes of out-of-area placements. We see enormous variation around the country. Many areas do not do it, but where it does happen, we believe that simple steps could be taken to stop it. In my view, they must be taken.
The Minister will be aware from his visit to my constituency that young people from Wales are being treated in Kent and Northampton. Does he agree that that will do nothing to provide decent service, care and treatment for them?
I agree. It is intolerable. One can only imagine the impact on the family having to travel such long distances. My hon. Friend and I had that discussion in Brecon with the family concerned. It is shocking that that practice continues. It must be a priority My hon. Friend the Member for Totnes said that the importance of early intervention is a central theme of the report. There is great scope for much more to be done on public mental health. It was revealed recently that a tiny proportion of public health budgets in localities is spent on public mental health, and yet we know—there is loads of evidence—that, if we invest in public mental health, we can achieve a significant return on it. I welcome the report The hon. Member for Sheffield Central (Paul Blomfield) talked about what young people had told him. It was great that they were given a voice directly in this place. I welcome his comments In a very thoughtful speech, as always, my hon. Friend the Member for Southport (John Pugh) talked about a continuum. Many of us are susceptible to poor mental health in certain circumstances. That makes the point about the importance of schools, which other hon. Members mentioned, in building resilience and keeping youngsters stronger so that they can cope with all the challenges they inevitably face these days The hon. Member for Stoke-on-Trent South (Robert Flello) talked about Malachi, an organisation he was involved with, and about the triggers that can cause mental ill health among youngsters. Family breakdown is one, but bereavement can have a significant impact, as can bullying at school, which another hon. Member mentioned.
Will the Minister give way?
I am conscious that I need to get through quite a lot in the time available to me I thank my hon. and learned Friend the Member for North East Hertfordshire (Sir Oliver Heald) for his kind comments. He was absolutely right about the potential for online access. The hon. Member for Windsor made a similar point. There is enormous potential. One platform is called Kooth. Good evidence is developing about the impact that online access can have. Given that so many youngsters with poor mental health get no support at all, we can do a lot to increase access, not as a replacement for other services, but as a complement. He, too, talked about the importance of the role of schools I worked in Parliament as a junior researcher in 1980, for a Labour MP. I shared an office with the secretary of the hon. Member for Coventry North West (Mr Robinson). He is still here 35 years later. He is clearly the great survivor. He referred to the most appalling wait of 44 weeks in Coventry, which is totally unacceptable. I do not know what is going wrong in that locality, but that is not matched in many other places. There may be particular problems that need to be faced. In a way, that makes the case I have been making throughout my time as Minister that the same access and waiting time standards for physical health should exist for mental health. That is the big discrimination against mental health, and it has existed for a very long time.
Waiting times are so much more crucial for children and young people with mental health issues.
I totally agree. When I embarked on the mission to introduce waiting time standards in mental health, I was very clear throughout that they must apply equally in children’s services, as in any other service. One of the first two standards we are introducing from April this year is a two-week standard to start treatment for early intervention in psychosis, where there is a wealth of evidence that quick intervention can lead to good results My hon. Friend the Member for Brigg and Goole (Andrew Percy) talked about the absolute importance of youngsters learning about mental health at school. It ought to be part of the curriculum, and we would benefit a lot if that was the case. He also made the important point that although lots of areas of the country have seen really ridiculous disinvestment in mental health and children’s mental health, other enlightened areas have not done that. There is no necessity for it to happen; it depends on what the local priorities are. In his area they have done the right thing and made the necessary investment The hon. Member for Easington (Grahame M. Morris) talked about the horror of suicide. The husband of my hon. Friend the Member for Totnes is a psychiatrist in Devon. He has been a brilliant advocate of the case for a zero-suicide ambition. Every organisation within the NHS ought to be setting the same ambition that has been set in Devon The Government have prioritised improving mental health as part of our commitment to achieving parity of esteem, or, as I would prefer to call it, equality. I have been frank that the current system for supporting children and young people’s mental health is simply not good enough, but let us be clear that this is not a new problem. Previous reviews into CAMHS have identified similar issues to those that the Committee highlights, such as a lack of beds, complex commissioning and referral arrangements, poor practice around transition from children to adult services, and instances of children being treated far from home or on adult wards. These issues are deep-seated and hard to resolve. Lord Crisp was recently quoted in the Health Service Journal, when asked about parity of esteem: “If something has developed over 40 or 50 years you don’t solve it in five minutes.” I know a youngster who in the past decade was horribly let down by mental health services at that time. This is not something that has just emerged over the course of this Parliament. I fully recognise that too many areas of the country have disinvested in young people’s mental health. I firmly believe that the situation can and must improve. The Government have taken steps to do this It is worth saying that, as I have done this job, I have seen some really impressive services. There is a brilliant NHS team in Accrington providing the best possible service to young people. I visited South London and Maudsley, where there is a fantastic eating disorder service based on the quickest intervention, with specialist support for youngsters very quickly reducing massively in-patient admissions. That is the sort of service we need to see across the country. There is a brilliant in-patient facility in Colchester, where there is a great school in the mental health service so that youngsters do not lose out on their education while they are receiving support. There are some brilliant third sector organisations. MAC-UK is a wonderful organisation that takes therapy out on to the streets to support youngsters who get involved in gangs, rather than expecting youngsters in those circumstances to visit traditional services. MAP—the Mancroft Advice Project—in Norwich is a brilliant service supporting youngsters in a non-stigmatising way Since 2010, we have raised the profile of children and young people’s mental health to unprecedented levels. We have produced the mental health and suicide prevention strategies, set out the top 25 priorities to help to achieve parity of esteem in the “Closing the gap” document last year, and we have worked, through Time to Change, to reduce the stigma attached to mental health issues. The 2014-15 mandate to NHS England sets it a clear objective to deliver equality and parity of esteem, and in 2014 we published our five-year vision for mental health. At its heart was a radical change: an ambition to set access and waiting time standards for mental health—just as they exist for physical health—including children and young people’s mental health, for all services by 2020. That is a landmark step in rebalancing our health and care system and achieving equality.
It is good to hear that the Government are setting those targets. Will the Minister have a look at the situation in Coventry and explain to me why it has happened? Can he also confirm that the targets he has set will be achievable, despite the £50 million cut that has been made?
I am very happy to look at Coventry if the hon. Gentleman wants to send me a note about that I make the case that there needs to be more investment in mental health, and my party has argued for £500 million of additional investment a year in mental health in the next Parliament. Investing £54 million for the children and young people’s IAPT—improving access to psychological therapies—programme has started to transform existing services, and it now covers 68% of the nought to 19-year-old population, which exceeds the original target of 60% by 2015. NHS England continues to plan for nationwide roll-out, as set out in the mandate, which should be achieved by 2018 As part of the autumn statement, the Deputy Prime Minister and I announced £150 million of investment over the next five years to deal with eating disorders. This will help to ensure that any young person can get the help they need, no matter where they live, and will allow the development of waiting time standards for eating disorders from 2016. This is a condition that can kill, so it is so important that we get early access. We have invested £3 million in MindEd, a digital resource to help people who work with young people and children. It is an online platform designed to give them the help that they need in the work that they do. The prevalence survey is being undertaken—we have secured the money for it—and we plan for it to be ready by 2017. The aim is for it to cover children and young people from two years to 19 years, which is a wider range than in the original survey. That should be widely welcomed As for the taskforce, although there has been much progress, the Government have been open about the scale of the challenge and acknowledged that there is still much to do. As the Committee is aware, I set up the taskforce last summer. It is chaired jointly by the Department and NHS England and brings together a whole load of experts from outside Whitehall and listens to the voice of young people as well. This is a massive opportunity fundamentally to modernise the way children and young people’s health services operate, embracing the role of the voluntary sector and the potential for online support for youngsters, and sorting out this ridiculous, fragmented commissioning. The problem has been there for a long time, but things need to be made much simpler, so that we can have coherent services that are easily understandable for children and their families. If we can grasp this opportunity, we can make a massive difference for young people Let me say a word about crisis care. In a way, this is the area where the gap between physical and mental health is greatest. The Torbay case that my hon. Friend the Member for Totnes mentioned was a shock to the system, although we have already seen considerable reductions in the number of young people going into police stations. We are on course to see a reduction of about 30% this year, but it needs to be much greater than that. In my view, we need to legislate to end the practice completely. It is surely completely unacceptable that young people under the age of 18 end up in police cells rather than in a hospital. That practice simply has to come to an end I applaud everyone who has participated in this debate on a really important subject. I think we have an opportunity massively to improve things.
We thank the Minister, whose sense of timing is almost immaculate. I know that he intended that this debate should finish at seven o’clock, which it has done Question deferred (Standing Order No. 54).
With the leave of the House, we shall take motions 10 to 18 together Motion made, and Question put forthwith (Standing Order No. 118(6)), Childcare That the draft Childcare Payments (Eligibility) Regulations 2015, which were laid before this House on 13 January, be approved Employment and Training That the draft Industrial Training Levy (Engineering Construction Industry Training Board) Order 2015, which was laid before this House on 21 January, be approved That the draft Industrial Training Levy (Construction Industry Training Board) Order 2015, which was laid before this House on 21 January, be approved Local Government That the Local Government (Transparency) (Descriptions of Information) (England) Order 2015, dated 7 January 2015, a copy of which was laid before this House on 12 January, be approved Capital Gains Tax That the draft Community Amateur Sports Clubs Regulations 2015, which were laid before this House on 19 January, be approved Terms and Conditions of Employment That the draft National Minimum Wage Regulations 2015, which were laid before this House on 27 January, be approved Rating and Evaluation That the draft Non-Domestic Rating (Levy and Safety Net) (Amendment) Regulations 2015, which were laid before this House on 14 January, be approved That the draft Non-Domestic Rating (Shale Oil and Gas and Miscellaneous Amendments) Regulations 2015, which were laid before this House on 23 January, be approved Transport That the draft Renewable Transport Fuel Obligations (Amendment) Order 2015, which was laid before this House on 14 January, be approved.—(Mel Stride.) Question agreed to. Sittings of the house Ordered, That this House shall sit on Friday 20 March.—(Mel Stride.)
This petition relates to the closure of the NatWest bank branch in Eccleshall in my constituency. It is supported by over 700 signatures and is accompanied by an Adjournment debate that I had today in Westminster Hall on the same subject The petition reads as follows: The Petition of residents of the constituency of Stone in Staffordshire, Declares that residents of Eccleshall object to the closure of NatWest branch in Eccleshall and further that this is the only remaining bank branch in Eccleshall The Petitioners therefore request that the House of Commons urges the Department for Business, Innovation and Skills to encourage NatWest to keep the Eccleshall branch open And the Petitioners remain, etc [P001440]
I welcome the opportunity to discuss this important matter. I note that the debate falls on world animal day, which is a fortuitous coincidence. If the mysteries of your office had anything to do with it, Mr Speaker, I am very grateful This is the second debate on endangered species that I have introduced since becoming a Member of Parliament, the first having taken place on 1 May 2002. On that occasion, I told the House that, according to a figure that I had been given by the Born Free Foundation, there were 2,155 critically endangered species. I am sorry to say that, according to the foundation, the figure has risen to 2,510 in the intervening years, and that it includes 213 mammals, 213 birds, 174 reptiles and 518 amphibians. Appallingly, 26% of known mammal species are now threatened with extinction, and the number of wild animals on earth has halved in the last 40 years I could continue to give figures indefinitely, but let me instead give one or two examples to support my case. In 1900 or thereabouts, there were 100,000 tigers in the wild, but there are now more tigers in United States zoos than there are in the wild. Central Africa has lost 64% of its elephants in just 10 years, and 50,000 were slaughtered in 2013 alone. In our oceans, 73 million sharks are being killed every year for their fins. All eight pangolin species are close to extinction, and 1 million have been traded over the last decade. Sadly, as they near extinction, the desire of hunters to find them increases rather than decreases What is the reason for all that? It comes down to money. According to research carried out by the International Fund for Animal Welfare, the illegal trade in endangered species is worth $19 billion a year. That is a huge amount of money for people who are involved in criminal activity which, of course, can also be brutal and mercenary. When I was a Home Office Minister, I heard a story about an African country where rangers were trying to protect the animals. A helicopter landed, full of very well-armed individuals who simply mowed down all the rangers and all the animals. Apparently, that was not particularly unusual The good news is that the coalition Government has been leading on this matter. I particularly congratulate the former Foreign Secretary, the right hon. Member for Richmond (Yorks) (Mr Hague), on the leadership that he has provided. I was very pleased to co-chair a section of the February 2014 conference which led to a London declaration and 41 countries signing up to a course of action. There will be a follow-up when the Botswana conference takes place later this month, and I pay tribute to Foreign Office officials for the work they are doing in preparing for that event. Let me also acknowledge the work that is being done by Border Force. When I was a Minister, I had an opportunity to observe its superb work at Heathrow in identifying those who trade in endangered species, and the expertise that it has developed What must we do? I am pleased to say that the Government is already taking some action, but more is needed. First, we must reinforce the help that we are giving to developed countries to protect their animals. That means giving them military help, financial help, and help with economic planning, so that tourism, for example, can provide them with a valuable alternative income stream. At the London conference that I attended last year, one of the key “asks” was for Land Rovers to enable rangers to travel around more quickly. I hope that the Government has noted those points, which may seem small, but which are very important when it comes to helping developing countries I welcome the £5 million that has been allocated by the Departments for Environment, Food and Rural Affairs and for International Development, but I hope that, notwithstanding the current financial situation, the Government will be able to find more money to help to deal with this important matter, and will encourage other countries to follow suit Secondly, we need to engage with end markets. In particular, we must try to persuade China to cut off the demand for products such as ivory and rhino horn. They are used in so-called medicinal solutions, but I believe that they are medicinally worthless. I understand that rhino horn, for instance, is about as much use as a fingernail when taken in a attempt to cure a particular condition Thirdly, we need to deal with transportation measures and tackle how products are taken from A to B. I know the Leader of the House is dealing with this in a different capacity now. So there is a lot to do; I am pleased the Government is doing a lot, but there is still more that can be done In particular I ask the UK Government to look at the issue of online sales. We have to go further than we have done on that. IFAW investigators have found a total of 33,000 wildlife and wildlife parts and products from species listed in appendixes I and II of the convention on international trade in endangered species for sale in over 9,000 ads online. We should be requiring online marketplaces to alert users to the legal position. I should be grateful if the Minister responded to that point and told me whether the Government are considering that matter We also need to look at ensuring long-term funding for the national wildlife crime unit. I am happy to say that, partly when I was in office, the funding was extended to 2016, but it would be helpful if the Minister could say—notwithstanding the fact that we cannot tie the hands of a future Parliament—that the intention is to carry on funding that very important unit We must also reinstate a dedicated post for wildlife cyber-crime. This appears to have vanished and is terribly important, particularly if we are going to deal with the issue of online marketplaces. That may be just an unfortunate cut, but it is necessary to reinstate it. It may not even be about more money; it may simply be about a reallocation of individuals, but it is important that that post is filled We must also confirm that the trade is covered by the serious and organised crime strategy. I believe it is, but it will be helpful if the Minister can confirm that the Home Office strategy for serious and organised crime takes account of endangered species. I know from my time in office that the people who deal in endangered species may well be dealing in children one week or guns or drugs or something else. They do not really care; they are completely lacking in morality. All they are interested in is making money. This is not just about protecting endangered species, vital thought that is; it is also about making sure we interrupt these people in their activities, whatever they are dealing with at any particular time Finally, I ask the Minister to deal with the regulations on the control of trade in endangered species. I understand that it is the Government’s intention to update the regulations, which I welcome, but I would be grateful if the Minister confirmed that we will be able to do so before we reach purdah at the end of the month. It will be unfortunate if this matter rolls over. He knows as well as I do that when a new Government takes office—even if it is the same one—there are so many things to sort out that matters such as this can be shoved down the agenda. This is a simple matter that I think the Government is committed to. If we are able to deal with it before we end this Parliament, that will be very helpful. I hope the Minister is able to deal with those three or four points in his response to me The level of extinctions is terrifying. We are in danger of losing species in our lifetime—I say that even as someone who is middle-aged. I understand that the dinosaurs took 250,000 years to become extinct in the last mass extinction. We could lose the tiger and other species in 25 years. I do not want to be a member of the human race—and I do not think anyone in this House does either—who sees such species disappearing in our lifetime. So I urge the Government, not simply to carry on with what it is doing, which is welcome, but to redouble its efforts at Botswana and elsewhere to protect these endangered species, engaging with our colleagues in other countries to make sure we do all we can so that future generations can benefit from the wonderful species around the world, just as we have in our lifetime.
I congratulate the right hon. Member for Lewes (Norman Baker) on securing this most appropriate debate as today is, as he pointed out, world wildlife day. Individuals and organisations will be marking the day with events around the world, and I note that the right hon. Gentleman has been particularly busy highlighting the problems our wildlife face with the release of his “Animal Countdown” CD. Before this debate I went online to listen to it and it is not bad—it is pretty good and certainly does highlight this very important issue. On world wildlife day, we celebrate the intrinsic value of animals and plants, but we also highlight the severe threats that they face. Those threats range from habitat destruction and climate change to the illegal wildlife trade and poaching, which is threatening to decimate many species, as he pointed out Much of our ongoing effort to combat those threats is undertaken through work in the relevant international conventions, including the convention on biological diversity and the convention on international trade in endangered species. The UK Government provide direct support to countries that are rich in biodiversity but poor in financial resource. This includes work in our overseas territories through the globally respected Darwin initiative. More than 900 projects totalling around £110 million have been funded since 1992, supporting habitat and species from elephants to the mountain chicken, which is not actually a chicken but a type of frog native to the Caribbean islands of Dominica and Montserrat. The global tiger initiative has brought together all the tiger range states, as well as concerned Governments —including that of the UK—and academics and non-governmental organisations involved in the global tiger recovery programme. The programme aims to double the number of tigers in the wild by 2022, and the UK has committed funding equivalent to $500,000 to support that work This year’s theme for world wildlife day is wildlife crime. In recent years, it is the scourge of poaching that has focused many minds as it threatens some of the world’s most iconic species, including elephants, rhinos and tigers. There was wide recognition that more needed to be done and I am pleased to say that this Government are a global leader in efforts by the international community to tackle this issue, as the right hon. Gentleman acknowledged. The illegal wildlife trade not only threatens the future existence of whole species; it devastates already vulnerable communities co-existing with these species, drives corruption and undermines our efforts to cut poverty. The right hon. Gentleman gave an example of gunmen killing all the animals and all the rangers. Murder is being committed, and we should recognise the fact that many of the rangers who are trying to fight the scourge of poaching are putting their lives at risk. This illegal trade strikes at the very heart of our goals for good governance, for the protection of national and regional security, and for sustainable economic development The number of animals being poached is truly horrific. At least 20,000 elephant poaching deaths were recorded in 2013. In 2014, the Government of South Africa reported that 1,215 rhinoceroses were killed by poachers. That is a staggering increase, up from 13 killed in 2007. This wholesale slaughter is being driven by greed and by organised criminal syndicates. The price of ivory in China trebled between 2010 and 2014 Recognising the rapidly deteriorating situation, in February last year the Government hosted the London conference on the illegal wildlife trade. High-level representatives from 41 countries and 10 international organisations came together to agree a set of urgent actions. The conference delivered an ambitious political declaration containing 25 commitments to take action on, for example, reducing demand for illegal wildlife products, ensuring effective legal frameworks and deterrents across the globe, strengthening law enforcement and supporting sustainable livelihoods. Those 25 commitments included Governments committing for the first time to renounce the use of any products from species threatened with extinction, and Governments supporting the CITES commercial prohibition on international trade in elephant ivory until the survival of elephants in the wild is no longer threatened by poaching. Governments also committed to treating poaching and trafficking as a serious organised crime in the same category as drugs, arms and people trafficking In December last year, we announced funding for 14 projects as part of the illegal wildlife trade challenge fund, worth almost £4 million. That will help developing countries to tackle the illegal wildlife trade, and it is in addition to the five projects that we funded earlier in 2014. This means that we are now supporting 19 projects with a value of more than £5 million over the next four years There is also some evidence that other countries are starting to follow our lead. Over the past year, there have been many positive examples of countries taking action to deliver the commitments made in the London declaration. As the right hon. Gentleman pointed out, just last week China announced a 12-month immediate ban on the importation of carved ivory, in support of its efforts to protect elephants in Africa. His Royal Highness the Duke of Cambridge is currently in China as part of his visit to the far east. He is undertaking engagements there in support of his work to combat the illegal wildlife trade and support wildlife conservation. In addition, my right hon. Friend the Secretary of State for Environment, Food and Rural Affairs raised the issue of illegal wildlife trade during her recent visit to China at the beginning of this year. In Vietnam, the penal code is being amended to incorporate stronger and more deterrent sanctions against environmental crimes, including the illegal trade in endangered species UK enforcement bodies play an active role in combating wildlife trafficking, and I commend the excellent work of the national wildlife crime unit and the UK Border Force. The right hon. Gentleman asked about the future funding of that unit. Like him, I have been passionate about supporting it, and DEFRA certainly made funding available to it up until 2016. Having been in government, he will be familiar with the way in which funding works, and we will have to wait until the next spending review period before we can make specific commitments on it. I hope he will accept that in recognising the unit’s good work, I am sending a strong signal in support of its efforts to tackle this difficult problem. Hon. Members may recall a case last year of an interception at Heathrow of very rare San Salvador rock iguanas being smuggled from the Bahamas. We were able to return 12 of these critically endangered species to their natural habitat. Sadly, one of the iguanas died, but I am pleased to say that the criminals responsible received 12-month custodial sentences. The success of that operation was due to the excellent work carried out by the Border Force CITES enforcement team based at Heathrow As the right hon. Gentleman pointed out, there is more to be done on intercepting smuggling during transportation. I therefore welcome the creation of an international taskforce to examine the role of the transportation industry in the trafficking of illegal wildlife products. His Royal Highness the Duke of Cambridge launched that in December 2014, and my right hon. Friend the First Secretary of State and Leader of the House—the right hon. Gentleman also mentioned him—has agreed to chair that important taskforce. The taskforce, including representatives from the global transport industry, will develop industry-wide protocols for the sector to strengthen measures it can take to help to eliminate this trafficking. Through the illegal wildlife trade challenge fund, the Government are supporting work such as the border point project, stopping illegal wildlife trade in the horn of Africa. We are also providing funding to the Born Free Foundation to improve enforcement by sending experts to border points to increase the knowledge and skills of local officials The right hon. Gentleman finished his speech slightly sooner than I thought he would, so my officials have been working overtime to ensure that I have answers to some of his questions. He asked about the serious and organised crime strategy, and I can confirm that it does cover the illegal wildlife trade. I have covered the point about the national wildlife crime unit; we support the work it does, but, obviously, we are bound by the fact that we have to await the next spending review before making any final commitments on that front. He also asked for an update on any progress being made on updating the CITES regulations. The Government are continuing to take forward the review of CITES regulations, and consultation on proposed changes is taking place. We recognise that the remaining time is limited within this Parliament, but it remains this Government’s intention to progress as far as we can the laying of that updated legislation before the House.
Just before the Minister concludes, will he say something about the issue of online trading and what steps the Government can take to alert buyers to the potential illegality of their purchases?
I have answered parliamentary questions on that matter, and my understanding is that that is something the National Crime Agency was doing. There used to be a designated person dealing with that matter. The fact that that post no longer exists does not mean that the work is not being done. It simply means that there is not a single designated person doing it. I am happy to write to the right hon. Gentleman about this matter. As he will know, this specific issue is within the portfolio of my noble Friend Lord de Mauley, and I will ask him to clarify the position on online crimes The Government are strongly committed to protecting our world’s endangered species, and in particular to supporting the international community to tackle poaching and the trafficking of wildlife. As the follow-up to the London conference, the Government of Botswana are hosting a second conference in Kasane. That conference is an opportunity to recognise the progress that has been made globally on combating the illegal wildlife trade, and importantly to maintain the priority and focus directed towards this issue achieved at the London conference The UK has worked closely to support the Government of Botswana in developing a range of ambitious outcomes. We expect Governments to commit to actions that build on the London declaration. That is likely to include strengthening work to reduce the demand and supply sides for illegal wildlife products, and action to tackle money laundering and other kinds of financial crime associated with the illegal wildlife trade. Those are the sorts of action that we need to take. As an international community, we need to do everything possible to ensure that these magnificent and yet sadly—in some cases—endangered species have all the protection that humanity can offer Question put and agreed to.