House of Commons (27) - Commons Chamber (11) / Written Statements (10) / Westminster Hall (6)
(11 years, 9 months ago)
Commons Chamber(11 years, 9 months ago)
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(11 years, 9 months ago)
Commons Chamber1. What recent assessment he has made of the situation in Sudan and South Sudan.
I welcome the agreements reached in September between Sudan and South Sudan, following months of intensive negotiations on borders, security and economic issues. We are working with the African Union to ensure that these are fully implemented and that remaining differences are settled.
I warmly welcome the Minister to his new and important responsibilities. Is it not outrageous that, as the Sudanese Government protest at the bombing of an arms factory in Khartoum, they continue to bomb their own people in South Kordofan and Blue Nile, causing untold suffering for hundred of thousands, including the largely forgotten people living in the caves in the Nuba mountains? Will he and the Foreign Secretary continue to put pressure on the international community to ensure that, in turn, it puts pressure on the Sudanese Government to allow safe access so that humanitarian assistance can get into those areas as a matter of urgency?
I am grateful to the right hon. Gentleman for his welcoming remarks, and I certainly look forward to doing this job to the best of my ability. He is absolutely right to raise the recent incident, but it is a matter for the Government of Sudan. He will be aware that they have written to the President of the UN Security Council, who will be investigating the matter, and we, along with all Governments, await the results of those investigations. His points about the ongoing conflict in South Kordofan and Blue Nile are right, and I can assure him that the UK Government, along with regional players, including the African Union and the Arab League, are doing all we can to ensure that humanitarian aid and access are given to those particularly challenging areas as soon and as fast as possible.
Although the new agreement signed between north and south is welcome, is the Minister aware that the arms factory just alluded to is supplying arms into Sinai and possibly Gaza, and is Iranian-owned? Does he agree that he should be telling the Sudanese Government that such activity simply has to stop?
I am grateful to my hon. Friend for his comments. As he will be aware and as I stated earlier, the Sudanese Government made a request to the UN, and an investigation is now ongoing. We will be watching the thoroughness of that investigation extremely carefully, and will decide what to do once we have received the results.
Does the Minister agree that the Government of North Sudan must allow the safe, unhindered access of international aid to areas that so far have been inaccessible in order to ensure full accessibility for everybody and an end to bloodshed?
I am grateful to the hon. Lady for raising this issue. To reduce and negate the suffering in Blue Nile and South Kordofan, it is essential that we enable humanitarian access to get to these areas as fast as possible, but it is extremely challenging. She might be aware that an agreement was reached in August between the tripartite—the UN, the AU and the Arab League—and signed by the North Sudanese Government and the Sudan People’s Liberation Movement-North to allow humanitarian access. We need to ensure that that agreement is implemented as fast as possible to alleviate the suffering.
I congratulate my hon. Friend on his new position. The issue of the arms factory that my hon. Friend the Member for Croydon South (Richard Ottaway), the Chairman of the Foreign Affairs Committee, mentioned was accompanied by visits by Iranian warships to Khartoum. Will the Minister do all he can to reduce tensions in the region? This is a very unwanted development.
I agree with my hon. Friend. We have consistently and strongly encouraged the Government of Sudan to set themselves on a path to becoming a stable, prosperous nation playing a positive role in the region. In that regard, we do not consider such political and military engagement with Iran to be helpful.
2. What recent assessment he has made of the political situation in Swaziland.
The Government remain deeply concerned about the continuing decline in good governance and human rights in Swaziland, and the lack of progress towards democracy. The UK has called on the Government of Swaziland to abide by the 2005 constitution, which guarantees the rights of all Swazi citizens to freedom of assembly and freedom of expression.
I thank the Minister for that reply, but what more can he do for people such as Mario Masuku of PUDEMO—the People’s United Democratic Movement, the leading opposition party in Swaziland—with whom I worked in Barclays Bank in Swaziland? What more can the Minister do to encourage King Mswati to be a little more sympathetic and tolerant of the existence of political parties?
I know that my hon. Friend has a particular interest and knowledge of Swaziland, and I can confirm to him that the UK continues to urge the Government there to ensure that all political parties are able to operate freely and participate in the elections scheduled for September 2013. We believe that the people of Swaziland want political parties and we call on the Government there to respect their wishes. I can also confirm that our high commissioner will be visiting Swaziland in November to participate in discussions and will use the opportunity to underline the UK’s concerns about the current political and economic environment and press for reform.
3. What assessment his Department has made of the fairness of the trial of the former President of the Maldives, Mohamed Nasheed; and what representations he has made to ensure that the trial is fair.
We have sought and received assurances from President Waheed of the Maldives that any trial of former President Nasheed will be fair and free from political influence. No trial date has been set. The next court hearing is on 4 November and we expect international observers to be present.
What effect does my hon. Friend think the trial of Mohamed Nasheed will have on a sustainable political outcome in the Maldives?
The trial process is, of course, a matter for the Maldives, but there is international concern that if it results in the former President being prevented from leading his party into the elections next year, it will be seen as though the process was designed for exactly that object. We urge political stability under all circumstances in the Maldives, and that will no doubt be enhanced if the former President is allowed to lead his party and take part in those elections.
4. What recent reports he has received on progress in uniting Syrian opposition forces around a credible transition plan for a post-Assad Syria.
6. What recent reports he has received on progress in uniting Syrian opposition forces around a credible transition plan for a post-Assad Syria.
11. What recent reports he has received on progress in uniting Syrian opposition forces around a credible transition plan for a post-Assad Syria.
We judge that co-operation between opposition groups is increasing, but there is much more to do. They need to unite and to appeal to all Syrians, regardless of religion and ethnicity. Our special representative is in constant contact with opposition groups and there will be a further meeting with them in Doha next month—next week, in fact—to work on that more united position.
In light of the failure of the recent ceasefire, what recent discussions has the Foreign Secretary had with the United Nations about reinstating a monitoring mission in Syria?
That is of course a difficult thing to do because of the situation in Syria. The Arab League had a monitoring mission; then there was a United Nations monitoring mission. All of them found it impossible to do their job because the regime did not keep its word and fighting continued, so that is not on the table at the moment in Mr Brahimi’s proposals. I will discuss with Mr Brahimi this afternoon what his next proposals will be. We continue to work for a diplomatic solution and to advocate the creation of a transitional Government in Syria, but so far our efforts to do so have been blocked or not carried forward by Russia and China.
Given that we cannot fully track where UK donations are going, may I press the Foreign Secretary to explain how we are ensuring that they are not ending up in the hands of jihadist forces?
The first thing to say is that our assistance is non-lethal. We are providing to the opposition equipment such as generators, communications equipment, water purification kits and things of that kind. We make every effort to track such equipment and ensure that we know where it is going, but as I have explained to the House before, the risks that we take in this area are outweighed by the risk of not giving any assistance to such groups and to civilian populations in Syria, who are in a dire situation. The balance of risk suggests that we should give assistance to them.
Can the Secretary of State say what progress he is making with the Governments of Russia and China on their position, which is clearly proving a stumbling block to action by the UN Security Council?
We continue to try to make such progress. I and all the EU’s Foreign Ministers met the Russian Foreign Minister two weeks ago for a further discussion about this in Luxembourg. There is no change in the position of Russia as things stand, which is a tragedy for Syrians and the world. In fact, since the last attempt to pass a chapter VII resolution was vetoed by Russia and China, more than 13,000 people are thought to have died. This is a major block on our diplomatic progress. In the absence of that, we are giving non-lethal support to the opposition, we are the second largest bilateral donor of humanitarian aid, we work with other nations to prepare for the day after Assad and we continue to assist the opposition in coming together as a more coherent force.
Does my right hon. Friend agree that, as I suggested at the time, it was really a mistake for the west to encourage a civilian rebellion against the dictatorship in Syria? That rebellion has been joined by the Muslim Brotherhood, Hamas, the jihadists and al-Qaeda, among others, while the Alawite regime is being supported by the Christians, the Kurds, the Druze and Russia. As I predicted, this has become a secular civil war and it is already threatening the stability of Lebanon, Jordan and Turkey. Given that the United Nations route has failed, that even Governor Romney has ruled out military intervention, and that the Russians are seriously concerned to prevent the conflict from spreading to the Caucasus, surely the time has come for my right hon. Friend to make further bilateral suggestions to Russia to find a joint approach that will end the bloodshed.
I can assure my right hon. Friend that there has been no shortage of bilateral and multilateral suggestions being made by us to Russia. I will pick him up on something that he said at the beginning of his question, when he implied that we in the west had encouraged a rebellion in Syria. That rebellion did not require any encouragement from western nations. That was the people of Syria rising up against an oppressive regime, and they did so without any incitement from western leaders of any kind. There is the sectarian tension and conflict to which my right hon. Friend refers, as well as a genuine desire to get rid of an oppressive and tyrannical regime.
But is it not the sad truth that Syria is bleeding to death because of a military stalemate in which the insurgency is incapable of bringing down the Assad regime and the Assad regime is incapable of putting down the insurgency? May I suggest that the only way to break down that military stalemate is to break down the political stalemate at the United Nations? Do not recent events in Lebanon serve to underline the fact that the risk to regional stability is now very considerable? Is it not in the interests of Russia and others to seek to bring an end to the political stalemate?
My right hon. and learned Friend is absolutely right. I hope that if any good can come of the events in Lebanon, they will serve as a fresh wake-up call to the world about the dangers of the Syrian conflict. This is not a containable crisis. A regime is waging war against its own people, and the longer it goes on, the more extreme will be the forces that are drawn into it, which is the very thing that Russia says it is worried about. We warned about all those dangers when we called on the United Nations Security Council to act, and those predictions have so far been proven to be true. Of course we will continue to work on this at the United Nations and to support Mr Brahimi, as I have said, while in the meantime doing all that we can to alleviate suffering inside Syria and on its borders.
What assessment has my right hon. Friend made of the political programme coming from the Syrian resistance movement?
There is a variety of political programmes from a variety of opposition groups. I pay tribute to the people I have met, some of whom have come out of Syria to tell us about their experience, for the extraordinary courage and determination that they have shown in the face of overwhelming odds in trying to fight and work for a better society in Syria. However, they do need a more coherent programme for transition, and it is important for them to make every effort to win over the middle ground of Syrian opinion. That includes minorities, Christians and the business community, who need to know that there can be a change to something better than the Assad regime.
I have listened with care to the answer that the Foreign Secretary has just offered, but it is worth bearing in mind that it is now more than 18 months since the beginning of the popular uprising and that neither unity nor a credible opposition plan has yet emerged from the Syrian opposition movement. The right hon. Gentleman referred in a previous answer to the Doha meeting as the next significant step, but would he accept that that meeting has already been postponed? Will he set out what practical steps can be taken with partners in the regions to try to effect the unity that has so far proved elusive?
Yes, it is true that that meeting has been postponed, and there have been many meetings with Syrian opposition groups. It is, of course, not possible or desirable for people in other countries, including our country, to try to impose on them any particular programme. The whole point is that Syria’s future should be for Syrians to decide, so they have to take the decisive steps to come together with a coherent platform. Our special representative works with them on a daily, usually an hourly, basis, and our pressure on them for the forthcoming meeting is co-ordinated with the United States, France, Turkey and leading Arab nations. It is very clear that the Syrians know that the world is looking to them to come together in a more effective way.
Does the Foreign Secretary accept that there is a relationship between whether such a transition plan emerges and the capacity of the international community to break the diplomatic logjam that we have heard about already in the course of our questions? If there are to be further discussions with the Russians and the Chinese in particular, which I sincerely hope there will be, the emergence of a credible transition plan is going to be one of the bases on which the optics of that conversation can be changed from the last 18-month stalemate.
Yes, that is quite right. I would not want the right hon. Gentleman or the House to think that it would necessarily bring about an end to that diplomatic stalemate, but it is one of the necessary ingredients, and it is one of the arguments of Russian leaders that the opposition is divided and that there is no single interlocutor with which to deal. It would indeed be very advantageous to remove that argument in trying to bring peace and stability to Syria. I think we are all very conscious of that, and will be very conscious of it over the coming months, and that, indeed, this has gone on for 19 months in total and more than 30,000 people have died. We will continue our work for a peaceful, sustainable transition in Syria.
Given that over 30,000 people have died in this struggle, does my right hon. Friend share my view that the most important thing is for the opposition groups to come together and offer the Syrian people what they really want—the hope of a better future?
Yes, absolutely. Again, I want to pay tribute to many people who risk their lives to support the opposition and to many who have worked in the Syrian National Council, for instance, to set out a clear intention to create a better future for their country, but it is now important that they come together in a more effective way. I have often explained to them that in the history of this country when we have faced an existential threat, all parties have come together on a common programme. Syria now faces an existential threat to any peaceful or stable future; it has to do the same.
If, in the right hon. Gentleman’s answers to questions, I have detected a change of tone from the previous insistence on regime change above all else, may I welcome that? Will he explain his own view that what we are faced with is a civil war—a civil war not just at the present time, with around a third of the people backing the barbarity of Assad out of fear of something worse from Sunni domination, but the continuation of a civil war following a simple collapse of the regime? What we therefore need is his insistence on a transitional Government.
Since I agree with the right hon. Gentleman about the need for a transitional Government, I do not want to disappoint him too much in respect of the start of his question. It is not that the western world has set out on regime change in Syria, but it is certainly our analysis, and it has been for a long time, that peace cannot be brought to Syria without the departure of President Assad. There is no viable peace; there is no peace that the people of Syria would accept without that. I am not changing tone or policy on that. The right hon. Gentleman is quite right about the need for a transitional Government. We agreed in Geneva at the end of June—with Russia, China and all other leading nations—about the need for that. What we do not have is the active participation of Russia in bringing about such a transitional Government.
Does the Secretary of State have any reports about the growing anti-west resentment and feeling by the Syrian people in the opposition as a result of the west not doing enough to protect them?
As my hon. Friend will know, there is a great variety of views. I find that there is enormous gratitude for what we have done and what we try to do diplomatically, and for the huge amount of humanitarian assistance that is provided, but yes, there are also members of Syrian opposition groups who would like us to do something different, and who would like a military intervention from outside. As I have explained to the House before, we do not rule out any options. We do not know how the situation will develop. However, for reasons that I have given the House many times before, it is very different from the situation in Libya last year.
5. What his policy is on proposals to give Palestine enhanced status at the UN.
No application for enhanced status is currently before the United Nations. The whole House supports the right of the Palestinian people to have a state of their own: that state cannot come soon enough for them, and for the peace and stability of the region. We support a sovereign Palestinian state on 1967 borders with agreed land swaps, Jerusalem as the shared capital and a just settlement for refugees, and we will judge any proposal at the UN on whether it advances that goal.
: The hon. Gentleman is right: President Abbas has stated that intention. However, no proposal is currently before the UN. In our view, the priority is for the United States—after the election, obviously, and whoever is successful—to lead a major push to restart negotiations and arrive at a two-state solution. The opportunity to do that is slipping away, and may have slipped away completely within another year or two. For the present US Administration it is absolutely crucial, and we have already said that to President Obama and to Governor Romney. Any decision on votes at the UN must be made on the basis of actual proposals.
I think the hon. Gentleman will infer from what I am saying that we believe that actual negotiations would be infinitely preferable to divisive symbolic gestures, and we are advising President Abbas not to go down the path of tabling such a resolution at the moment.
We all want to see significant progress towards a two-state solution, but does the Foreign Secretary agree that any attempt by the Palestinians to declare unilateral statehood might provide an obstacle to the opening up of real negotiations, without preconditions, with the Israelis?
We will only arrive at a two-state solution through successful negotiations. It is therefore very important that the Israelis and Palestinians are prepared to enter into those negotiations, and, as I have said, that the United States is ready to put its full weight behind them in 2013, after the presidential election. That is the way forward. I think that if the Israelis and Palestinians or the United States fail to do that, we shall enter into a new and even more dangerous situation.
18. If President Abbas did present proposals to the UN within the next month for Palestine to be accorded observer status, and if the UN General Assembly approved them, would that not constitute an important statement by the international community of the primacy of a two-state solution, and would it not have the potential to break the diplomatic impasse?
That is a hypothetical question. Of course it could be argued that it would be a very important statement. As I have said, I think that Members on both sides of the House believe in the importance of bringing about a Palestinian state, but if that cut across the ability of a re-elected or new US Administration to put its full weight behind this, and if it made Israelis less likely to enter into constructive negotiations in the coming months, it would take us further away from our goal rather than nearer to it.
But what other options are available to the Palestinian people as they see a programme of settlement building increasingly closing the door on the physical possibility of a Palestinian state?
That is an understandable question. As my hon. Friend knows, we have condemned the expansion of settlements. The settlements are what is bringing about the urgency of the issue, because they are making a two-state solution in the coming years less feasible. However, I reiterate that the best hope of achieving a solution is a major push by the United States in the coming months and over the coming year. Everything else is second best to that.
But what progress has the Foreign Secretary made by failing to adopt a position on this matter?
I do not think we are short of positions on this matter, and I have just explained the Government’s position on it. It is one of the great foreign policy frustrations for this country and for people across the world, but as we know, and as all previous Administrations have known, there is not a magic or overnight solution to it. The solution is negotiations on a two-state solution, and we now have an opportunity to make a major push for that. If that does not happen, we will be in a new and more dangerous situation, and that will require many nations to reconsider their approach.
Can my right hon. Friend confirm that the Government policy is as set out by the Prime Minister in his excellent recent United Jewish Israel Appeal speech, when he made it clear that there is no substitute for face-to-face negotiations without preconditions and that the United Kingdom Government would not support a premature move to statehood at the United Nations?
7. What legal advice he has received on the banning of all imports from illegal Israeli settlements in the Occupied Palestinian Territories.
I have neither sought nor received any legal advice on this issue, because the policy of successive UK Governments has been not to ban the import of settlement produce, but to support the policy of voluntary labelling to ensure consumers are fully informed.
Has the Minister seen today’s report from 22 Churches and charities, showing that we in Europe import 15 times more from the Israeli settlements than from the Palestinians? Is he also aware of the growing body of international legal opinion that all trade with the illegal settlements is itself unlawful? Will he therefore now seek that legal advice, so we in this House can be confident that Britain is following its obligations?
I have seen the report and I note that one of its main recommendations is to commend the United Kingdom on its policy of voluntary labelling and to encourage other European Union countries to do the same. There is active consideration in the EU about doing just that, and we are taking part in that. So far, however, I have not seen anything that would lead us to change our policy in relation to boycotts, but I will, of course, look at all the recommendations in the report.
Will the Minister give the House his opinion of the apparent legal inequality between children who live in settlements in the west bank and Palestinian children, who do not?
As my hon. Friend and other Members will be aware, there has for some time been concern about the legal rights of Palestinian children in particular. The UK Government part-sponsored a recent independent report looking into these issues. We remain concerned about the inequalities, and I have drawn these issues to the attention of Israeli Ministers when I have had the opportunity to do so.
Does the Minister agree that one-sided boycotts and sanctions will not resolve this complex and tragic issue, and does he applaud the fact that life-saving Israeli pharmaceuticals will now be made more generally available across Europe?
Yes, I do broadly agree with the hon. Lady. Successive Governments have not followed a boycotts policy because that would put at risk the relationship we wish to retain with Israel. A recent change in EU pharmaceuticals legislation will help the products she mentions to be made available, but as my right hon. Friend the Foreign Secretary has just said, such things are also caught up in the need for an overall solution to the problems between the Palestinian Authority and Israel. All the issues raised will not be settled until that happens. That is why we must urgently address the search for a solution in the way the Foreign Secretary has just outlined. These issues will only be resolved then.
Does my hon. Friend agree that the way to solve the settlement problem is to have direct, final status negotiations between the Palestinians and the Israelis, and that any academic, cultural or trade boycott will simply prove counter-productive and will damage this country’s ability to move the peace process forward?
Yes, and I hope I conveyed exactly that in my previous remarks.
8. What assessment he has made of the political consequences in the middle east of the exploration for oil and gas off the coast of Cyprus.
The discovery of oil and gas resources has the potential to bring greater prosperity and energy security to the region. We hope that all countries in the region will work to overcome their differences to develop those resources in a mutually beneficial way.
I thank the Minister for that response. He will be aware that Cyprus has moved on from olive oil to crude oil, and there are genuine concerns among all Cypriot people that the illegal occupying forces in the north may wish to assist the exploration of that oil against the best wishes of the Cypriot people. If that were to happen, what options would be open to the UK Government, given that we are a governing power and we do have a significant military presence on the island?
We have repeatedly stated publicly our acceptance that the Republic of Cyprus has sovereign rights to exploit its mineral reserves within its exclusive economic zone. We think that the prospect of the greater prosperity that would flow from the successful exploitation of hydrocarbon resources in the eastern Mediterranean is one of many reasons why it is in the interests of Cyprus—all communities in Cyprus—of Turkey and of Greece to reach a settlement to the maritime disputes in that region and a final settlement to the Cyprus question, too.
Given the stalling of the political search for a solution to the Cyprus problem, does not this exciting prospect of the exploration of hydrocarbon reserves highlight both that Britain has an important role as a guarantor power in ensuring that these are resources for the whole island of Cyprus, and that reunification of the island is an economic necessity for Cyprus and the greater region?
It is certainly important that these resources are seen as being developed for the benefit of all communities in Cyprus, not just for one section of the population there. Any settlement that endures in Cyprus has to have the wholehearted consent of both the Greek and Turkish Cypriot communities. That is why, although we want to support the work towards a settlement, it is right that that process towards—we hope—a final settlement has to be Cypriot-led.
9. What recent representations he has made on behalf of Shaker Aamer; and if he will make a statement.
I have raised Mr Aamer’s case numerous times with Secretary Clinton and, in June, my right hon. Friend the Defence Secretary and I made representations to Secretary Panetta. Any decision regarding Mr Aamer’s release remains in the hands of the United States Government.
I thank the Foreign Secretary for that reply and for the work that he and Ministers have undertaken on behalf of Mr Aamer’s family in Battersea. Obviously, the next months offer a window of opportunity, as there will be a change of personnel, even if there is not a change of Administration. Can the Foreign Secretary assure me that he will continue to seek waivers, particularly to the National Defence Authorisation Act, with counterparts on the other side of the Atlantic?
Yes, and I pay tribute to my hon. Friend’s work on this issue. Senior US officials have confirmed that the National Defence Authorisation Act 2012 has the potential to make Mr Aamer’s release more likely than the Act of the previous year, but no releases have yet taken place under that Act and the criteria for the national security waiver remain unclear. We will certainly be pursuing this with the re-elected or incoming US Administration.
10. What steps his Department is taking to ensure the continuing education of girls in Afghanistan following the military draw-down.
14. What steps his Department is taking to ensure the continuing education of girls in Afghanistan following the military draw-down.
The United Kingdom can be proud of the role it is playing in ensuring that more than 2 million girls are now in school in Afghanistan. At the Tokyo conference in July, the Afghan Government reconfirmed their commitment to the rights of women and children. My right hon. Friend Baroness Warsi made the point again during her visit to Afghanistan in the past couple of weeks and got a further assurance from the Afghan Government.
I thank the Minister for his answer. Last week’s International Development Committee report said that the status of women and girls in Afghanistan would be the “litmus test” of whether we have succeeded in improving the lives of ordinary Afghans. What is his assessment of the Afghan High Peace Council’s commitment to include women in Afghanistan’s political process?
There are already a number of women in the Afghan Parliament; some 31% of Afghan Members of Parliament are women, and there is a clear commitment in the declared aims of the Government, which they reaffirmed to the United Kingdom as part of our enhanced strategic partnership on the rights of women. The truth is of course that the cultural issues are extremely difficult, and we will continue to press them and to work with the elements in Afghanistan who wish to see continuous progress. I do not think any of us can disguise the fact that it is not easy, but there are elements in Afghanistan who clearly want to see progress.
While mainstreaming women’s rights and status is important, what specific projects have the Foreign and Commonwealth Office, or colleagues in the Department for International Development, funded?
We fund a variety of projects through our conflict pool to encourage the participation of women in the political process, through elections and education and through supporting particular women’s rights advocacy groups, and to assist in their work in the media. The Foreign and Commonwealth Office and DFID do that work collectively, and we do it multilaterally with other international agencies.
Did the Minister see the important article in The Sunday Times this weekend, which made it clear that after 2014 the Taliban will be targeting all the progressive steps that have been taken, and will he therefore seek to open the Government’s mind a little more to the prospect of trying to preserve those gains by supporting the concept of a strategic base in the area after 2014 for international security assistance forces?
How the use of forces will be made after 2014 is still to be considered. My hon. Friend has made this plea before. I would say in response to his point about the Taliban that one of the most significant events in recent weeks has been the public response to the Taliban in Pakistan, in support of the young girl Malala and her right to education. Bearing in mind the links between the Taliban in Pakistan and in Afghanistan, that assertion by the people of Pakistan of the importance of women’s rights and women’s education may be the best response we have yet seen to the demands of the Taliban, and a consideration that they may not be accepted by the people themselves, which would be the best guarantor of women’s rights in the future.
The education of girls is of course very laudable, but does the Minister agree that the main reason we are in Afghanistan is to deny that country being used as a base by international terrorists?
Yes. The reason we are in Afghanistan is for both our national security and theirs, and to ensure that the use that was made of Afghanistan’s territory in the past is not made in the future. That is why we have been there; our forces have done a remarkable job and so have the development workers. They will continue their work post-2014 to ensure as best they can the future stability of that country for its own security and for the security of the rest of us.
As the Minister rightly identified, since the fall of the Taliban in 2001 the number of girls going to school has risen from fewer than 5,000 to 2.2 million. That is an achievement Britain can be proud of. Maintaining that progress is crucial, both to the development and the future security of Afghanistan, so what initiatives is he taking with the Government of Afghanistan and, equally importantly, with neighbouring powers to ensure that progress continues after the draw-down of ISAF?
I thank the right hon. Gentleman for what he said about the progress that has been made. There are two things in response. The first is the Tokyo international agreement in July; the United Kingdom has been asked by Afghanistan to co-chair the first review of it in 2014. It is a series of commitments made by the Afghanistan Government in relation to a variety of matters, such as social and economic development, including the rights of women. In addition, the enhanced strategic partnership that the Prime Minister signed with President Karzai in January this year also includes commitments on women’s rights, and we will be looking to ensure that those rights are confirmed in the future as our development support continues.
12. What progress his Department has made in its efforts to support UK exports.
My Department is supporting UK growth and helping to realise our ambition to double UK exports to £1 trillion by 2020. We have a good story to tell. We are transforming the level of commercial awareness in the Department through secondments and training. We are supporting small and medium-sized enterprises exporting to emerging markets, including helping them to manage the risks involved, through our overseas business risk service.
My thanks to the Minister. I am very pleased that the Foreign Office is taking such a leading role in our trade efforts and that UK Trade and Investment held a successful event in my constituency. What other steps are we taking to expand missions in our embassies and the appreciation of trade on the ground?
My hon. Friend raises a very important point, which is getting hon. Members to understand that the facility is available. The more people who do, the better we can export. We have UKTI, and small and medium-sized enterprises will take part in its export week from 12 to 16 November, when more than 100 events will be organised across the UK. We have the overseas business risk service, and members of my Department spoke to members of the Kent international trade office on 18 October about the help that the Foreign Office can offer. I am glad that it is working with her, but I urge right hon. and hon. Members across the House to make use of the facilities for their local small and medium-sized enterprises. We can help—we are here to help—and if Members have any problems and encounter difficulties, my office door is always open.
22. Despite what the Minister said, exports of goods in the second quarter continued to fall, and the £10.2 billion trade deficit in June was the worst since 1997. UK exporters tell me that the increasingly isolationist rhetoric by members of the Government has done little to develop the notion that Britain is open for business, and suggests that the Government just want to be alone.
I do not know how to respond to that. It may have escaped the hon. Gentleman’s notice that there has been a bit of economic turbulence in the eurozone, which is an important market for us. The network shift over which the Foreign Office is presiding involves more people in more places, particularly in emerging and re-emerging markets. We are opening up 11 new embassies, and eight new British consulates and trade offices. We are redeploying 300 extra staff in more than 20 countries in Asia, Latin America and Africa. If that is his definition of isolationism, it is not mine.
13. What discussions he has had with his international counterparts on sectarian violence in Rakhine state in Burma.
Yesterday, I called the Burmese chargé d’affaires into the Foreign and Commonwealth Office to discuss our serious concerns about the violence in Rakhine state. This follows the meeting of my right hon. Friend the Foreign Secretary with Burma’s Foreign Minister in New York in September, and my own meetings during the UN General Assembly. There is an urgent need for an end to the violence, for the Burmese authorities to ensure security in the region, and for humanitarian access.
I am grateful to the Minister for that answer. Given the levels of sectarian violence that have unfolded in recent days, particularly against the Rohingya community, but also against all communities, with thousands of homes destroyed and thousands of people displaced, and people being killed, do we not need the clearest possible assurances from the Burmese Government that they will end the violence, ensure an end to impunity and work with the UN to address the underlying causes of the tension in that region?
I congratulate the hon. Gentleman on securing a Westminster Hall debate on the Rohingya community a few weeks ago. It is worth pointing out that any suggestion that the violence has been orchestrated by the Burmese Government is erroneous. We look forward to hearing from their independent investigation commission, which will shortly report on what has caused the violence. In early October, the British ambassador led the first independent diplomatic mission to Rakhine state to meet key leaders and visit camps sheltering internally displaced people from both communities. I am pleased to say that we are doing a lot on aid, but we need this to be settled, as it is extremely worrying to everyone who is following these events.
Burma’s failure to address the welfare of the Rohingya people and, indeed, Bangladesh’s failure to recognise them at all, means that they are virtually stateless. Will the Minister ensure that he takes a bilateral approach to the problem, so that we can secure the safety of people in Rakhine state?
The hon. Gentleman makes an extremely good point. The British high commission in Dhaka, along with our EU partners, has had regular conversations on the matter. It is important to talk to Bangladesh, and my right hon. Friend the Foreign Secretary has spoken to Sheikh Hasina, as has the Prime Minister. It is important on two counts: first, to ensure that those people receive humanitarian aid on the Bangladeshi border and, secondly, that people are allowed free movement across the border, because there is a serious humanitarian problem there.
With reports by Human Rights Watch of major human rights violations, along with the displacement and the killing of 78 people, what action has the Foreign Secretary taken to secure international pressure on the Burmese Government, because previous representations have clearly not worked, and we need urgent action?
I do not think that that is particularly fair on the Burmese Government. My right hon. Friend the Foreign Secretary and I discussed these matters extensively in New York. We await the report from the Burmese Government, and our ambassador has been to the area. We think that the Burmese Government are doing what they can with their army and police. Inter-communal violence has gone on for a number of years in that part of the world, as the hon. Lady will be aware. The matter needs to be resolved, not least the issue of citizenship for the Rohingya people.
I welcome the Foreign Secretary’s recent support for a review of the 1982 Citizenship Act which, as we have already heard, is one of the underlying factors rendering the Rohingya stateless. It is also important that Bangladesh is brought into discussions about citizenships. Will the Minister tell the House what efforts are being made to bring those parties to the table?
The hon. Lady is right. I alluded to that in my earlier remarks. We think citizenship is important. We have been pressing for many years for the Burmese Government to recognise this. The Foreign Secretary raised the matter with his opposite number back in September. On Bangladesh, yes, again the hon. Lady is right. Bangladesh does have a role to play. The first thing is to solve and to stop the violence that flared up again as recently as a few days ago. That must come to an end. We must make sure that there is proper humanitarian access and that aid gets in to those people who are displaced and homeless, and then we must see the report that comes out from the Burmese Government. Certainly, any long-term solution needs to address the long-standing issue that has too often been ignored about the right of those people to have a state. That needs to be resolved in the round. I wholly concur with the hon. Lady’s remarks.
T1. If he will make a statement on his departmental responsibilities.
Tomorrow we will welcome the President of Indonesia on a state visit. We are intensifying our diplomatic and economic links across south-east Asia. As well as having one of the world’s most thriving economies, Indonesia is in the vanguard of the political change shaping Asia, and this visit will be an opportunity for us to build on the strong partnership established over the past decade.
For nearly a decade I have been a supporter and patron of the Bereaved Families Forum Parents Circle, a grass-roots organisation which brings reconciliation and tolerance in Israel and the Palestinian territories. May I ask the Secretary of State or his Minister to pay tribute to this organisation and, at his earliest convenience on their next visit to the UK, to meet me and members of the group to discuss their work and how they can be further supported?
Yes, I can indeed commend the hon. Gentleman for his work with that group, which we know and think very well of. Its members do a difficult job trying to bring together people from both sides of the divide through their grief. I would be very happy to meet the hon. Gentleman and members of the group when it is convenient for both of us.
T3. Like many others in the House, I welcome the Government’s efforts to keep the EU budget in check. Will my right hon. Friend be taking any lessons on that from the past example or present policy of the Labour party?
That would be a strange thing to take any lessons from, because when the shadow Foreign Secretary was Minister for Europe, the Labour Government signed away £7 billion of the British rebate with nothing in return. It is notable that last year Labour MEPs voted against a budget freeze in Europe because they wanted an increase instead. It is also notable that in the time that the shadow Chancellor was a Treasury adviser and in the Cabinet, the annual EU budget increased by no less than 47%.
Let me return to the subject of Europe, but its relationship with Iran. I associate myself with the latest round of sanctions that have been imposed. Given the imminence of the elections in the United States, what does the Foreign Secretary regard as being the next steps in the diplomatic engagement on the nuclear issue with Iran? In particular, following a rather well-sourced, I understand, piece in The New York Times last week, how does he judge the prospects for bilateral discussions between the United States and Iran on this issue?
The United States and Iran have both denied the prospects, let alone the existence, of such bilateral talks. The next step is for the E3 plus 3 nations, of which we are one, to consider what we can do in any further negotiations with Iran. Our experts are meeting on this. Of course, it is necessary for the US elections to be completed before any further round of negotiations can take place. We are open to those negotiations. We are considering whether to amend our approach in any way, but it remains the case that for them to be successful, Iran would have to engage with those negotiations in a much more meaningful way than before. In the absence of that, we have agreed intensified sanctions on Iran in the European Union, and I want Iran to know that as long as these negotiations are not successful, we will go on intensifying the sanctions pressure upon it.
T4. For over a decade the United Kingdom has supported Sierra Leone, both financially and through military involvement. Will my hon. Friend assure the House that he will do all he can to ensure that next month’s elections in Sierra Leone are free and fair?
I am grateful to my hon. Friend for raising that important matter and can assure him that we are monitoring events carefully. For the edification of the House, the elections in Sierra Leone are on 17 November. All parties have completed their nomination procedures, political supporters have been active, there has been no serious trouble so far, thankfully, and the electoral institutions are making progress, but I acknowledge that there is more to do. The Department for International Development has a programme for the electoral cycle, from 2010 to 2014, and the high commission is engaged with the political leaders and, on election day, will provide a team of observers to ensure that the elections are free and fair.
T2. In the earlier discussion on Syria we did not talk about the refugees, but of course hundreds of thousands of people, both internally and in neighbouring countries, are now homeless and face a desperate situation. What are we and the international community doing to assist them?
The hon. Gentleman is quite right to draw attention to that. There are now up to 350,000 refugees in neighbouring countries, about 1.2 million people are thought to be internally displaced in Syria and about 2.5 million need humanitarian assistance. It is a rapidly escalating humanitarian crisis that will only get worse in the coming months. The United Kingdom is the second largest bilateral donor to the relief effort. We have so far given £39.5 million and consideration is being given to what further assistance we can give. We are also helping directly as well as through UN agencies, particularly in Jordan, so we are doing everything we can to alleviate the suffering in the crisis.
T5. In the past three months our exports to the EU fell by 7.3% while our exports to the rest of the world rose by 13.2%. Does the Foreign Secretary agree that Britain’s future relies on strong trading relationships with the emerging economies that were largely neglected by the Labour party?
My hon. Friend is absolutely right. That is why we are opening the 19 embassies and consulates to which the Minister of State, Foreign and Commonwealth Office, my right hon. Friend the Member for East Devon (Mr Swire), just referred. We are determined to expand Britain’s market share in the fastest-growing economies. In the past two years, from August 2010 to August 2012, we have seen an increase in our exports to China of 46%, to South Korea of 69% and to Thailand, which I will visit next week, of 118%.
The civil war in Syria and the estimated 100,000 refugees are having a seriously debilitating impact on Lebanon and remind us of the horrors that took place in that country between 1975 and 1990. What steps are the Government taking, through the international community, to try to return some stability to that country?
Again, that is an absolutely crucial issue. It is not a containable crisis, as I said earlier, and the impact on Lebanon is the starkest and most worrying example of that. We are working closely with the authorities in Lebanon. After the recent bomb outrage, the Prime Minister spoke immediately to the Prime Minister of Lebanon to urge stability, and our ambassador there is very active. We have increased the assistance we give directly to the Lebanese armed forces and, of course, much of the humanitarian assistance we are giving is going to Lebanon.
Will the Foreign Secretary confirm that the EU annual budget and multi-annual framework increased at least a dozen times while Labour was in power but that to accuse that Government of being responsible for all those complex and EU-wide budget increases would be as simplistic and opportunistic as the attack made by the right hon. Member for Morley and Outwood (Ed Balls) on this Government yesterday?
I think that we have to judge the previous Government on the basis of what they actually did while in office. The fact remains that they took decisions that conceded the loss of a quarter of the United Kingdom’s hard-won rebate and left us with a current financial framework for the EU that was £13 billion over what they said in office would be the maximum they would accept. They let our country down, and they let it down badly.
What contact has the Foreign Secretary had with the Government of Turkey concerning the ongoing hunger strikes of Kurdish political prisoners and the demand for the release of Ocalan so that there can be negotiations on a future for the Kurdish people in Turkey whereby their language and their culture will be fully recognised in accordance with the recommendations of the Council of Europe?
We always try to make it clear in our conversations with the Turkish Government at both ministerial and official level that it is important that Turkey continues to make progress towards political reform and full implementation of the rule of law measures that we all want to see. I hope that the discussions between the Turkish political parties on a new constitution take us several steps forward. I would be happy to talk to the hon. Gentleman further about the particular case that he has described.
Will my right hon. Friend update the House on developments in Somalia?
Yes, absolutely. We welcome the election of a new President of Somalia, to whom I spoke directly after his election. The new Under-Secretary, my hon. Friend the Member for Boston and Skegness (Mark Simmonds), has already visited Somalia with the International Development Secretary. Important progress has been made since the London conference on Somalia, with a reduction in piracy, al-Shabaab in military retreat, and now a new and legitimate President. The United Kingdom will continue its strong support for these developments and the international leadership that we have given in relation to them. We will place just as much emphasis on Somalia in the coming year as we have in the past year.
What assessment has been made of the monitoring report by the Organisation for Security and Co-operation in Europe on the outcome of the Ukrainian parliamentary elections?
We have had a preliminary report from the observers that indicates a number of shortcomings. We hope that in the remaining stages of the electoral process, in any appeals that follow, and, crucially, in how the Ukrainian Government conduct themselves after the elections, we will not see the wholesale democratic backsliding that we fear and that would set back Ukraine’s relationship with Europe.
Many emerging economies such as China are showing significant interest in investing in energy projects off the East Anglian coast. Will the Minister outline his plans, working with other Departments, to maximise these trade opportunities to create jobs?
Indeed we can do that. We are in a good position with China at the moment, not least following our acceptance of the very important investment of companies such as Huawei, which places us very well to take in further investment. We have been talking about exports, but it is worth pointing out that the flipside of the coin for this country is inward investment, with some £250 billion-worth of opportunities in our infrastructure between now and 2020. We do need Chinese investment. We need investment from around the world, and we welcome that. If my hon. Friend has good examples in his constituency, that is all to the good.
I call Mr Kelvin Hopkins. [Interruption.] I thought that the hon. Gentleman wanted to ask a question. Well, it will have to wait for another time; fair enough. I call Mr David Winnick.
I hope that the nation will appreciate that, Mr Speaker.
Is it not of interest that both United States presidential candidates have emphasised in the debates that took place between them their support for sanctions rather than any military strike against the Iranian regime? Does not that very largely express the mood in the United States, let alone here, that warmongering, which unfortunately some people are involved in—certainly not the Foreign Secretary—would be wrong and counter-productive?
Both candidates in the presidential debates have, yes, been talking about the policy that I have been talking about in this House. I am sure that the two candidates for President of the United States are the experts on the mood in the United States more than any of us can possibly be here. Our approach, and that of the United States, is based on sanctions and negotiations. The United States is part of the E3 plus 3 nations that I have been talking about, and its sanctions are as strict as anyone’s, so it clearly believes in this approach.
Is there not a democratic imbalance—I know that the Foreign Secretary will agree with this question and so give a good answer—in allowing every 16-year-old in Scotland to vote on whether to remain in the Union while ensuring that no one in this country under the age of 55 has ever had a chance to vote on whether we should stay in the European Union?
Order. Mr Bryant, calm yourself. I am worried about you—you are supposed to be a statesman.
In Azerbaijan there is continuing arbitrary detention, torture and trumped-up charges against human rights defenders, journalists and now even YouTube uploaders. What active interest is the Government taking in relation to a number of recent and current cases in the courts?
We raise both general concerns and individual cases in the regular conversations between our ambassador and the Azeri authorities. I also do so myself when I have what are quite frequent conversations with the Azeri Foreign Minister.
Order. I am sorry to disappoint colleagues, but as I have said before this is a box office occasion and I hope that colleagues disappointed this time will not be disappointed next time.
(11 years, 9 months ago)
Commons ChamberUrgent Questions are proposed each morning by backbench MPs, and up to two may be selected each day by the Speaker. Chosen Urgent Questions are announced 30 minutes before Parliament sits each day.
Each Urgent Question requires a Government Minister to give a response on the debate topic.
This information is provided by Parallel Parliament and does not comprise part of the offical record
(Urgent Question): To ask the Secretary of State for Health to make a statement on the steps the Government have taken to ensure the safeguarding of former Winterbourne View residents.
The review into the abuse at Winterbourne View hospital, established by my right hon. Friend the Member for Sutton and Cheam (Paul Burstow), set out 14 actions to transform care and support. Central to the review is ensuring the safety and well-being of these very vulnerable people. I shall publish the final report before the end of November.
When Winterbourne View closed, NHS commissioners put in place independent clinical and managerial supervision and commissioned an independent assessment of every patient. The Care Quality Commission worked with commissioners to relocate Winterbourne View patients to suitable alternative placements.
In March, the Department of Health review team commissioned NHS South of England to follow up the 48 patients who had been in Winterbourne View, and there was a further review in September. The first review in March revealed that 19 former patients were the subject of safeguarding alerts. In response to this, officials asked commissioners to take appropriate action and confirmed that a follow-up would take place in six months’ time. I was extremely concerned to be informed that this follow-up had revealed that there are current safeguarding alerts for six former patients. I am assured that these are all being followed up to ensure the safety and well-being of the individuals concerned. That is extremely important. Furthermore, the September follow-up exercise revealed that 32 Winterbourne patients were now living in the community in their own family homes, in supported living or in a residential care home, with 16 still living in hospital settings.
The priority is to improve commissioning to develop the good local services that will prevent people from being sent to hospital inappropriately. We are working closely with the NHS Commissioning Board, the Local Government Association and directors of social services on what support local services need. Although a small number of people will need hospital treatment, we expect to see—and, indeed, must see—a substantial reduction in the number of in-patients.
We intend to strengthen safeguarding arrangements to prevent and reduce the risk of abuse and neglect of adults in vulnerable situations. Where there are safeguarding concerns, the local safeguarding adults boards need to be closely involved. The boards will be placed on a statutory footing for the first time, ensuring a co-ordinated approach to local adult safeguarding work.
The Government will put in place the necessary legislation for safeguarding adults boards, and local councils should bring clarity to their roles and responsibilities, but it is the responsibility of the care provider—we must remember this—to ensure a culture of safety, dignity and respect for those in their care, including stopping abuse before it happens. Those providers must be held to account for the care that they provide.
I thank the Minister for his statement, but there remain serious concerns about whether the Government have taken all necessary steps to ensure that the former patients of Winterbourne View are now receiving safe and effective care. Last night’s “Panorama” programme revealed that 19 patients have been subject to safeguarding alerts since leaving Winterbourne View. Not all those alerts mean that someone has been harmed, but “Panorama” said that one was due to an incident of assault and another had resulted in a criminal investigation. Is that an accurate reflection of the picture?
Have the families of all patients with a safeguarding alert been given the full details? What specific action has been taken as a result of the alerts, and can the Minister guarantee that the patients in question are all no longer at risk? Can he also guarantee that all local commissioners responsible for all the former Winterbourne View residents now have a proper plan in place to ensure that they receive good-quality care?
Has the Care Quality Commission recently inspected all the providers that former Winterbourne View patients were moved to, and are the Government confident of the CQC’s findings? Last night’s programme raised particular concerns about Postern House, which the CQC inspected in January this year following the Winterbourne View scandal. The CQC said that it met all the essential standards of quality and safety, and that suitable arrangements were in place to ensure that people were safeguarded against the risk of abuse, yet “Panorama” revealed a number of problems at Postern House over several years and the fact that a former Winterbourne View patient had a safeguarding incident there in June this year. Is the Minister confident that all patients currently in Postern House are safe from the risk of abuse?
The Minister rightly said that responsibility for the care of people with learning disabilities lies with providers, commissioners and the CQC, but it is Ministers who set policy and have responsibility for ensuring that it is implemented. The Government have a particular responsibility to ensure that former Winterbourne View patients never have to suffer from such appalling abuse again. Organisations such as Mencap are also very concerned that the Government are not moving quickly or strongly enough to end the practice of sending patients with learning disabilities to long-stay institutions far away from their family and friends.
The Minister must answer our questions about whether former Winterbourne View residents are all now guaranteed safe care, and he must urgently bring forward proposals to reform learning disability services properly for the future.
I thank the shadow Minister for asking the urgent question. The view is shared on both sides of the House that what “Panorama” exposed is utterly intolerable and has to come to an end. I am absolutely determined that when I make the Government’s final response by the end of November, it will be robust and clear so that everybody understands what has to happen.
When I came into my job, I heard briefings about the whole saga and how long it has gone on. For years and years, public money has been spent on putting people into inappropriate settings, often putting them at risk of abuse. That is a national scandal, and it has to end. I will be very clear about ensuring that we take robust and effective action.
The hon. Lady is absolutely right that Ministers are here to set policy, and that is what I intend to do. Since my appointment, I have been working to ensure that we set the right policy to protect vulnerable individuals. She is right that they must never suffer from abuse. Of course, there is always the risk of rogue individuals who behave very badly, and they must be dealt with through the criminal law, as has been seen with Winterbourne View staff. I have also made the point that the corporate owners of such organisations must be held to account for things that go on in their homes if those homes have been neglected. I want to meet the parents of those who were at Winterbourne View to hear from them directly, and I will seek to make arrangements for that.
The hon. Lady mentioned the 19 safeguarding alerts. In fact, that intolerable figure was in March but by September, the number was down to six. She is right, of course, that not every safeguarding alert means that something awful is happening. It means that concerns have been raised, and it is important that people raise their concerns. I assure her that I will do everything I can to end this scandal and ensure that we have proper safeguarding arrangements in place.
Will my hon. Friend assure the House that the alerts are being actioned and dealt with? We know that on previous occasions, South Gloucestershire council and Avon and Somerset police received countless alerts, but if it had not been for the BBC and “Panorama”, we would never have found out about this issue. When I saw the programme last night, I was appalled that patients can be moved hundreds of miles without their families—and their parents in particular—being told. I thought that was an outrage.
My hon. Friend raises extremely important points. First, we must ensure that the alerting system works effectively. We are putting safeguarding boards on a statutory basis. That is important and means that all key players will have a part in ensuring that adults in vulnerable situations are kept safe. We must ensure that alerts always work effectively in the future.
My hon. Friend’s point about individuals being placed a long distance away from home is of absolute concern. It strikes me that if someone is placed far away from their community, in what is effectively a closed setting, conditions are created for potential abuse to take place. That has to stop.
Does the Minister agree that there can be no excuse for abuse in any setting at any time? Is there not a profound problem that many of our most vulnerable citizens up and down the country are looked after by people who are poorly trained, poorly qualified and paid the minimum wage for 12-hour shifts? Is that the underlying root of this problem?
First, it is important to make it clear that many highly dedicated care workers provide fantastic quality care for elderly people and other adults in vulnerable situations. However, the hon. Gentleman is right to address the fact that we need to raise standards across the board. We are working with Skills for Care to ensure there is a code of practice to implement proper standards, and that minimum training standards apply across the sector. We must also ensure that we keep people in good health and well-being in their own homes as much as possible, reducing the number of people who go into care and nursing homes. That will make it possible to spend more on those people who do need to go into a home, and ensure that standards are maintained at the right level.
As we learnt from Winterbourne View, the absence of safeguarding alerts is not necessarily a sign that everything is okay. Winterbourne View was receiving £3,500 a week for some of its residents, yet it was delivering very poor care and allowing its staff to abuse. In future, can we ensure that the contracts let by social service departments and the NHS are written not by the provider, but by those who are buying the service in the first place to get the right quality of care?
I pay tribute to my right hon. Friend for his work in this area. He draws attention to the fact that there is a serious issue about the quality of commissioning and the work done by primary care trusts and, in some cases, local authorities. Too often, people seem to be placed in those settings and then to all intents are purposes forgotten about, which is not acceptable. Standards of commissioning and ensuring that contracts contain the right terms are extremely important.
Does the Minister agree that this whole dreadful saga—which he rightly describes as a national scandal—underlines the importance of self-advocacy for vulnerable people? In his legislation and any guidance that may follow from it, will he take steps to ensure that the voices of these most vulnerable people will be heard directly wherever possible?
The right hon. Gentleman makes an extremely valuable point, and I would be happy to discuss that with him further. Too often in the past there has been a paternalist approach in which others have decided what is best for individuals. Hearing the voice of people with learning disabilities is absolutely central to getting this matter right.
People who watched “Panorama” will know that a tall, flame-haired young man named Simon Tovey was one of the patients who suffered horrific abuse. His mother, Ann Earley, is my constituent, as is Simon, who has now returned to a lovely community care home in West Lavington. Mrs Earley believes that the views of parents in particular were not heard under the system—they knew for years the problems pertaining to Simon’s care. What reassurance can the Minister give to Mrs Earley, and the House, that the views of parents and other responsible adults will be included when seeking to avoid these tragedies in the future?
It struck me when I listened to the story of that family that I would like to meet them if they are interested in having that discussion. Just as it is essential that people with learning disabilities have their say, it is critical that the family is involved in the discussions before the commissioning takes place, so that they are partners in the decisions that are taken in respect of those individuals.
Can the Minister reassure the House that there are sufficient inspectors to go around those establishments during the day, during the evening and at night to ensure that standards are maintained?
Inspections are essential to ensure that we identify where problems exist. The role of the Care Quality Commission is critical in that respect. We need to do more to open up those establishments to public view. One role that the new local HealthWatch can take is to go into care homes, nursing homes and so on to see for itself. The more there is a culture of openness, the less likely it is that abuse will take place.
I commend to my hon. Friend the work of organisations such as the Swindon Advocacy Movement, which does so much work not only to advocate for service users, but to train volunteers, so that more adults with learning difficulties can stay in the communities in which they live, work and thrive. In that way, the nightmare scenario of Winterbourne View can be avoided in future.
I absolutely commend the work of the organisation to which the hon. Gentleman refers and would be interested to hear more about it. The scandal is that so many people over so many years have been put into institutions and ended up there for years when their care would be much more appropriate for their needs if it took place in their communities through supported living or in a care home. As my right hon. Friend the Member for Sutton and Cheam (Paul Burstow) mentioned, the extraordinary thing is that we were spending public money—on average, £3,500 per patient in Winterbourne View—to put people at risk of abuse. Often, an appropriate care package costs less than that, and gives the individual the care they need in their own community.
I have raised with the Minister and his predecessor the problem that, often, the responsible authority does not know where people are placed. Families might have died since the placement, and yet there is no national audit of placements of people with learning disabilities, who are often placed a long way from their home. When the Minister returns to the House in November, will he ensure that there is an audit of where people are placed so that we can track them properly?
I shall certainly consider the hon. Lady’s point and am happy to discuss it further with her. At the end of the day, we must ensure that people in highly vulnerable situations are adequately protected. I want to ensure that all the steps we take are aimed at that goal.
The Minister has mentioned raising the standard and quality of care providers. Will he consider the introduction of a starred grading system for care providers, so that we have absolute transparency on how well they are performing, and so that we know the most excellent care providers and the worst?
My hon. Friend raises an important point. One thing we are doing on the NHS Choices website is having quality indicators for every care home, nursing home and so on. That means that any individual looking for a care home for a loved one will be able to find out much more about the quality of the care that an organisation provides. In due course, the website will include user reviews, so that people who have experienced care in those homes will have their voices heard. That openness of information could have a transformational effect in driving up standards.
It beggars belief that some of the vulnerable adults who were subjected to the most appalling and horrific abuse at Winterbourne View were moved to other providers where they were either abused—according to the “Panorama” allegations—or at risk of further abuse. Will the Minister reassure me that all local commissioners responsible for each of the former Winterbourne View residents have a proper plan in place to guarantee that they are now receiving safe and effective care?
I share the hon. Lady’s view on what has happened. We must make absolutely certain that every commissioner is held to account. My understanding is that proper arrangements are in place for all those individuals, but I will continue to monitor the situation to ensure that that remains the case. We must be alert to the interests of the 48 residents who were in Winterbourne View, but we must also focus our minds on the 1,500 people who are in settings of that sort—assessment to treatment centres—often for years. The interests of all those individuals are important.
To put it bluntly, after all this, is the Minister still confident in the CQC and does he believe that it is fit for purpose?
I tend to the view that we have had too many changes of regulator over a number of years, and that continuity would be a good thing. An assessment of the CQC earlier this year indicated that it was on the right track. I have met the new chief executive and am reassured by the plans he has in place. It is seductive to believe always that it is an attractive proposition to abolish an organisation and set up a new one, but is there any more chance that a new organisation will be better? Let us therefore make the CQC work properly.
I welcome the Minister’s response—he is sincere in his desire to address these issues. Does he recognise the important role of whistleblowers? Does he have any information on concerns raised by whistleblowers in respect of the alternative provision before Winterbourne View patients were transferred?
The role of whistleblowers is central. Importantly, the Government have funded a whistleblowing helpline, which is available to any worker in the care sector—it covers all care homes. It is important that any worker at any stage feels they can raise their concerns with the relevant authorities so that they are properly investigated. What happened with the whistleblower at Winterbourne View was not acceptable, because their concerns were not taken up effectively.
I welcome the Minister’s statement. On inspection, can he clarify what provision exists for inspectors to speak to patients? How will that be further enhanced?
I am sure that inspectors can speak to patients, and that they routinely do so, but I will check on the important point the hon. Gentleman makes. We mentioned earlier the views of those with learning disabilities and their families, but it is essential that the regulator hears directly from them of their potential concerns.
I am not sure that the Minister has made his position clear. Is it his intention to end the appalling practice whereby vulnerable people can be transported to establishments hundreds of miles away from their home town at the whim of the authorities and without the knowledge and consent of their families?
I have tried to be clear on my views on what has been happening—it has been going on for years. As I have said, the fact that someone is sent 200 miles away from home creates the conditions in which abuse is more likely than if they are in their own community. I want that to end—I want to be as clear as I can that that is a national scandal that needs to be brought to an end.
I thank the Minister for his comments. I also watched the “Panorama” programme last night and was horrified. According to the local council and the Minister, changes have been made. Will he confirm that the lessons learned will be conveyed to the devolved Administrations in Scotland, Wales and Northern Ireland to ensure that this terrible abuse never happens again anywhere in the UK?
The hon. Gentleman makes an essential point. Wherever people are, they must be protected from potential abuse and benefit from high standards of care. I will give him my absolute assurance that we will work closely with the devolved Administrations to ensure that people receive that benefit, wherever they are in the UK.
I heard the Minister’s earlier answer on the importance of whistleblowing, but will he set out what further steps he will take to encourage staff to whistleblow and to ensure that, when they come forward with concerns, they do not suffer retribution as a result?
The legal framework is satisfactorily in place to protect whistleblowers who raise their concerns with the relevant authorities, but this is about culture. We must do everything we can to ensure that providers encourage their staff to raise concerns—internally first, if possible, but with other authorities, if necessary—whenever they see abuse or neglect taking place. We must also encourage individuals to feel safe about raising concerns. The framework of protection is there for individuals to do that.
There are two problems. First, the “out of sight, out of mind” mentality has meant that thugs have been able to get away with terrible behaviour in care homes. Secondly, despite the enormous advances in ischaemic heart disease, cancer and diabetes, for example, the amount of money invested every year to find solutions and treatments for mental health conditions remains very poor.
On the first point, I agree with the hon. Gentleman that these closed settings and institutions too often create the conditions for abuse to take place. It is all the more important, then, to get the regulation right for the sake of those individuals who have to be in such institutions—a minority have to be there for their own safety or that of the public. On the second point, he raised the general issue that for a long time—probably, it has always been the case—mental health has been a poor relation to physical health in terms of the amount of money spent on research and how the money flows within the NHS. I seek to address that.
In Bristol, we face the closure of care homes, while south Gloucestershire is outsourcing the in-house home care teams. Following the case of Winterbourne View, which is just outside my constituency, there is a lack of confidence in the area in the private sector. What can the Minister do to reassure people that it is safe to place vulnerable relatives in private sector care homes?
First, abuse is unacceptable and horrifying wherever it takes place, whether in the public sector or the private sector. The review that followed Winterbourne View being exposed revealed poor standards of care in too many places in both the public and private sectors. We need to be clear on that. Secondly, I have questioned whether there is adequate corporate accountability and whether adequate rules and regulations are in place to ensure that accountability. If people are making a profit out of providing care, they have to be held to account for the standards of that care.
May I raise with the Minister my concerns about the relaxation of checks on people who work with vulnerable adults and children, as set out in the Protection of Freedoms Act 2012? As a new Minister, will he undertake to look at the specific provisions in that Act and see whether he is satisfied that our most vulnerable people are protected?
I am happy to discuss the matter further with the hon. Lady. It is clear, though, that when a care home provider seeks to recruit a member of staff to work with people in a care home setting, they have to—[Interruption.] They are obliged in law to carry out criminal records checks on people who work within that setting. I repeat, however, that I am happy to discuss the matter with the hon. Lady and to look again at the issues.
As the Minister has made clear—his commitment is coming through—the care provider is key. As he moves forward, will he look at whether there is any disparity between private and public sector provision? In cases that I am aware of, there has been a qualitative difference: vulnerable individuals are not being looked after as well as they ought to be by some private sector providers.
We probably all know from our constituencies of fantastic private sector care providers that provide a fantastic quality of care to older or younger adults with disabilities and so on, so we must be careful not to condemn the whole sector. My clear view is that wherever there are low standards of care it is unacceptable. But let us remember Mid Staffordshire hospital, where hundreds of people lost their lives unnecessarily owing to poor standards of care. It can happen in both public and private sectors. We must find it intolerable in both.
(11 years, 9 months ago)
Commons ChamberOn a point of order, Mr Speaker. During yesterday’s urgent question on ash dieback, we discussed the Government’s reductions to forest research, and I inadvertently misled the House. I said that they had cut it from £12 million to £7 million, but in fact the figure is £10 million. I hope that the House will accept my apology and that the record can be put straight.
I am sure that the House is extremely grateful to the hon. Lady. What she said is now on the record.
On a point of order, Mr Speaker. In response to a written question from my hon. Friend the Member for Barnsley Central (Dan Jarvis) on the burial of what we hope turns out to be Richard III, the Under-Secretary of State for Justice, the hon. Member for Maidstone and The Weald (Mrs Grant), wrote on Friday that
“the current plan is for them to be reinterred in Leicester Cathedral.”—[Official Report, 25 October 2012; Vol. 551, c. 997W.]
That answer was welcomed and seen as very exciting in the city of Leicester. Last night, however, the Department appeared to backtrack. When asked, it refused to repeat her words and simply said:
“We will await the results before any burial arrangements are made.”
No one would want to accuse the Government of now U-turning on Richard III. Will you advise us, Mr Speaker, on whether the Under-Secretary has given notice of her intention to come to the House to clear up the confusion?
I am grateful to the hon. Gentleman for his point of order. In response, I make two points.
We are always obliged to the hon. Gentleman for chuntering from a sedentary position about hearses. I hope he will be good enough to allow me to intervene on him and respond to the point of order from the hon. Member for Leicester South (Jonathan Ashworth). First, I think that his late majesty has been dead for long enough to evade our normal rules on references to monarchs. Secondly, the hon. Gentleman has put the matter on the record and attempted to obtain clarification, which will have been heard on the Treasury Bench, but beyond that I am afraid that it is not a matter for the Chair.
Further to a point of order that I raised in the House yesterday evening, Mr Speaker. Have you received any notification from the Minister of State, Department for Environment, Food and Rural Affairs, the hon. Member for Somerton and Frome (Mr Heath), that he intends to apologise to the House, or at least clarify the comments that he made yesterday in the First Delegated Legislation Committee about wild animals in circuses? He inadvertently—I am sure—misled the Committee by claiming that a full ban on wild animals in circuses had been part of Her Majesty’s Gracious Speech to this Parliament. That is not the case. Since the approval of that order is on today’s Order Paper and will have to be dealt with by the House, surely it would be appropriate for him to come to the House to apologise or clarify his comments.
The short answer to the first question in the hon. Gentleman’s attempted point of order is no. I have received no indication of the Minister’s intention to make a statement. The hon. Gentleman is a wily and experienced hand who has made his own point in his own way, but I know also that he would not seek to embroil me in his controversy with the Minister, for that would be unworthy conduct of which I feel sure he would never be guilty.
On a point of order, Mr Speaker. You will be aware that the Government, uniquely, withdrew a statutory instrument on cuts to injuries compensation from a Committee and said that they would listen to the concerns on both sides of the House about the cuts. Are you aware that the statutory instrument is being brought back unchanged to a Committee this Thursday? Have you had any request from the Government for a Minister to make a statement to explain their abject failure to listen to Members and the public at large on this important issue?
I am grateful to the right hon. Gentleman for his point of order. Again, let me seek to engage with him directly. The answer is no, I was not aware that the statutory instrument was being brought back, as he puts it, unamended this Thursday. I am sorry if he feels that I have been inattentive in not being aware of that salient fact, but the truth is that I was not. More importantly, however, whatever he thinks about the matter, there is nothing disorderly about it. The matter can be debated in that Committee, and I have a hunch that it probably will be.
The right hon. Gentleman assures me from a sedentary position that it will be. We are grateful to him.
Bill Presented
Mental Health (Approval Functions)
Presentation and First Reading (Standing Order No. 57)
Mr Secretary Hunt, supported by the Prime Minister, the Deputy Prime Minister, Mr Secretary Hague, Mrs Secretary May, Secretary Chris Grayling and Norman Lamb, presented a Bill to authorise things done before the day on which this Act is passed in the purported exercise of functions relating to the approval of registered medical practitioners and clinicians under the Mental Health Act 1983.
Bill read the First time; to be read a Second time today, and to be printed (Bill 83) with explanatory notes (Bill 83-EN).
(11 years, 9 months ago)
Commons ChamberWe come now to the ten-minute rule motion. I call Mr Graeme Morrice.
Not that “Graeme Morrice”. We have heard several times from the hon. Gentleman today and are enriched by the experience, but on this occasion I have Mr Graeme Morrice from Livingston in mind.
I beg to move,
That leave be given to bring in a Bill to create a specific offence relating to assault on those whose work brings them into face-to-face contact with members of the public; and for connected purposes.
Anyone who assaults or abuses someone who is going about their work should face the full force of the law. I am pretty sure that there would be absolute unanimity on that point in the House, and I want to thank colleagues, including Government Members, who have supported early-day motion 574 on my Bill. However, far too often, assaults on workers, which most research indicates are increasing, still go unpunished. This Bill addresses the real day-to-day experience of verbal and physical assault, which is all too common to many thousands of public-facing workers across the UK. The Bill would build on the good work done on this issue in recent years, supporting victims and ensuring that those who break the law are held fully accountable for their actions.
Currently, the Emergency Workers (Obstruction) Act 2006 and the Emergency Workers (Scotland) Act 2005 give emergency services staff extra protection under the law. I understand and support the case that was made for giving extra protection to police officers, paramedics, firefighters and others in the emergency services, and I pay tribute to the trade unions and professional bodies that fought for that legislation. However, I believe there is a strong case for all public-facing workers to receive the same additional protection. Why should, for example, teachers, shop workers, health visitors, posties or bus drivers—all groups of staff who face high levels of verbal and physical abuse at work—not have the right to extra protection under the law? All these people and many more provide important services to the public, but are often in fear of being attacked or assaulted while at work. That is totally unacceptable and something that we should be constantly reviewing to ensure that everything possible is being done to reduce the potential for workers to come to harm simply for doing their job. The Bill will address the current differences in legal protection and give added penalties under the law to those convicted of assaulting a public-facing worker.
I believe that the Bill is necessary because of the increase in physical and verbal assaults on front-line public-facing workers in the UK. Research published by the British Retail Consortium in January this year highlighted the fact that in the past 12 months incidents of violence and verbal assault against retail staff had increased by 83% compared with the previous year. The survey highlighted the fact that 26 offences are committed per 1,000 employees. The charity Retail Trust has also published research, which indicated that 60% of those working in retail reported being treated aggressively at work. It also found that 56% of those affected had been the target of aggressive behaviour on more than three occasions in one year.
I am sure that each Member will be aware of examples of this type of crime from their own constituencies. One example recently brought to my attention that highlights the often premeditated nature of the violence perpetrated against staff is that of a shop worker in a busy city centre store who was working at the checkout. She had to tell off a customer for trying to push in at the front of the queue. The individual concerned was verbally abusive to the shop worker and other customers, but did leave the store. However, he then returned to the store in the evening, when it was much quieter, and assaulted the member of staff, hitting her over the head.
I am pleased that there is some emerging evidence to show that assaults on emergency service workers have declined since the introduction of emergency worker legislation across the UK. I hope and believe that the introduction of the Bill would have a similar impact on assaults against other groups of public-facing workers. The Bill would seek to create a specific offence relating to assault on people whose work brings them into face-to-face contact with members of the public. The Bill would provide for a new offence, with prosecution under summary procedure and a maximum sentence of 12 months and a £10,000 fine. The purpose of the new law is to provide additional protection to workers whose employment requires them to have at least some face-to-face contact with the public.
I believe that the proposed new law would be used in the following circumstances: when a worker has been assaulted in the course of his or her employment and the offender either knew or ought to have known that the worker was acting in the course of their employment—for example, a shop worker requiring proof of age to sell alcohol. The new law would also be used when a worker was assaulted by reason of his or her employment and the assault was at least partly motivated by malice towards the worker by reason of his or her employment—for example, someone spitting on a shop worker because they believe that they have been asked to wait too long before being served. The sentences would be the same as those for common-law assault, but there is an expectation that sentences handed out for the new statutory offence would exceed those imposed for common-law assault. The Bill would cover assaults on public-facing workers, including shop workers, public transport workers, local government staff, Royal Mail and Post Office counter staff, non-emergency health workers and so on. That is not an exhaustive list, and I would be keen to hear the opinions of others on the exact definition of the categories of staff that would be covered.
I would also like to note that my Labour colleague in the Scottish Parliament, Hugh Henry MSP, introduced a similar Bill at Holyrood in 2010. Unfortunately, the Scottish National party Government failed to support the progress of the Bill and voted it down at its first stage, leading the general secretary of the Union of Shop, Distributive and Allied Workers to comment that:
“Scotland’s shopworkers have been very badly let down by the SNP.”
The SNP Government have also stopped recording this type of offence in the annual Scottish crime survey, which is another lamentable decision. I hope that the SNP Members of this House have had time to think about that decision and will support this measure to increase protection for workers.
Before drawing to a conclusion, I would like to commend the shop workers union USDAW for its tremendous work on the issue of violence against workers and, specifically, on promoting the Bill. The union’s “Freedom from fear” campaign, which it has been running for the last 10 years, has been a huge success and has played an important part in raising awareness of the issue. We welcome the fact that progress has been made, but USDAW is the first to acknowledge that the same issues still persist. That is why the union has been instrumental in campaigning for this legislation. USDAW and the other unions that represent public-facing workers will be important partners in taking the Bill forward, but I shall also seek to work with employer and business organisations and those representing the retail sector, as well as with major retailers and large charities with front-line staff, to progress the Bill.
The Bill would impact on the lives of the hundreds of thousands of public-facing workers who face verbal and physical assault at work each year. It would help to ensure that the public looked at those groups of workers differently and that those who failed to treat them with the appropriate respect were properly punished. I very much hope to have the opportunity to progress the Bill, and I look forward to the whole House supporting it.
Question put and agreed to.
Ordered,
That Graeme Morrice, Michael Connarty, Mr David Hamilton, Grahame M. Morris, Ian Lavery, Ian Mearns, Mr David Crausby, Jim Sheridan, Mr Michael McCann, Alex Cunningham, Steve Rotheram and Lindsay Roy present the Bill.
Graeme Morrice accordingly presented the Bill.
Bill read the First time; to be read a Second time on Friday 1 February 2013, and to be printed (Bill 84).
On a point of order, Mr Speaker. I do not want to try your patience, but I wonder whether you could offer me some advice on the circumstances in which a Minister has made not only a contentious statement but a statement that can be proved absolutely untrue. Taking a random example plucked from the air, a Minister might have said that the Queen’s Speech contained a specific measure, yet it turned out that that measure did not exist. Can you confirm that it would be entirely up to the Minister concerned to take responsibility for correcting the public record?
It is up to the Minister concerned to take responsibility for correcting the record. I hope that that is helpful to the hon. Gentleman.
(11 years, 9 months ago)
Commons Chamber(11 years, 9 months ago)
Commons ChamberI beg to move, That the Bill be now read a Second time.
The purpose of the Bill is simple, but urgent. The Secretary of State described to the House yesterday how the need for it arose and came to light, and I hope that hon. Members will bear with me if some of what I say today repeats what he said then. May I begin by reiterating my gratitude to Opposition Members for the highly constructive approach that they are taking to the issue, without which we would not be able to respond with the necessary speed?
Detaining a mentally ill person in hospital and treating them against their will is clearly a matter of the utmost seriousness, and it is treated as such by the law and by health and social care practitioners. The statutory framework is contained in the Mental Health Act 1983, which sets out that, for assessments and decisions under certain sections of the Act, including detention decisions under sections 2 and 3, three professionals are required to be involved: two doctors and an approved mental health professional, usually a social worker. One of the two doctors must be approved under section 12 of the Act. When strategic health authorities came into being in 2002, the Secretary of State at the time quite properly and lawfully delegated to them his function under the 1983 Act of approving the doctors able to be involved in making these decisions.
Early last week, the Department of Health learned that, in four out of the 10 SHAs—North East, Yorkshire and the Humber, West Midlands and East Midlands—the authorisation of doctors’ approval was further delegated by the SHAs to NHS mental health trusts over a period extending, in some cases, from 2002 to the present day. The issue was identified as a result of a single doctor querying an approval panel’s processes. I was informed later in the week, as soon as the extent of the issue became clear, and since then, the Secretary of State and I have been kept informed of, and involved in, the action being taken.
This is an issue of great concern. Can the Minister reassure the House that the four areas that he has identified are the only areas in which this has happened, and that it has not taken place in other regions?
I can assure the hon. Lady on that point. All SHAs have undertaken an assessment of the position, and the position has been regularised for future cases in those four SHAs. Of course, individual patients may be moved to different parts of the country, but the problem relates to those four SHA areas.
Rampton and Ashworth are involved, and patients from Wales travel to those hospitals. Have there been any discussions between the Minister’s Department and the Wales Office or the Welsh Government on the implications of this for patients from Wales?
Yes, I can confirm that that is the case. The Secretary of State spoke to the relevant Health Ministers this morning. I hope that that gives the hon. Gentleman reassurance.
Following on from what the hon. Member for Arfon (Hywel Williams) has asked, may I ask the Minister, in relation to Northern Ireland, what investigations have taken place to ensure that no one was detained illegally, and whether there are likely to be challenges from people who have been sectioned? I am afraid that they might have reason to claim against the Government for that purpose, given that no legislation was in place. Please excuse the condition of my voice, by the way.
I am grateful to the hon. Gentleman for that intervention, but I am afraid that I struggled slightly to hear all the points that he was making. Perhaps the best way of dealing with all this is to ensure that I respond in writing to all his questions. I can also assure him that the Secretary of State spoke to the Northern Irish Minister yesterday and briefed them fully on the situation. There is good liaison there.
Our current assessment is that about 2,000 doctors were not approved properly in line with the provisions of the 1983 Act, and that those doctors have participated in the detention of between 4,000 and 5,000 of the patients currently detained in NHS or independent sector hospitals. There are two important points that I would like to make clear now. First, the decision to detain a patient under the Mental Health Act is primarily a clinical one. There is no suggestion, and no reason to believe, that the irregularity of the approval process for these doctors has resulted in any clinically inappropriate decision being made, whether the decision was to detain or not to detain. Nor is there any suggestion that the doctors approved by mental health trusts are anything other than entirely properly qualified to make these recommendations.
All the proper clinical processes were gone through when these patients were detained. There is no reason why the irregular approval process should have led to anyone being in hospital who should not be—or vice versa—and no patients have suffered because of this. The doctors had no reason to think that they had not been properly approved; they acted in total good faith and in the interests of the patients throughout this period. As of Friday last week, the SHAs concerned had corrected their procedures and all the doctors involved had been properly approved. I hope that that addresses the question raised by the hon. Member for Wolverhampton North East (Emma Reynolds).
This may be a naïve question, but will the Minister tell us whether doctors approved in one SHA area are then approved automatically for other parts of England or possibly parts of Wales, or is the approval confined to the particular SHA area?
My understanding is that people are approved for the SHA in which they work, but it is an important question and I will happily confirm the position to the hon. Gentleman in writing.
In the light of our legal advice, we do not believe that any decisions made about patients’ care and detention require review because of this irregularity. Doctors should continue to treat patients who are currently detained under the Mental Health Act in the usual way.
My second point is that we have been advised by First Treasury Counsel that there are good arguments to show that the detentions involving these particular approval processes were, and are, lawful. Given the seriousness of the issues, counsel also argues the need for absolute legal clarity and advises that this is most safely resolved through emergency retrospective legislation. We are taking that advice. As soon as the irregularity was identified, the Department moved swiftly to identify the best course of action and to put the necessary preparatory work in place. Officials immediately sought initial legal and clinical advice, and then swiftly analysed the options, including the reassessment of all the potentially affected patients, working with the health leads in the regions involved and clinical experts from the Royal College of Psychiatrists.
When I was briefed on the situation, I asked for detailed information on the time it would take—the Secretary of State has also sought and obtained this advice—and the clinical risks involved in reassessing all potentially affected patients. Last Friday, the Secretary of State asked for an emergency Bill to be drafted over the weekend as a matter of contingency, and he briefed the Prime Minister personally the following day. Following further discussions and analysis over the weekend, the decision to introduce emergency legislation was taken on Sunday.
At all times, the Secretary of State’s priority—and, indeed, mine too—has been to resolve this in a way that follows clinical advice. That is the most important thing. In the interests of a group of highly vulnerable individuals, it is important to do this in the most sensitive way. It would not have been feasible quickly to reassess all the patients and it may well have caused great distress to them and their families.
We have worked to remedy the problem as it relates to current and future detentions. The accountable officers for the four SHAs in question have written to Sir David Nicholson, chief executive of the NHS, to confirm that they have made the necessary changes to their governance arrangements. Furthermore, the accountable officers in the other six SHA areas have written to Sir David to confirm, in the light of this issue, that they have reviewed their own arrangements and are in full compliance with the Mental Health Act. That directly addresses the question asked by the hon. Member for Wolverhampton North East. I can confirm, incidentally, that approval in one SHA applies elsewhere in England. The Bill will put right those doctors’ approvals wherever they are now practising. That again gives complete clarity to that particular point.
Although we believe that there are good arguments that past detentions under the Mental Health Act were and are lawful, it is vital that doctors, other mental health professionals and, most importantly, patients and their families have absolute confidence in the decisions made. That is why, in relation to past detentions, we have decided that the irregularity should be corrected by the Bill.
On this serious matter, will the Minister give a fuller explanation of why, given that the proper procedure was not followed, making it irregular, it is none the less his advice that it remained lawful?
I cannot provide full detail, but I can repeat that the legal advice received by the Department was that there are good reasons to believe that the detentions are, and remain, lawful. Absolute certainty is essential in the interests of the patients concerned, whose care is paramount, and indeed of their families. That is why it is so important to proceed straight away with this retrospective legislation.
Although we are only aware of the problem in the four areas going back to 2002, the Bill applies in principle to the approval of all doctors under the Mental Health Act since its introduction in 1983. It retrospectively validates the approval of clinicians by those organisations to which responsibility was delegated, up to the point when all the relevant doctors were fully re-approved and their status put beyond doubt. The Bill will not deprive anyone—this is a really important point—of any of their normal rights of redress if they have been detained for any reason other than the narrow issue of the delegation of authority to approve by the SHAs. All the other rights remain exactly as they are. The provision addresses only the narrow issue of the nature of the authorisation. Nor will it affect any future detentions or legitimise any similar failures in the future—again, an incredibly important issue.
Necessary as it is to address the issue in that way, it is also important that we get to the bottom of how this happened. The Secretary of State has asked Dr Geoffrey Harris, chair of NHS South and former chair of the Buckinghamshire mental health trust, to undertake an independent review to look at how the responsibility was delegated by the four SHAs and, more broadly, the governance and assurance processes that all SHAs use for delegating any responsibilities. The Secretary of State will ask him to look at that in the context of the new NHS structures that come into force from next April to see whether any lessons need to be learned.
It is imperative that that review is swift. The Secretary of State has asked Dr Harris to report to him by the end of the year with recommendations to ensure that every part of the system employs the highest standards of assurance and oversight in the delegation of any functions.
In conclusion, I stress that both the Secretary of State and I have reviewed thoroughly with lawyers, clinicians and NHS managers all possible alternatives to introducing this retrospective legislation. The Secretary of State has been advised that all alternatives would be highly disruptive to the welfare of many of the most vulnerable patients in the mental health system, and would also deprive many other patients—another critical point—of the care they need while any action is undertaken. That is why, in such exceptional circumstances, we are proposing this retrospective legislation.
Detaining people under the Mental Health Act raises fundamental questions of individual liberty and public safety, requiring the most careful consideration. I am sure that there is general agreement across the House that the circumstances in which we find ourselves today are far from ideal. Members on all sides will want to use the time we have to satisfy themselves that the measures that the Government are asking the House to approve today are justified.
Emergency legislation tends to be forward looking in its scope, so the retrospective nature of the Bill before us is unusual and potentially troubling for Members. As I said yesterday, we will need to be sure that this is the only real course of action available and that it is not setting a precedent whereby emergency legislation can be used as a convenient means of correcting administrative failings, which could in itself breed a culture of complacency in public administration.
In asking those legitimate questions, however, we must have at the forefront of our minds the simple fact that the uncertainty which has arisen in the past week affects thousands of highly vulnerable people and their families, as well as having serious implications for patients and public safety. If we leave that uncertainty hanging, it will have the potential to cause real harm to the individuals concerned, and to damage public trust in our systems of individual and public protection.
The Secretary of State was right to act quickly, and to come to the House yesterday to make his exceptional and urgent request for legislation. I am surprised that he did not make the case for that legislation to the House in person today, but the Opposition have nevertheless concluded that, on balance, the public interest is best served by our supporting the Government in the swift action that they propose, and we will ensure as far as possible that that pragmatic approach is reflected in the other place.
In reaching our judgment, I think we can take some comfort from the fact that the main mental health organisations, as well as the Royal College of Psychiatrists, are, for now, supporting the Government’s course. However, concerns and questions have already been raised today—not least by my right hon. Friend the Member for Oxford East (Mr Smith)—which have not been fully answered. I must say to the Government that it is vital for the fullest possible answers to be given to the House today before any approval is given to this exceptional retrospective measure. I shall be seeking answers not just to the questions that I am about to ask, but to questions that the Secretary of State did not answer yesterday. There are matters of detail here, but matters of principle also arise, and I want to cover both in my speech.
May I clarify something? I had intended to make the Second Reading speech earlier, but I will be winding up the debate, and during that speech I shall seek to address any points raised by the right hon. Gentleman—and, indeed, any outstanding points raised by other Members.
I thank the Secretary of State for his intervention. We understand that these are urgent matters, and I am sure that he is receiving briefings from the Department, but I think that there is a sense among Opposition Members that that is not good enough, and that he should have been here to answer the questions that were asked. We appreciate that he will be winding up the debate, but I hope he will take careful note of all the questions that are asked, and will give every Member present the fullest possible answer.
First things first: let us begin with the detail. I think it would help the House to know more about the extent of the checks that have been carried out on the 4,000 to 5,000 cases involved. The very fact that the number remains vague suggests that there has not yet been a thorough case-by-case review. Does the Minister—or, indeed, the Secretary of State—agree that it is essential to conduct such a review, and to put a precise number on the extent of the problem? I asked yesterday whether the Department could tell us how many of the people concerned were in high-security hospitals. I think that that is an important aspect of the issue, and I should be grateful if the information could be given to us at some point this afternoon. Without detailed case-by-case checks, how can we be sure that this procedural defect was the only technical irregularity in the process that was operating in the four SHAs concerned? We need to be reassured that there are no further problems that will need to be corrected at a later date.
That brings me to another question that was not answered yesterday. Families of the people involved will have heard yesterday’s news, and will no doubt have been unsettled by it. Does the Secretary of State agree that it is important for the Government to make arrangements, urgently, for direct communication to take place with the families who have been directly affected so that the issue can be explained to them more fully, and in isolation from some media coverage that may not give them the reassurance and support that they seek? Have such arrangements been made, and has any facility been provided enabling questions to be answered so that people can be given that reassurance and support?
That, in turn, brings me to another important point. If the Government were to leave a vacuum in terms of advice and communication, it could of course be filled by less scrupulous elements of the legal profession seeking to initiate compensation claims. We have already read warnings today that efforts may be made to encourage patients to sue for £500 or £600 a day, the amount that a prisoner would receive in compensation for unlawful detention. I am sure the Secretary of State agrees that any such activities would be highly unsettling, and would amount to the potential exploitation of vulnerable people. I hope he will join me in sending the clearest of messages to the legal profession that that would not be at all welcome. On the other hand, we would not want to see any curtailment of individuals’ legitimate right to challenge the decisions made affecting their liberty as a result of the Bill.
I am glad that the right hon. Gentleman has made that second point. The fact that some people are litigious, possibly as a result of their condition—of which that is a notorious aspect—should not detract from their right to pursue a case if they wish to do so.
That is a good point. So many cases are involved that challenges may have already been in progress before this technical problem arose. There may have been complaints about the nature of the decision-making process, the number of professionals involved, or any matter relating to the process by which the decision was made.
I hope that it will reassure the hon. Gentleman to learn that I have been given access to Government lawyers—the Secretary of State promised that yesterday, and I am grateful to him for arranging it—and I have been assured that the Bill will not wipe away an individual’s right to issue a legal challenge on a different point of process. That is a fundamentally important point, and I am glad that the hon. Gentleman has given me an opportunity to put it on the record. We would certainly not support the Bill if it were intended to wipe away an individual’s rights retrospectively, and I am sure that the hon. Gentleman would not either. We are grateful for that reassurance from the Government.
Along with the urgent steps that are being taken to correct the legal position, we need a review of how this came about in the first place. If it had happened in a single SHA, the explanation might have been easier to ascertain and understand, but the fact that it happened in four SHAs points to a more widespread issue of concern. It raises the question whether the problem arose from historical practice among clinicians and NHS bodies in the four regions concerned, or whether a piece of Department of Health guidance that was circulated in the past may have been responsible. I hope that the Minister or the Secretary of State will be able to enlighten the House further.
We want the Harris review—which I support—to cover all the technical issues surrounding mental health, so that the House and the public can be absolutely certain that no other technical failures or breaches of regulation have been identified. Let me make two appeals to the Secretary of State. First, I ask him to consider widening the remit of the review, and ensuring that in future it can take the broadest possible view of arrangements for sections under the Mental Health Act 1983. Secondly, I ask for the review to be conducted as swiftly as possible, so that it can inform the current reorganisation of the NHS.
It seems to me that the crux of the issue is the interrelationship between the 1983 Act and the potential for reorganisations of the NHS to disturb important existing arrangements and procedures for the carrying out of these essential public functions. That is the crux of the matter. I accept that a problem may have arisen as a result of the introduction of SHAs and PCTs in 2003, and we will have to wait and see whether that was the case. Regardless of the answer to that, however, the Government still have to face a relevant and current issue: they have to be absolutely sure that the changes they are proposing—and which the Opposition continue to believe are unnecessary and highly disruptive to an NHS that is functioning well for the vast majority of people—will not run the risk of causing further confusion.
We have not had anywhere near enough clarity from the Secretary of State—or his predecessor, the right hon. Member for South Cambridgeshire (Mr Lansley), who has just left the Chamber—on how some of the essential functions of NHS bodies to do with safeguarding and public protection are to be handled in the new NHS structure. Many months have passed since the publication of the Government’s first White Paper, yet there are still doubts in the minds of clinicians and others practitioners on the ground. That is an indictment, and shows the confusion the reorganisation has created. We are seeing the emergence of myriad new bodies in the NHS whose functions are not yet fully understood or specified by the Government. This crowded landscape has the potential to cause for further uncertainty. I therefore today ask for more clarity on this matter.
As things currently stand, what will the NHS arrangements be for sectioning people under the mental health provisions to be introduced from April 2013? I do not yet know with confidence what those arrangements are, and if I do not know there is a good chance that the wider public and many people working in the NHS have no idea. The Government need to answer these questions.
There is a further specific question the Department needs to answer, and it goes to the heart of the issues under discussion. I am sure I heard the Secretary of State say yesterday that the secondary approval function that SHAs are meant to carry out will come back to the Department of Health following the Government’s current reorganisation of the NHS.
The Secretary of State is nodding from a sedentary position, so I assume that is correct. Surely, therefore, a concern arises that the SHA part of the process is no more than a rubber-stamping exercise. The Department will be entirely remote from the local situation on the ground relating to the individuals involved and the clinicians and institutions making the judgments. If this process is taken up to the national level, will that not give rise to more concerns that mistakes might be made in the future, because of the distance between the process of approval and the individual cases on the ground? Has the Secretary of State had discussions with mental health organisations about whether they believe those arrangements are acceptable? I must say that I have serious concerns about them.
That is a very important point. Following the logic of my right hon. Friend’s argument, does he agree that the Government would be well advised to ensure there is independent professional involvement in auditing and overseeing that process?
That is a tremendously important point. Over the years, in terms of crucial public functions such as those we are discussing—and, indeed, in wider considerations such as assessments of new treatments with the National Institute for Health and Clinical Excellence—there has been a trend towards independent decision making, so that people can feel that there is no political, or departmental, interference, such as through changing local resource decisions.
The taking of these powers, and the rubber-stamping of approvals to section people, up to the national level will give rise to concerns about whether the process is sufficiently independent and people’s rights are being properly considered. I hope Ministers have listened to the important point my right hon. Friend the Member for Oxford East has just made.
I will end by addressing a point of wider principle about mental health policy and the place of mental health within our society. I believe it is possible that this whole unfortunate episode is symptomatic of a wider cultural problem: that mental health simply does not get sufficient focus and resources in the NHS at both the local PCT level and the regional SHA level—and, indeed, within the Department of Health. Beyond that, I do not believe that mental health gets the consideration it needs in Government or in this place. We do not give sufficient consideration to the hugely important issues relating to mental health.
When I was Health Secretary, hundreds of submissions would come across my desk in the course of an average week, and it was unusual if just one of them related to mental health. It is very much seen as a fringe consideration, pushed to the edges of the system—a peripheral concern in PCTs and SHAs, and all the way up to the Department of Health. That situation must not be allowed to continue.
The culture of separateness in the way we consider mental health, as opposed to other NHS issues, has deep roots in our society. Mental health services have often been provided in buildings that are out of sight, out of mind and on the fringes of the mainstream health care system.
That has to change. In the 21st century, we demand it. In our lives, we are all now dealing with much greater levels of stress, change and upheaval, and sometimes we are all left reeling by the sheer pace of modern life. We are discussing today between 4,000 and 5,000 very vulnerable people as though they are somehow apart from the rest of us. They are not. Any family can suffer the terrible consequences of serious mental health issues. In such circumstances, we would all want to be assured that those affected are not forgotten and pushed to the fringes where proper procedures are not carried out because there is a somewhat out-of-sight, out-of-mind approach. These issues are central concerns because they go to the heart of 21st century living.
Mental health must no longer be left at the edges of our national debate about health and care policy. It has to come to the very centre of our health care system. The Health and Social Care Act 2012 includes one good measure at least: to create parity of esteem between physical and mental health. I must say that it was a Labour amendment in another place that introduced that improvement into the Act, but, to be fair to the Government, I should add that I am pleased that they accepted it.
Will the Secretary of State explain what parity of esteem means in practice? What action has the Department thus far taken to put parity of esteem into effect in the national health service, and what plans does it have for the future? We have learnt in recent days that the budget for mental health has been cut in the last financial year, which suggests to me that the NHS is reverting to its default position in tough times.
Does my right hon. Friend agree that role models in society could do a lot more to help to improve cultural attitudes to mental health issues?
My hon. Friend makes a very important point, and we have the seen the beginning of the kind of campaign he advocates with the work of the Time to Change group. There has also been incredible bravery from individuals such as the cricketer Marcus Trescothick, who spoke out very publicly about the difficulties he had faced, and just a few weeks ago in this House we witnessed some incredibly powerful contributions from Members on both sides of the Chamber: for the first time Members spoke personally and publicly about the difficulties they faced.
I think a change is under way, therefore. People who have been suffering alone will take great heart and encouragement from these developments. We are beginning to challenge the last taboo—the last form of acceptable discrimination in our society—but that does not come a moment too soon. My feeling is that Parliament is finally waking up to the full scale of the mental health challenge we face. A Bill before us at the moment will outlaw the discrimination that exists whereby somebody who has suffered a serious mental breakdown is unable to be a Member of Parliament, a company director, a juror or a school governor. It is so important to remove that discrimination from the statute book because it sends a message that recovery is not possible, and that if someone has a serious mental breakdown there is no possibility of their coming back and playing a full part in our society. The further problem with that legislation is that it prevents those people from being in leadership positions in those organisations—in schools, in Parliament and in companies—where they could develop a better understanding of mental health and what policies need to be put in place to support people who may experience those problems.
Does the right hon. Gentleman share my concern, and that of organisations such as Mind, that the rate of compulsory detention seems to be growing, as does the rate of detention in police cells?
We need to look carefully at those trends. I remember the moment when my thinking about mental health changed. It came when I was Secretary of State for Health and I received the Bradley report on mental ill health in the criminal justice system. I recall the moment when I read the statistic that seven out of 10 young people in the system have some form of undiagnosed or untreated mental health problem. My jaw dropped and at that moment I realised that we were seriously failing many thousands of people by failing to give them the support they needed when they needed it, and so they went into detention and down a path of failing to fulfil their potential. That is a terrible indictment of our life today. In addition, the level of prescribing of anti-depressants has almost doubled over the past decade. We are issuing almost 40 million prescriptions for anti-depressants, which suggests to me that insufficient alternatives to medication are available in our communities and people are being given very old-fashioned, outdated interventions by the authorities which are not meeting their needs. That is why we cannot allow this complacency any more and why we need a modern approach to good mental health care.
My right hon. Friend is absolutely right when he says that mental health has been the poor relation of the health service, but does he agree that, within that mental health service, children’s mental health services have often been the poor relation again? Does he hope that the Government will address specific services for children who need mental health services?
Order. As important as the debate is, the wider considerations of mental health and its treatment are not actually the subject for today—that is the Bill before us. So in rising to answer his hon. Friend’s problem, I am sure that the shadow Secretary of State will come back to the specifics of the Bill.
I will indeed, Madam Deputy Speaker. This is a Second Reading debate, so I was just taking a moment to speak more widely. However, I believe that this comes back to the central point I made: the reason why this situation has arisen and why it was undetected for so long—10 years—in the Department was because of this culture of failing to put sufficient focus on and give attention to mental health. The issue is still on the fringes of our system. My hon. Friend makes an incredibly important point. We hear that not only is the budget for adult mental health being cut, but the budget for children’s mental health is being cut even further. That brings me back to another point I was making: in tough times the NHS reverts to its default position, which is to focus on the mainstream and to ignore mental health. That is a worrying sign, so we press the Government to say what parity of esteem means in practice. What actions are the Government taking to change this culture to ensure that the resources and the focus are in place?
In conclusion, although the Opposition will give the Government the co-operation they need to get this measure through the House today, I say again that we need to have full answers to all the concerns I have outlined. That is the least the Government owe Opposition Members. One of the good things that we hope may come from this unfortunate episode is that it may jolt us out of our complacency on mental health, and that Parliament will begin truly to work for more parity of esteem between physical and mental health and ensure that finally mental health gets the resources and the focus it desperately needs.
Yesterday I expressed bewilderment about how we have ended up in this situation, given the high profile given in this place to the issue of legal detention, particularly during the passage of the Mental Health Act 2007, on whose Bill Committee I served. Yesterday, the hon. Member for Broxbourne (Mr Walker) said that this issue has not been taken seriously during the past decade, but it has been in the House of Commons—it has been taken very seriously and has been debated at extraordinary length. I now see the Government’s problems over the issue and recognise the gravity of the situation. I understand the need for a rapid solution and the absence of any real viable alternative. However, I am not yet convinced that this retrospective legislation offers an unproblematic or wholly sufficient solution.
Let me explain why that is and underline my concerns. Let us suppose this were not an issue of mental health, and somebody was judicially processed and forcibly detained via a flawed process. Let us suppose that they were arrested by an officer who was competent but not properly authorised to arrest or that such a person were sentenced by a judge who was skilled but not properly appointed. Irrespective of the person’s actual guilt or the reasonableness of the evidence, they would be released, after an application had been made, on a technicality. That is how the law would work for those who do not have mental health issues to address. If we apply different principles for those who have mental health issues, we discriminate, and it could be argued that we might be doing so unfairly. Ironically, this week, we are beginning the Committee stage of a Bill to outlaw unfair discrimination.
If we add to that the fact that the job of determining who assesses cases was delegated to organisations such as care trusts, which are also providers of patient care and are paid for providing it, we see a legal challenge under human rights law starting to take shape. Mersey Care NHS Trust owns and runs Ashworth, and although I do not think it is one of the offending trusts in this case, it would have been a relevant example here. A consoling thought—the consoling thought—is that we believe that no one has been improperly detained or is being improperly detained, and nothing would have changed if authorisation had been done differently. However, it is not possible to be sure about that.
These cases are often genuinely difficult. I have met psychopaths who appear, on the surface of it and when encountered, to be very normal. Equally, when anyone is incarcerated it can be difficult to prove their normality. A classic pseudo-patient experiment was carried out by David Rosenhan in 1973, when mentally well researchers were admitted to an institution under false diagnoses in order to observe life and treatment there, and to conduct research. At the end of each day they wrote down their observations, and the nurses retired to their rooms and wrote down in their case notes, “Patients exhibit strange writing behaviour”. If this place was assumed to be an asylum, I often wonder what exactly would disabuse people of that perception.
Closer to home, I conducted an evening class many years ago at Park Lane hospital, which was the predecessor institution of Ashworth hospital. I encountered there a very articulate and seemingly responsible young man who appeared ready for discharge. Years later, I saw the same individual on a TV programme about Park Lane hospital applying for a discharge, arguing on camera with his psychiatrist for release and asserting his sanity. His willingness to argue and his insistence was taken by the psychiatrist as an indication of his lack of insight. Until he agreed with his psychiatrist that he was still sick he would get no joy—that is a kind of inverse Catch-22. There are those with less cause who genuinely think that they should not be detained, and they have lawyers and access to the courts. They will contest this legislation and we cannot be entirely sure what the result will be, especially as we are forced in this case to act in haste.
We have to go ahead with the measure, but it may not be sufficient for our purposes. We may have to consider judicially reviewing all flawed cases to ensure that there is a sustainable basis for continued detention. I would genuinely prefer to believe that in this case I am wrong.
Like the hon. Member for Southport (John Pugh) and my right hon. Friend the Member for Leigh (Andy Burnham), I see no alternative but to proceed with the Bill, but I too have concerns.
Clause 1(1) states:
“Any person who before the day on which this Act is passed has done anything in the purported exercise of an approval function is to be treated for all purposes as having had the power to do so.”
The clause then defines the approved function in relation to the Mental Health Act 1983, but will the Secretary of State tell us why the concept of “any person” needs to be so broad for the Bill? It could be taken to legitimise approval by anybody. Should it not have been limited to the four trusts in question, if that is the problem the House is addressing—as it is—rather than being so sweeping?
My next question relates to my intervention earlier, when we were assured that there were good legal reasons to suppose that while the procedures that had been followed were irregular and not in conformity with the legislation, they were none the less lawful. The Secretary of State owes it to the House to spell out why they were regarded as lawful even though we are having to act in such a precipitate fashion to put things right.
I see that the Secretary of State has certified the Bill as being in compliance with the European convention on human rights, but as the previous speaker pointed out, the use of such retrospective legislation, which impacts on something so fundamental as the citizen’s right to liberty, may raise questions under the charter of human rights, so I should be grateful if the Secretary of State reassured us that the most careful attention has been given to that most precious of issues.
I state an interest as a member of the all-party group on social work. Before I was elected, I was for a short time an approved social worker under the Mental Health Act 1983. I was also a member of the Joint Committee that looked at mental health legislation before the passage of the National Health Service Act 2006. As far as I remember, the issue was not addressed that winter when we looked at the legislation in considerable detail.
First, to state the obvious, compulsory detention is a serious matter, as hon. Members and right hon. Members have said. The deprivation of liberty without the legal processes of the courts has always been subject to great safeguards. I accept that this is an emergency, but it is undesirable in the extreme that the subject is dealt with in such a manner. Emergency legislation should always be used as sparingly as possible, in particular in mental health.
The House will be interested to learn that the expert group examining mental health legislation in the winter before the 2006 Act was looking at legislation from the previous century. As I said at the time, they had been looking at it for years and years, not just overnight.
As I have said, I acted as an approved social worker for some time, and I was briefly a mental welfare officer under the Mental Health Act 1959. That measure was extremely unsatisfactory and, to contextualise the subject we are discussing, there was particular concern about section 29 of the Act, under which people could be taken into hospital compulsorily as an emergency for up to 72 hours, on the basis of one medical recommendation. Recourse to that provision was particularly high in rural areas such as mine where one could not get hold of a second approved doctor. That was one of the reasons why the 1983 Act tightened things up as much as it did.
The 1983 Act brought in safeguards and followed a long campaign by Mind, among other organisations, led by Larry Gostin. The burden of the Act is that better human rights safeguards must be in place, and I welcomed it at the time. One of its provisions was that two properly approved doctors should look at any application. That is the context for the worrying statement made by the Secretary of State yesterday.
I was glad to hear the Secretary of State’s assurances that the measure is a technical matter and that no one was wrongly detained, that proper clinical processes were carried out and doctors were properly qualified for the roles they undertook—apart from this technicality. I agree that the position should be regularised as soon as possible.
However, I take the points made by the hon. Member for Southport (John Pugh) and the right hon. Member for Oxford East (Mr Smith): there are rightful worries about compulsory detention and there could be further cases. We must get to the bottom of how the situation arose and find out why it has taken so long—more than 10 years—to come before the House. Did it not come up in any of the Department’s visits in its inspectorial role? I worked briefly as a freelance for the inspectorial arm of the then Welsh Office, so I know how much detailed care went into that role at the time. Why has the issue not come to the fore until now?
I have some questions that I will ask now, even though it is a Second Reading debate. Perhaps the Secretary of State could answer them when he winds up. As background to the Bill, I read that there are between 4,000 and 5,000 current patients. Can the Secretary of State confirm that they really are current patients? If so, are there many thousands of former patients who might have been sectioned who also have an interest in the matter? Is the figure current or a cumulative total? Does it include only in-patients? What about patients in the community on compulsory treatment orders? There could be many thousands of them. We need clarity about the size of that population.
I asked in an intervention whether only particular strategic health authorities were involved. Rampton was certainly involved; it takes patients from Wales and elsewhere. I was not sure whether Ashworth was included. The hon. Member for Southport seemed to indicate that Ashworth—Park Lane, as it was—had not been drawn in. Could the Secretary of State provide some confirmation?
There are questions about informing patients and their families about the problem that has arisen. Those people may be very vulnerable, given their condition. Some patients are likely to be anxious as part of their illness, and this situation could exacerbate their condition. We need to make sure that these events do not exacerbate existing conditions, so I should like some assurance from the Secretary of State about how patients, former patients and their families will be contacted. Will independent advocacy services be involved? I am not talking about lawyers or ambulance chasers, but about the many services properly set up in the community to support people.
Communication must be appropriate. The code of practice for the 1983 Act specifies that communication with patients must be made appropriately on the basis of age, gender, race and language. One of the reasons I am speaking in the debate is that some Welsh-speaking patients might have been involved, so I want to be sure that they will be contacted and communicated with appropriately. Because of this incident, the process might be upsetting for people who have been sectioned in the past, so I should be grateful for reassurance that long-term support will be available if that is a disturbing factor in their condition.
The briefing notes, which I read with interest, refer to compensation, which should be the last thing on anyone’s mind at a time like this. I was reassured, however, to learn that people can bring cases. Some individuals can be litigious. Sometimes, as part of their condition, they are notoriously litigious, as I said earlier, but that does not detract from their right to bring cases unless the court rules otherwise.
I have some concerns about doctors. I asked earlier whether approval by a strategic health authority automatically enabled people to act elsewhere. The Minister initially said that it was just within the strategic health authority area, but then he said it was throughout England. I should like that matter to be cleared up and, as a Welsh Member, I should like it to be cleared up in relation to Wales and possibly Northern Ireland and Scotland. I am worried that doctors may slip through the net because they have acted outside the four areas that have been identified.
What discussions has the Secretary of State or the Minister of State had with doctors’ representatives? I appreciate that time has been short, but I hope that doctors have been fully involved. Are there any implications—I cannot think of any—for the second doctor involved in sectioning? I should be grateful for reassurance on that point. Equally, are there any implications for the social worker, as it is usually a social worker who is involved?
Finally, has the Wales Office been involved in any way? I am glad that Wales, Scotland and Northern Ireland have been informed. It is more of an issue for Wales, given that we share many clinical services and people from Wales are often treated in England: special hospitals are an obvious example. I hope that there has been the closest co-operation possible between the Wales Office and the Welsh Government in Cardiff. I am glad that an independent review under Dr Geoffrey Harris has been announced. I hope that the Wales Office and the Welsh Government will be involved to the degree that they should be.
I wish to make only a couple of points about this emergency legislation, which I support. The Government still have a number of questions to answer. First, further to the point made by my right hon. Friend the Member for Oxford East (Mr Smith), I should like to press the Secretary of State on legality. In the explanatory notes, the Government say:
“Although we believe that there are good arguments that detentions under the Mental Health Act were and are lawful, it is important that there should be no doubt about this.”
If legislation does not permit the authorisation and delegation of power to doctors under that measure, does that accord with the law? I am not lawyer. Many right hon. and hon. Members on both sides of the House served in that profession before first coming to Parliament, but I am not one of them. However, if the previous measure did not permit such a delegation of power, doctors acting without that permission were not proceeding according to the law. I should therefore welcome clarity on that point.
Secondly, with regard to what happens from now on—the Bill is retrospective in effect—the Government propose to abolish strategic health authorities. As far as I understand it, SHAs were named in the original legislation. What will effectively take their place when they are abolished and will further amendments need to be tabled by the Government?
The Opposition do not oppose the Bill. We are aware that much of this activity took place under a Labour Government, and we are anxious to work in the most co-operative way possible to resolve the situation. However, I would do the House a disservice if I did not set out the in-principle objections to retrospective legislation of this kind.
I should like to quote someone whom Government Members may take more seriously than some of us. In the “The Road to Serfdom”, Hayek said of the rule of law:
“Stripped of all technicalities [the rule of law] means the government in all its actions is bound by rules fixed and announced beforehand—rules which make it possible to foresee with fair certainty how the authority will use its coercive powers in given circumstances, and to plan one’s affairs on the basis of this knowledge.”
I shall set out objections to retrospective legislation, because despite the urgency of the situation and the problems that might arise if it were not introduced, we should recognise that it is a very serious matter to introduce retrospective legislation of this kind. The Opposition, as my right hon. Friend the Member for Leigh (Andy Burnham) said, were a little surprised that the Secretary of State for Health did not open the debate.
If retrospective legislation is undesirable in principle, it is particularly undesirable when it concerns the liberty of the subject. There is no precedent for retrospective legislation on such matters. We are dealing with the mentally ill and the sectioning of people under the Mental Health Act 1983. Due process is even more important in relation to issues under that Act than in relation to other matters of criminal justice, as we are dealing with vulnerable people who are not in a position to advocate for themselves. Due process is not less important in relation to Mental Health Act matters; it is more important.
I urge the House to pause for a second and see the situation from the point of view of the mentally ill, their families and their supporters. For people engaged with mental health legislation, the process may appear Kafkaesque and labyrinthine. They now know that 5,000 people—perhaps more—were sectioned, strictly speaking, illegally, which can only cause unhappiness and uncertainty. As hon. Members have said, it may even affect the condition of those people.
I do not disagree with anything that the hon. Lady has said, but I should like to clarify something. Is she basically saying that she supports what the Government have done, but is putting on record the fact that the measure must not be seen in any way as a precedent? This is an exceptional and unique set of circumstances. Is that effectively what she is saying?
I have been a Member for 25 years. I have never seen retrospective legislation of this kind. Although we support what the Government are doing, we do not want it to be seen in any way as a precedent; nor do we want it to be thought that, because the measure relates to the Mental Health Act, it is less significant than if it were a broad criminal justice concern. That is the point that I want to put on the record.
As I have said, for patients and their families, the mental health system may appear labyrinthine and Kafkaesque at the best of times. Now they find that for a long period—some of it under a Labour Government—people were being sectioned without proper due process. Ministers have said, both today and yesterday, that this is a technicality, but due process means that people should abide by the technicalities. Only in that way can we defend the liberty of the subject, and only in that way can the subject have any recourse. If we do not abide by the technicalities and if the rule of law does not apply, where do our constituents and other ordinary people turn if things go wrong?
Ministers have made a series of assertions. They have said that no patient has been wrongly detained or received care that was not clinically appropriate. They have said that no doctor was unqualified to make the decisions, and they say that urgent action is being taken to correct the situation. But I would be interested to hear from Ministers whether there has been an individual case review of these cases. How can they assert that no patient has been wrongly detained or received inappropriate care if the Government have not reviewed each case individually? How can Ministers assert that no doctor was unqualified to make the decisions if they have not reviewed each case individually?
I am not raising these issues to stop what I understand is an urgent process, but it would not be right for the House to railroad the legislation through without paying attention to the individuals and the individual cases involved. If there has been no individual case review, the question raised by other hon. Members whether the Bill will stand up to judicial review comes to the fore. Is the Minister in possession of robust, irrefutable evidence to show that none of the more than 5,000 patients detained by the approximately 2,000 not properly approved doctors was subject to clinically inappropriate detention or hospitalisation?
Will the families and carers of those individuals be advised of the situation and given an opportunity to raise any concerns that they may have? When a relative is detained under the Mental Health Act, the question whether that is appropriate can be one of the most difficult and traumatic questions that a family has to face, and to dismiss the lack of due process as a mere technicality, as Ministers have come dangerously close to doing, is not fair to those individuals and their families—our constituents.
Although I accept that the doctors concerned have acted in good faith, I hope the Minister will agree that we are dealing with a highly vulnerable group of individuals—the patients and their families—and they need to have absolute confidence in the Government’s response. We understand that introducing urgent legislation is part of offering such reassurance. It will protect vulnerable patients from a potentially exploitative situation in relation to what are commonly called ambulance-chasing lawyers, but when their relative is taken away from them, people also want to know that this is not a mere rubber-stamping process. I have heard nothing so far that would reassure me, if I were the mother or a relative of one of the people detained under a defective process, that Ministers do not regard this as a mere rubber-stamping process and that all the Bill does is alter in some technical way the nature of the rubber stamp.
My right hon. Friend the Member for Leigh made the point that we need to move forward with a very different attitude to mental health. We need to look for parity of esteem between mental health and physical health, but in this matter, in relation to the liberty of the subject, we also need to look to parity of esteem when someone’s liberty is taken away under the Mental Health Act and under broader criminal justice legislation. If people had been held in prison and there had not been due process, it would not be good enough to railroad through retrospective legislation in an afternoon in the House of Commons. There would be much more uproar.
We want to impress upon Ministers that we must take seriously the liberty of people detained under the Mental Health Act and demonstrate that we are doing so. A number of questions have been raised by hon. Members on Second Reading, and we hope that the Minister will be able to answer them. I thank right hon. and hon. Members who have taken part in the debate. As I said earlier, I hope the Government will try to involve the family and carers of those affected more closely in the process of bringing clarity. I hope that the Government will seek to remove any uncertainty and will explain to them what they can do to seek redress.
Like my right hon. Friend the Member for Leigh, I commend Ministers for their attempt to move quickly on a very difficult issue. We want to offer the Secretary of State any assistance that we can as he seeks to answer questions from patients, families, carers and the wider public, but we say to him that retrospective legislation is very serious. It cannot be dismissed as a technicality. The liberty of the subject is, so to speak, the ground zero of parliamentary democracy in this country. It cannot be dismissed as a mere technicality. Sadly, I do not believe that the debate this afternoon will be the last that we hear on the matter. It is extremely important that those of us who are in the House this afternoon tease out the answers to the questions that have been put.
I start by apologising to any Members who had hoped to intervene on me at the start of the debate, but I hope that I will now be able to give a fuller answer not just to any interventions, but to speeches made by right hon. and hon. Members. I thank the Opposition and the whole House for the very responsible attitude that they have taken towards this extremely sensitive and difficult issue. I intend to respond fully to all the points made by right hon. and hon. Members about the need to act so fast and retrospectively. Those are important issues that deserve the fullest attention.
It is important to record our appreciation at this stage for the invaluable help and advice that we received from partners outside the House, such as Mind, Rethink and the Royal College of Psychiatrists. Their primary concern is naturally those whom they represent so ably, but we are genuinely grateful for the mature and calm way in which they have responded. Everyone in the House has shared the same ultimate objective—to do what is best for the patients directly affected by a technical error.
Let me go through the points raised in the debate. I shall try to respond as fully as I can. With respect to the devolved Administrations, I have spoken to Health Ministers in Wales and Northern Ireland today, and I spoke to the Advocate-General for Scotland yesterday. They have been extremely supportive of the position that the Government and the whole House have taken, and they understand the need for speed. In Wales it is a sensitive matter because the Welsh Assembly is in recess, but I managed to speak to the Health Minister and go through the issues involved.
A number of Members asked about the extent to which we will be communicating with patients. We are working closely with the Royal College of Psychiatrists as to the best way to do this. That also extends to the families and carers of patients. Sir David Nicholson, the chief executive of the NHS, is writing to all strategic health authorities, stressing the need to communicate broadly across all mental health organisations, including patients and their families, and including, as has been mentioned, not just the patients who are directly affected, but potentially other patients who have been detained under the Mental Health Act, who may also have concerns. We have not been able to complete that communication exercise at this stage, because of the speed necessary to pass the Bill, but we will need to make sure that it proceeds as a matter of urgency.
We welcome the exercise being carried out by the NHS chief executive, but it is not the same as a personal communication to the individuals directly affected, so will the Secretary of State address the specific point of whether or not they will receive explanatory information from him or the Department?
Yes. What Sir David Nicholson is doing is ensuring that all SHAs have a proper communication process in place, but we want to follow clinical advice on the appropriateness of individual communications with individual patients. Where we are advised that is clinically sensible, we must ensure that it happens, but we want to listen to the advice carefully because of the vulnerability of some of the patients involved. The right hon. Gentleman makes an extremely important point. We must do this properly but, as I know he will agree, we must proceed with extreme care and caution.
I will start with some of the issues that the right hon. Gentleman raised, particularly the role of the review being conducted by Dr Geoff Harris. He is absolutely right that it needs to be done speedily because of the changes being introduced by the Health and Social Care Act 2012. I want to reassure him that Dr Harris’s review will not be simply a retrospective review; he will not just be asking, “Why did this happen?” He will also be stepping back and asking, “Where might this happen again and are our governance procedures sufficient to ensure that it does not?” In particular, he will look at the new structures that will be put in place over the next few months to give us good and independent advice on whether we have the safeguards in place to prevent this from happening again. That is an important point.
With regard to how many people are affected, the figure is up to 5,000. We think that the number includes all the patients at Rampton and 57 patients at Ashworth, but we are still verifying the exact numbers. I will keep the right hon. Gentleman informed as more information becomes available.
The right hon. Gentleman’s other point was about the new arrangements that are being put in place. He wondered, legitimately, whether, as the powers are returning to the Department of Health following the abolition of the SHAs—he was correct to pick that up from my comments yesterday—there is a danger that the process could be more remote for local areas. We will keep him informed of our plans in that regard, but we do not intend to have a single national panel doing this. We intend to have a structure that draws on local and regional expertise to help us to make the right decision on the suitability of doctors for the role. That is also something we hope Dr Harris will advise us on when he conducts his review.
I will move on to some of the comments made by the right hon. Member for Oxford East (Mr Smith). Independent oversight is also something we will ask Dr Harris to look at. He is independent and he is looking at it. We will also ask him to look at the general issue of independent oversight and whether it has been missing in the structures we have had to date and, therefore, whether it contributed to the concerns that we are now addressing.
The right hon. Gentleman and the hon. Member for Wolverhampton North East (Emma Reynolds) raised another issue: the wording we have been using, the fact that we believe there are good arguments for saying that the detentions that happened as a result of approvals made by the doctors in the four SHAs were and are legal and, therefore, why we feel the need for emergency retrospective legislation. It is a reasonable question. The answer is that we believe that there is legal precedent for why, in so sensitive a situation, a court, in deciding whether a detention was lawful or unlawful, would consider what the will of Parliament was when it passed the original law. Therefore, we believe that we have a good argument for why a court should rule that these detentions were and are lawful.
However, because of the technical irregularity in the process of approving some of the doctors who made the decisions in the four SHAs, that argument could be challenged. That is also an important part of the advice we have received. It is because it is so important to put the decisions beyond doubt, with respect to this narrow and technical issue, that the Bill is so incredibly important. However—this might help to address some of the concerns raised during the Opposition winding-up speech—this piece of retrospective legislation refers only to that narrow and technical issue. If people question the grounds for their sectioning under the Mental Health Act on clinical grounds and claim that the wrong clinical judgment had been reached, for example, or if they do not agree with what the panels have said, the Bill will not affect their right to challenge the decision and, if the court upholds the challenge, to get compensation if they have been detained. The Bill relates only to the very narrow issue of the technicality.
I am grateful to the Secretary of State for giving way and for his response to one of my earlier points. As he is adopting a belt-and-braces approach to this—a sort of “We think it was lawful, but let’s make absolutely sure” approach—would it not also be wise to arrange, if not in the Bill then as an executive action, for the doctors in question to be re-approved by the correct process?
The right hon. Gentleman makes an extremely important point. I am pleased to reassure him that that has happened. That was one of the first things that happened, and it was completed yesterday, so all the doctors who are currently making these approvals in the four SHAs were approved using the correct process. We are confident that the problem will not arise in future, but we still have the issue of the decisions they took when the technical process had not been followed.
We have taken a number of actions to deliver parity of esteem for mental health services. I wholeheartedly agree with the concerns that have been raised about mental health issues having been for too long the poor relative in a number of areas. The right hon. Member for Leigh (Andy Burnham) will know that in July we published the implementation framework for our mental health strategy, “No health without mental health”. We have legislated, with his party’s support, for parity of esteem. The operating framework for the NHS expands access to psychological therapies, which is one of the key things we can do. The number of people accessing psychological therapies has increased to 528,000 people this year, which is more than double the figure for last year, and the amount of money going into it has increased from £364 million to £386 million. Those therapies have a very good success rate of about 45%, and we think that we can get it up to 50%. I want to reassure right hon. and hon. Members that we note the general view of the House that more emphasis needs to be put on mental health services.
But overall there has been a significant real-terms reduction in spending on mental health, as the figures given by the right hon. Gentleman’s colleague in the House of Lords a few weeks ago indicate, which suggests that the NHS is making disproportionately more redundancies in the field of mental health than in other areas and that it is reverting to that default position. Therefore, although I appreciate the Secretary of State’s words at the Dispatch Box today, the reality on the ground suggests that, as ever, mental health is bearing the brunt of some of the reductions and redundancies taking place and that the capacity of people to deal with these kinds of issues will perhaps be reduced. What will he say about safeguarding against that?
The right hon. Gentleman makes an important point. I believe that in actual terms the spending on mental health has increased slightly, but when we take inflation into account it might have gone down slightly in real terms. I do not think that it is a significant drop, but overall, as he knows, the NHS budget has been protected. I would be extremely disappointed if, as we go through a process of finding important efficiency savings in order to meet the increased demand on the NHS, the picture that he paints were to be the case, but I will be watching the situation very carefully. I will expect him to hold me to account for my commitment to ensuring that mental health services are properly addressed.
Crucially, it is not just about what we say but about what we deliver, particularly as regards the progress that we make towards improving access to mental health services, which were never included in the waiting times targets that were introduced by the previous Government. There are obviously financial implications in doing that, but we are working on it. Parity of esteem needs to include access to mental health services and not just the availability of those services.
Does not parity of esteem also, crucially, need to apply to research funding—a point that was made earlier during the urgent question on Winterbourne?
Order. We are again going very wide of the Bill and the points that are supposed to be made in relation to it. The right hon. Gentleman’s question does touch on that, but I would be grateful if the Secretary of State, in responding, returns to the Bill by focusing on the items that we will be voting on today.
The answer to the right hon. Gentleman is yes. I will now return to the specific questions asked about the Bill.
The hon. Member for Southport (John Pugh) talked about the important issue of discrimination—that is, whether we are behaving differently because these patients have a mental illness. Removing discrimination does not mean treating everyone exactly the same. In fact, we will remove discrimination in the mental health field by better understanding the vulnerabilities and needs of people who have serious mental health problems, and that might mean treating them differently to account for that. The hon. Gentleman is absolutely right to say, as was the hon. Member for Hackney North and Stoke Newington (Ms Abbott), that important human rights issues need to be considered. I want to reassure him that, even in the four SHAs where the technical irregularity in the approval of doctors arose, the criteria were as rigorous as those used to make the clinical assessment that it was necessary to detain someone under the Mental Health Act. The same quality of expert advice was drawn on in order to make those decisions.
The right hon. Member for Oxford East asked why we are not limiting the legislation to the four SHAs where we have identified this technical irregularity. That is because we do not know at this stage whether the problem may have predated the establishment of SHAs—we should remember that these powers go back to the Mental Health Act 1983—and therefore, to make sure that we deal with the problem in its entirety, it is better to include the whole country in the legislation lest we find at a later date that the problem had existed in other parts of the country, perhaps prior to the foundation of SHAs.
On human rights, I have signed a piece of paper saying that I believe that the Bill is compliant with the European convention on human rights. I did that on the advice of Government lawyers and of the Attorney-General. The Attorney-General believes that, were a case to be brought now, people would be entitled only to nominal compensation because this is a technical, not a substantive, irregularity, and it is therefore not, on this occasion, a breach of people’s human rights to pass a law retrospectively.
The hon. Member for Arfon (Hywel Williams) asked why this has taken so long—why, for example, the Mental Health Commission did not identify the problem in its years of existence. That is a very important question. I cannot pretend that I have the answer now, but I want Dr Harris to look into that issue in enormous detail because I want to know whether there is a risk that other errors, similar or related, might exist in other parts of the system. The House needs to understand much better whether we should be concerned about that and whether the right governance procedures are in place.
The hon. Gentleman mentioned advocacy. As he will know, all patients have a right to an independent mental health advocate, but that process has not always worked as well as it should. I want to use the opportunity of the transfer of those responsibilities from primary care trusts to local authorities to make sure that we have proper procedures in place so that people really do get the advocacy support that they need.
Let me confirm to the hon. Gentleman—we received this piece of information as my hon. Friend the Minister was speaking—that someone approved in one SHA is able to practise in other SHAs. That is partly why the legislation needs to be UK-wide. We have had a lot of discussions about this with doctors’ representatives, particularly the Royal College of Psychiatrists. I do not believe that there are any implications for the second doctor or the social worker, but if I receive advice to the contrary I will write to him to let him know.
I think that I have covered most of the points raised by the hon. Member for Wolverhampton North East. She asked what is going to happen when the SHAs are abolished. We will be asking Dr Harris to address that when he carries out his independent review.
Finally, I turn to the hon. Member for Hackney North and Stoke Newington and her important comments about the seriousness with which we must treat any retrospective legislation. She referred to what Hayek said about that, with which I wholeheartedly agree. I did not think that we would be agreeing across the Dispatch Box about Hayek, but there it is. She made the important point that due process is about respecting technicalities, so we cannot brush it aside. That is why this legislation is necessary. A failure of due process—a failure to observe technicalities—puts us in an extremely difficult situation where ordinarily we would want to say that due process should be observed in all circumstances and that we should not pass retrospective legislation on that. In this particular case, however, it would have been against the clinical interests of 5,000 highly vulnerable people were we simply to consider that single legal perspective; the broader clinical perspective needs to be recognised.
The advice that I received from Professor Sir Bruce Keogh, the medical director of the NHS, was very important in persuading me that we needed to take the route of emergency retrospective legislation. He said that the alternative, which was to go through all 5,000 people and redo the entire sectioning process now that all the doctors have been properly validated, presented serious clinical risks to those individuals. It is a very difficult matter. As the hon. Lady and I are trading political thinkers, perhaps I could refer her to Isaiah Berlin and say that sometimes important moral principles are not totally consistent with each other. This is one of those occasions, and we have to weigh her very important points about the need to avoid retrospective legislation, even on technicalities, against the clinical interests of a highly vulnerable group of people.
In a previous life, I sat on the board of a Mental Health Act scrutiny committee in a west midlands mental health trust. Does my right hon. Friend agree that this retrospective change does not in any way undermine the fact that every single one of the patients he has mentioned has been through a very robust system of checks and balances throughout the sectioning process in order to be sectioned, and then while they are sectioned, and has access to a very robust appeals mechanism that the Bill in no way undermines?
My hon. Friend is absolutely right. The key point is that those patients are free to challenge any element of the clinical decisions made as part of that very thorough process. This proposed law is about the technical irregularity only, and it is precisely because of the legal risks associated with that irregularity that we think it is necessary, in the interests of those 5,000 people, to enact this Bill.
If the patient wishes to challenge their clinical assessment, they are free to do so and the Bill will not affect that in any way. It is important that that point is understood. In fact, the Bill is very narrowly defined for that precise reason, and I think that is why the Attorney-General felt comfortable saying that it complied with the ECHR.
In conclusion, we have had a constructive debate on this very important and sensitive issue, but there are broader lessons to be learned about the importance, more generally, of mental health issues, and I and my colleagues in the ministerial team will take those very seriously as we progress. I am grateful to all hon. and right hon. Members present for their contributions to this debate.
Question put and agreed to.
Bill accordingly read a Second time; to stand committed to a Committee of the whole House (Order, this day).
(11 years, 9 months ago)
Commons ChamberI want to raise two specific points. Opposition Members are concerned that the concept of “Any person” in clause 1 is too broad, because it appears to legalise approvals by anybody. Why does the clause not refer specifically to North-East, Yorkshire and the Humber, West Midlands and East Midlands?
Secondly, where is the provision for the doctors who have been approved by a trust according to what we now understand was a defective process to be re-approved by the correct process? As the clause stands, it seems—I am happy to be put right on this—that doctors approved previously by the trust will be able to continue to section patients without re-approval under the correct process.
I will first set out what the clause seeks to do and then respond to the shadow Minister’s questions.
The clause directly addresses the issue that the Bill intends to resolve. Between 2002 and 2012, four strategic health authorities delegated to mental health trusts the function of approving doctors with responsibilities under the Mental Health Act 1983. The legal advice that we have obtained is that there are good arguments, as we have already discussed, that decisions to detain made by doctors who were approved in that irregular way are nevertheless lawful. The clause removes any doubt—that is its purpose. It clearly spells out that when mental health trusts gave approval in the past they are to be treated as having had the power to do so.
The clause has the effect of eliminating any irregularity from decisions made in complete good faith, and in the best interests of the patient, by doctors fully qualified to make them. It does so in a way that is fully consistent with the legal and clinical advice that we have received on the issue, and means that patients and their families do not have to undergo the process of assessment for detention under the Act again solely for the purpose of correcting a technical error made by a strategic health authority.
The hon. Lady asked why the clause was so broad as to refer to “Any person”. I understand her concern, but the point is that we do not yet know whether there were other issues before the establishment of the SHAs. Obviously, that is part of the work that the review will undertake, but to ensure that we resolve the problem absolutely and that all those patients have clarity the decision was made for the clause to refer to “Any person” in order to avoid any risk of our uncovering another problem that might need a separate resolution. This deals with the whole problem of the approval process for the doctors who made those decisions.
The hon. Lady then asked, correctly, whether decisions will be taken properly as we progress. I can confirm that all the doctors have already been re-approved according to a proper process, so every decision that is taken from hereon in cannot be challenged. As we have said, any patient who wants to question the clinical judgement can do so and their rights remain the same as they have always been. This simply addresses the technical issue that we have been debating today.
The clause refers not only to “Any person” but one who
“has done anything in the purported exercise of an approval function”.
On both counts, it is incredibly widely drawn and could take us into the territory of other elements of the approval process that may have been defective. Will the Minister assure the Committee that the clause is as narrow as it needs to be? It seems to be uncomfortably wide and may well restrict somebody’s ability to challenge an element of their section other than the fact that the doctor was not approved by the SHA. It is very loose in its current form.
I am grateful to the shadow Secretary of State for that intervention. We have gone through a very careful process and have followed legal advice on what is necessary to regularise the position. This relates specifically to the approval function, which is defined in clause 1(2). As I have said, the legal advice is that this is the best way to regularise the issue that has been uncovered.
Before the Minister responded to the intervention by my right hon. Friend the Member for Leigh (Andy Burnham), he told my hon. Friend the Member for Hackney North and Stoke Newington (Ms Abbott) that if mistakes had been made before the establishment of the SHAs, some of the doctors who had not been properly approved previously may not have been approved by the executive action that the Secretary of Sate referred to earlier. Will the Minister assure the Committee that, should such instances come to light, those doctors will also be subject to a re-approval process?
The first thing I want to clarify, again, is that the clause ensures that if any previous authorisations were not done in accordance with the statutory provisions, the clause regularises that process, full stop. Of course, if we go back a long way, that may apply to people who have long since been discharged from their section. This regularises the situation for all. It also ensures that the detention of anyone who continues to be sectioned is regularised, because the original authorisation is deemed to be acceptable under the Bill and in accordance with parliamentary intent, as the Secretary of State said earlier.
I am grateful to the Minister, but he has not fully answered my question. The Secretary of State has now properly given approval to those who were previously improperly approved. The Minister is right that many of the people in question may have retired or left, but some may still be practising. If further instances come to light, will they too be subject to a new scrutiny process?
I absolutely take the right hon. Gentleman’s point, and I am grateful to him. We must be absolutely certain that everybody is now properly authorised to make decisions. We know that everybody outside the four affected SHAs has been properly authorised—that has been checked and confirmed by SHAs, which have undertaken a proper check of their procedures. We also know that the four affected SHAs have already regularised the position of all their authorised practising doctors. We therefore know that across the whole system, doctors who undertake sectioning from now onwards will be properly authorised in accordance with the Mental Health Act 1983. The Bill addresses the previous problems with the authorisation process, and we have addressed the problem for the future by ensuring that everybody is properly authorised. I hope that deals with that point.
It does not entirely seem to deal with it, so I give way to the shadow Secretary of State.
I am grateful. It is important to get clarity before we leave this clause.
I know that the Government have not yet undertaken a full case-by-case review of the up to 5,000 cases involved. That prompts the question how the Government can be sure that the whole team involved in each case was qualified to a suitable level, and that there were not some instances of under-qualified people making decisions. That gives rise to concern that we may be retrospectively approving processes that were defective.
I do not think there is any suggestion that any of the people who undertook sectioning were not medically qualified to do so. The issue is simply with the body that undertook the authorisation and the fact that SHAs delegated that responsibility to mental health trusts, which was not in accordance with the law. The Bill is intended to regularise the position of every clinician who was not properly authorised because of that flaw.
I do not want to detain the Committee unnecessarily, but because the clause is drawn so widely it will possibly take away some people’s right to challenge whether there was a deficiency in the process or whether someone involved in the sectioning decision was under-qualified. Given that the Government have not undertaken a case-by-case review, I wonder how we can have absolute confidence that the power in the Bill is not too widely drawn.
I am told that we have dealt, doctor by doctor, with all the doctors in question who are currently practising. The problem relates to the doctor, not the patient, because it is about their authorisation to undertake the duties in the 1983 Act. The only people who undertake the actions referred to in the clause are doctors, who were authorised but unfortunately by the wrong body. That is what we are seeking to regularise.
We must have absolute clarity about this. In that case, why does the Bill mention “Any person” rather than “any doctor”? Our understanding is that a broader team of people can be involved in a sectioning decision, such as a social worker. If it is only doctors, the Bill should just say “any doctor”, but it does not.
We are talking about the approval function. Subsection (2) mentions
“practitioners approved to give medical recommendations”,
so it clearly deals with practitioners who have already been authorised, but by the wrong body.
I am genuinely trying to understand this point and ensure that the Bill is as foolproof as possible. As I understand the Government’s case, the clinical need of people with mental health problems—the Bill clearly would not apply to people who did not have mental health problems—is trumping the absence of proper process, so the Bill is not an abuse of human rights.
The difficulty that I have with that argument—perhaps I ought not to have it, and maybe I am being particularly thick—is that the clinical need in question was established through a process that is acknowledged as formerly having been flawed. The clinical need is apparent only when a case has been heard and processed. The concept of clinical need here is certainly—
Order. May I say to the hon. Gentleman that this is an intervention, and interventions are supposed to be brief? I know that this is a complex point, but interventions are becoming speeches within the Minister’s speech. If the hon. Gentleman could make his point succinctly now, it would help all of us.
All that is being regularised is the power to approve a doctor, not whether a doctor is clinically sound. Any patient who challenges a judgment to section them either now or in the past will retain all their rights in law. We have acted on the advice of both lawyers and clinicians to ensure that we deal with the problem that has emerged in a way that respects patients’ clinical interests and considers them with the utmost seriousness. To go through a full reauthorisation process in every case could be incredibly damaging to individuals in potentially vulnerable situations. The Bill is based on the best clinical and legal advice that we have received on how to deal with the problem.
The Opposition have listened with great care to what the Minister has said. He has made a point of saying that his advice suggests that the Bill is the best way to deal with the situation. We argue that it is perhaps the most convenient way, but we know that the parliamentary draftsman has been under huge pressure to produce the Bill, and this would not be the first time that parliamentary draftsmen have come up with a form of words that is in some way defective. I repeat our concern about the broad nature of the clause, which states that “any person” who “has done anything” is to be “treated for all purposes”.
Perhaps I can assist in this matter. I do not believe that there is a drafting error, but the hon. Lady is absolutely right to scrutinise every word of the Bill carefully and ask questions.
Clause 1 does not mention “any doctor” because it is about the power for an SHA to delegate the authority in question, not about a doctor’s decision or clinical ability. It refers to the person who approves that power of delegation. I hope that that clarifies the matter.
We have listened to what the Secretary of State and the Minister have said. We remain concerned about the broad nature of the clause, but we rest our case.
Question put and agreed to.
Clause 1 accordingly ordered to stand part of the Bill.
Clause 2 ordered to stand part of the Bill.
The Deputy Speaker resumed the Chair.
Bill reported, without amendment.
Third Reading
I beg to move that the Bill be now read the Third time.
This has been a distinctly unusual process for the House, and one that is unprecedented for recent Members. Only after hard—if very rapid—consideration over the weekend did I decide that emergency legislation was the only safe course, and recommend that to the Prime Minister.
Retrospective legislation affecting an individual’s right to liberty is a major step, and it would be intolerable to have any doubt about such an important part of the law. Such a situation would be unacceptable for patients, their families, and doctors and nursing staff in NHS and independent hospitals. I have been insistent throughout that the clinical needs of patients should take priority within the law, and that legislation should be as tight as possible to ensure that patients’ legal rights are protected.
I thank Opposition Members for the way they have responded and for making it possible to legislate in such short order. I also thank hon. Members generally for their constructive challenge and scrutiny. Although there is need for urgency, it is essential that the Bill is properly tested, which hon. Members have done.
The House has acted wisely and swiftly in the interests of up to 5,000 highly vulnerable people. It has recognised the important human rights issues involved, and balanced that with clinical advice about the best interests of those people. I commend the Bill to the House.
The Opposition thank the Secretary of State and the Minister for attempting to answer all the questions that colleagues have raised. We appreciate that they have acted in good faith in bringing this legislation before the House with such speed, but, as my hon. Friend the Member for Hackney North and Stoke Newington (Ms Abbott) rightly said, this takes us into unprecedented territory. We are legislating retrospectively on matters of fundamental importance concerning people’s basic rights and public safety, and it is therefore right for the House to pause for thought and consider those issues before giving its assent to the legislation.
We had an important exchange on the precise drafting of the legislation, and a concern arose during the course of that debate. Clause 1 essentially states that “any person” who has undertaken any activity
“had the power to do so”.
If I heard the Minister and the Secretary of State correctly, that is not carte blanche to justify anything—including something inappropriate—that may have happened over the course of a decision, but simply means that the person who made the decision had the power to do so. I hope that people outside this House will hear those words clearly and understand that that is the only permission the House is giving this afternoon on this exceptional basis. In doing so, we return to the point about balancing our concerns about the exceptional nature of this legislation with the fact that this issue affects thousands of the most vulnerable people in our society and their families. We do not want any further distress caused to those people, or for them to suffer any unsettling effect, and that is why the Opposition believe that the legislation is justified.
It is crucial that no legal doubt hangs over arrangements that are made for patients and public safety. This Bill removes that doubt, but we do not want to remove any of the rights held by the individuals concerned, and in particular the 5,000—or more—people who may currently be challenging their detention. Having made that point as clearly as I can, the Opposition give the Government their support. We will seek to ensure that co-operation is continued in another place so that the Bill can be put on the statute book, and any uncertainty removed.
Question put and agreed to.
Bill accordingly read the Third time and passed.
(11 years, 9 months ago)
Commons Chamber(11 years, 9 months ago)
Commons Chamber(11 years, 9 months ago)
Westminster HallWestminster Hall is an alternative Chamber for MPs to hold debates, named after the adjoining Westminster Hall.
Each debate is chaired by an MP from the Panel of Chairs, rather than the Speaker or Deputy Speaker. A Government Minister will give the final speech, and no votes may be called on the debate topic.
This information is provided by Parallel Parliament and does not comprise part of the offical record
(11 years, 9 months ago)
Westminster HallWestminster Hall is an alternative Chamber for MPs to hold debates, named after the adjoining Westminster Hall.
Each debate is chaired by an MP from the Panel of Chairs, rather than the Speaker or Deputy Speaker. A Government Minister will give the final speech, and no votes may be called on the debate topic.
This information is provided by Parallel Parliament and does not comprise part of the offical record
It is a delight to serve under your chairmanship, Mr Caton.
Since I became Rochdale’s Member of Parliament, the local business community has raised business rates with me time and again, which is one reason why I initiated this debate. The other reason is that I believe the Government’s handling of this particular tax is doing real damage to economic growth. It is also fair to say that, in many ways, the Government’s handling of business rates mirrors the way they have mishandled other broader economic issues and failed to manage Government change.
I will start by providing some broad examples. The Government have talked tough on red tape, but their handling of business rates is making life a misery for thousands of businesses. The Government claim to be interested in helping the high street, but they ignore every retail voice that raises concerns about business rates. The Government talk about transparency and accountability, but they are postponing business rates revaluation without consulting business first. This weekend, through the Deputy Prime Minister, the Government talked about rebalancing our economy away from the City’s square mile to the rest of the country through more city deals, but they are now postponing business rates revaluation, which will have a major adverse effect on businesses in every region except the south-east.
The Conservatives have often peddled the myth that they are on the side of business. Well, if there is one policy that demolishes that myth—most businesses now know this—it is business rates. The Government are playing politics with business rates, which is hurting the high street and the wider business community.
On the recent business rate increases, the Government said in their recent circular:
“As business rates are linked to inflation, there will be no real terms increase in rates”.
On 2 July, the then Minister for Housing and Local Government, the right hon. Member for Welwyn Hatfield (Grant Shapps), said that business rates are having
“only an inflation-level rise”.—[Official Report, 2 July 2012; Vol. 547, c. 567.]
Do the Government think businesses believe that rhetoric? Does the Under-Secretary of State for Communities and Local Government, the hon. Member for Great Yarmouth (Brandon Lewis) think that businesses are oblivious to the fact that last year’s increase was based on an exceptional September, when RPI was at 5.6%? Does the Minister think businesses are not aware that that major rise in business rates gave his Government a windfall in revenue? In 2011, the increase was 4.6%, a cumulative rise of more than £0.5 billion over those two years. Businesses see this Government as disingenuous when they talk about business rates increasing only by inflation.
Although the Government have had a windfall in business rates, including much from the retail sector, they have dedicated little to helping the high street. From the £350 million extra income last year, the Government spent just £10 million on the various Portas programmes. Latest figures show that more than 30 high street chain-store shops are closing every day. Empty shop numbers have gone up, year-on-year sales are down, footfall is down and insolvencies are up. That is the picture of the high street under this Government, and their mismanagement of business rates is a major factor in that.
Every week the newspapers are full of stories of businesses citing high business rates as their reason for pulling out of an area or being forced to close. The chief executive of Britain’s third largest shoe retailer, Kurt Geiger, recently said:
“Business rates actually are what are killing UK retail”.
Retail has accounted for 20% of our gross domestic product, and it accounts for 11% of UK jobs and is the largest private sector employer. Retail is often the first rung on the ladder into employment for young people, but the ladder is now being pulled away by the Government.
We are all aware of the Government’s Portas review, and we all had high hopes for what it might achieve. But we now know the Portas review was just window-dressing. It is no wonder that Mary Portas is now telling industry conferences that she fears her review may have been a “Government PR stunt.” One of Mary’s recommendations in her 28-point plan presented to Government was:
“Government should consider whether business rates can better support small businesses and independent retailers.”
Those words must have gone in one ear of Government and straight out the other, because they have been flatly ignored. Straight after the recommendation, the Government introduced the biggest business rates increase in 20 years.
The Minister said last month on “ConservativeHome”:
“I want to make myself obsolete.”
I do not have a problem with the Minister making himself obsolete—indeed, I welcome it—but I do have a problem with him and his Government making the high street obsolete.
Because of the inflation-busting business rate increases, it is no wonder the Valuation Office Agency has a total of 241,700 outstanding appeals on business rates for the fourth quarter of 2011-12. In that quarter, the VOA managed to clear just 11,960 appeals. Many businesses in Rochdale have testified to the slowness of that process.
I congratulate my hon. Friend on securing this debate and on all the work he does on this subject, which is valued and noticed by the House. He is right to highlight the problems with the Valuation Office Agency, and CVS, a major business rates specialist located in my constituency, has expressed its view that the delays are compounded by cuts in staff at Her Majesty’s Revenue and Customs. Does he agree that that is part of the problem?
I do agree with that statement. I am also familiar with the excellent work of CVS in championing appeals for businesses across the country. The lack of resources in the VOA is a concern that I will address in a moment.
It is clear that businesses are having to wait years for the VOA to get round to processing their appeal. By my calculations, the VOA will now take five years to clear its 2010 revaluation appeals. That is just not good enough. In that time a lot of businesses will go bust, having had to pay unfairly high taxes. Setting the taxes at a fairer level could make all the difference and allow those businesses to stay in business.
The question now has to be asked of the Minister: is the Valuation Office Agency fit for purpose? The VOA pointed out in its 2011-12 annual report that it had closed nine offices and that complaints had increased due to the length of time that business rates appeals take. The truth is that the Government have starved the VOA of resources, that appeals are taking far too long, and that as a consequence many businesses are paying too much in taxes, which is putting many businesses out of business.
Does my hon. Friend agree that it is a tremendous irony that delays in the VOA, which is one part of HMRC, are causing another part of HMRC to put businesses at risk of bankruptcy by trying to recover tax that businesses cannot afford to pay because their rates have not been properly assessed?
That is absolutely right. The failure to run the appeals process successfully is damaging businesses, particularly small and medium-sized enterprises.
As if that were not bad enough, out of the blue, with no notice given, the Government then told us that they had decided to stop the 2015 business rates revaluation and carry it out two years later. There was no consultation with business, no detailed discussion of how the policy might affect economic growth, no consideration of how the policy might prevent the economy from being rebalanced along geographical lines. The British Property Federation’s chief executive says that the move
“embeds injustices in the current system”,
and the British Council of Shopping Centres says that it will have a “very negative impact” on the high street. Those organisations are big figures on the distressed retail property taskforce, which the Government are backing, yet Ministers will not listen to them.
I congratulate the hon. Gentleman on securing this important debate. One issue on high streets in my constituency is that landlords are having to pay business rates on empty properties and therefore do not have the cash to invest in those properties in order to attract new tenants. The previous Government introduced that system. Does he acknowledge that it might have been a mistake?
That is an interesting point about empty property taxes. I will not address it in my speech, but it undoubtedly deserves examination and should be investigated further to see what impact it has on businesses.
Let me make it clear: I have yet to hear a single retail voice supporting the Government’s proposal to cancel next year’s revaluation. The Minister seems to think that he is right and everyone else is wrong. If he can identify somebody who supports the revaluation, I would be interested to hear who it is.
To put it bluntly, the business rates revaluation postponement is no way to do government. The decision to postpone next year’s revaluation of business rates has compounded the sense of injustice already felt by retailers and other businesses. To add insult to injury, the Minister has defended the policy by saying on radio that it is simply like being locked into a fixed-rate mortgage. What he did not tell radio listeners is that it is like a fixed-rate mortgage with an interest rate set at more than 40% for many customers. The Government must think that businesses are daft. Current business rates are based on rents that were set close to the property boom peak in 2008. Since then, property prices have fallen by up to 40% in many parts of the north and elsewhere in the country.
I congratulate my hon. Friend on securing this timely and important debate. Does he not agree with the Association of Convenience Stores that what is needed now is a full consultation with business about the right approach going forward and a radical way of looking at business rates, instead of Government ploughing forward in a furrow of their own?
I agree with the ACS, which does excellent work. The lack of consultation on the revaluation is a massive part of the problem in which the Government now find themselves. In fact, the property agents Colliers have called the decision
“nothing short of a scandal”
and have accused the Government of trying to
“pull the wool over the eyes of business.”
The policy will mean that many businesses will continue to pay more business rates than they should, and it will disproportionately hit regions outside the south-east. I cannot put it better than Richard Farr of Sanderson Weatherall chartered surveyors, who said in Newcastle’s The Journal:
“Those in lucrative locations such as London and the south-east, where rental values have increased, will benefit from the move, whilst hard-hit retailers in northern cities and elsewhere will continue to be suffocated by being charged business rates based on pre-recession values.”
The Minister attempted to defend his policy by saying in The Daily Telegraph this week:
“revaluations are revenue-neutral overall...Suspending the revaluation will not earn the Government a penny”.
What he failed to tell business is that by suspending the revaluation now, he need not increase business rates in the south-east and reduce them elsewhere. Like other examples such as the local government settlement, the new homes bonus and public health funding, business rates have been adjusted to serve a political purpose. If next year’s business rates revaluation were to go ahead as planned, new rates would come into force in April 2015, a month away from the general election. Rates would undoubtedly increase in the south-east and decrease significantly across the north and elsewhere to reflect the adjustment in property values. That is not the kind of news that the Government want to present to heartland supporters a month away from elections.
To top it all off, the Government are attempting to defend their policy further by telling journalists that the move to postpone next year’s revaluation will provide stability for businesses, and that they want to avoid the volatility of significant changes to business rates. The Government do not appear to understand the system of transitional relief, which is designed to reduce the impact of any significant changes in the rateable value.
Much of the hon. Gentleman’s argument seems to be predicated on the north-south divide. However, there are town centres throughout the country—in the south-east, the south-west, the north, the midlands and across the piece—that are struggling. Does he not agree that the issue is not just a north-south issue but relates to the whole country?
I agree. Not only the north but other areas outside the south-east will be adversely affected.
The Government also boast of offering small business rate relief, a policy introduced by the Labour Government. They say that they have given local authorities the power to reduce business rates under clause 69 of the Localism Act 2011, but what they never make clear is that the local authority must pay for any reduction in business rates. In order to cut business rates, a council must cut back on care for the elderly or disabled services. What a fantastic choice to offer local authorities. In Greater Manchester, an area with some of the highest numbers of empty shops in the country, freedom of information requests have shown that not one local authority is using clause 69 of the Localism Act 2011 to reduce business rates. It is a shocking indictment of a toothless Government policy that has made no impact whatever since it was introduced in April and is a completely ineffective tool against high street closures.
To conclude, the Government are trying to postpone a business rates revaluation to protect the south-east while being dangerously complacent about the consequences of businesses elsewhere having to pay until 2017 excessively and unfairly high rates that have lost touch with rental values. The Government are using the desperate euphemism of “stability” when what is really meant is political expediency, and they are boasting about localism powers to reduce business rates that councils are not using and cannot use due to massive budget cuts.
I say clearly to the Minister that businesses do not want an out-of-touch Government telling them that they will have to pay unfair taxes regardless. They want someone on their side who is prepared to fight for a system that takes a fair proportion of taxes and gives businesses the breathing space and support to grow and lead a proper, sustainable recovery.
It is a pleasure to serve under your chairmanship, Mr Caton. I am grateful to my hon. Friend the Member for Rochdale (Simon Danczuk) for securing this debate, and I welcome to the Front Bench my neighbour, the Under-Secretary of State for Communities and Local Government, my hon. Friend the Member for Great Yarmouth (Brandon Lewis).
I welcome the debate, as this is an opportune time to review the future of business rates. Business rates are attractive to the Treasury and always have been, no matter which party has been in Government. They are easy to collect, difficult to avoid and highly productive, representing 5% of the UK’s tax bill. However, there is concern that the Treasury’s over-reliance on business rates is having unintended consequences. First, it is hitting high streets particularly hard, contributing to the large number of vacant units. Secondly, it is holding back economic growth, as the retail sector in particular is an important engine of the economy. Thirdly, it hits hard businesses that are property-reliant and must be in a specific high-value location. Many profitable internet-based businesses that are less property-intensive are not penalised to the same extent.
I am not an expert on the subject of business rates, but I do have an interest in the subject: before I came here, I was a chartered surveyor for 27 years. I dabbled occasionally in business rates, but it is a very specialist subject. I am interested in playing a small role in encouraging the renaissance in the high street, and I commend the Government for the work they have done in that respect. Lowestoft, in my constituency, is a Portas pilot, and the town team is setting about its work with relish. It is important that we in this place provide the framework through which its work can come to fruition.
I shall concentrate on the retail sector, which pays a significant portion of all business rates—more than a quarter, at 28%. On average, 14.6% of retail units in our high streets are vacant. That is due to a variety of factors: the growth in out-of-town retail parks, the rise of online shopping, falling consumer demand and high business rates. In some cases, the business rates are higher than the rent. Often, a retailer is interested in a particular unit; the rent looks okay, and he is working things out, and then suddenly he is hit with how much the rates will be. Mary Portas has said that high rates are a deterrent to investment in town centres and to retailers occupying shops.
To be fair to the Government, they recognise the vulnerability of small businesses to high rates. There is a small business rate relief scheme, a business rate deferral scheme and discretionary rate relief. The problem is that those schemes have had a limited impact and are of limited benefit to many small retailers. As was mentioned, the retail sector is the UK’s biggest private sector employer. It provides crucial first jobs to approximately 1 million 16 to 24-year-olds. There is real concern that another hike in rates will lead to fewer chances of work, less investment in the fabric of our town centres, which are so important to the country as a whole, and a more troubled high street.
Any decision to postpone the five-yearly revaluation review needs more consideration, scrutiny and consultation. I note that the British Chambers of Commerce was taken by surprise by that postponement. I hope that as the Growth and Infrastructure Bill progresses through Parliament, we have the opportunity to consider the matter in more detail. Any property tax requires frequent revaluations to ensure acceptability and fairness. The five-yearly reviews that have been in place for more than 20 years are well understood and provide a level of certainty. A break in that precedent creates an air of uncertainty—people will not know whether a review will take place.
It is also important to take into account that relative property values change over time. Relatively, rents in some sectors and locations will rise, while those in others will fall. It is important that the rating system has an in-built review system that reflects the dynamic nature of the property marketplace. We can then be sure that the tax burden is spread fairly—that those with the broadest shoulders pay the most, and those whose business may not be as profitable at a particular time pay less. Liz Peace, the chief executive of the British Property Federation, sums it up well:
“A revaluation should shift the burden from those who are suffering to those who are prospering.”
With the proposed freeze, there is concern that those in lucrative locations will benefit and those in hard-hit areas will suffer.
Will my hon. Friend mention the tax on empty properties? That causes me great concern. People who want to start a business need access to a small property. Landlords who find themselves having to pay enormous rates on empty properties are literally flattening them, so that they no longer have to pay. That removes the amount of start-up properties for those businesses.
I am grateful to my hon. Friend for raising that important issue. I was not going to raise it myself, but I take account of what he says. The tax on empty properties was introduced under the previous Government. I was still practising then, and there were concerns at that time. I have seen a number of units—they may not have been in the best condition, but they were available, often with a low rental value—demolished by landowners and landlords. Reducing the supply of accommodation can lead to an increase in rents for small businesses that are just getting started.
On that subject, does my hon. Friend agree that empty property business rates are also an impediment to developers and investors who wish to invest in new build in our town centres, as they may not be able to fill them with tenants straight away? The measures introduced by the previous Labour Government are leading to a situation that is stifling investment in our town centres, rather than encouraging it.
Yes, I agree. Investing in major town centre refurbishment schemes is expensive and challenging. Such schemes take a long time—often a number of property cycles. We therefore need to provide every incentive and encouragement for investors and developers to invest in town centres; otherwise, they take the easy option of going for out-of-town locations, which exacerbates the vicious circle of draining life and vitality out of the town centre.
I take note of the Valuation Office Agency’s research, which shows that 800,000 premises will see a real-terms rise in rates, while only 300,000 will see their bills fall. Having said that, I am also mindful of the views of Gerald Eve, which I think is recognised as the leading private practice firm in the specialist field of rates. It disputes the VOA’s contention and has carried out its own research, which reaches a different conclusion. We also need to bear in mind that at the time of the current valuation, April 2008, the market was at its peak. There is concern that postponing the review will lead to retailers facing incorrect and historical values for far longer than they should.
My hon. Friend the Member for Rochdale mentioned the backlog of appeals. One reason for postponing the revaluation is to address, and not add to, the backlog. We need to take urgent action to clear the backlog, and I would be interested to hear from the Minister on what proposals there may be. I hasten to add that I have no continuing involvement with any private sector firms, but we need to consider whether this is something that the private sector can do.
Let me turn to the annual increase in business rates. We need to review the mechanism by which that takes place—the increase in line with the retail prices index every September. If, next April, we keep to this September’s 2.6% rate, business rates will have gone up in the past three years by a compound rate of interest of 13.33%. That will mean that £500 million is added to the retail sector’s rates bill. At a time when council tax is frozen, Britain’s shopkeepers are carrying too heavy a burden on their shoulders.
I should like to mention three issues in closing. First, I hope that the Government, as soon as they are able, publish the data on which they have based their decision for postponement. We need to scrutinise this and have a consultation to look at it more closely. Secondly, we need to review the RPI link. Property is a declining proportion of the total economy, yet we are taking more out of it. I do not think that the golden goose has many more eggs left to lay. Thirdly, we need to look closely at the formula by which business rates are calculated. In particular, does the formula accurately reflect the rental value of out-of-town shop and retail park units? In the high street and town centre, people have to pay for a council car park, whereas car parking for out-of-town retailers is right on their doorstep and free. That is a real draw for shoppers, but it is not accurately reflected in the rates formula. I am grateful to hon. Members for listening to me.
It is a pleasure to serve under your chairmanship, Mr Caton. I congratulate my hon. Friend the Member for Rochdale (Simon Danczuk) on securing this important debate on business rates and on his comprehensive analysis of the effect that increased business rates will have on our high street.
Like many towns, Stockport is being squeezed extremely hard at the moment. We have one of the highest numbers of empty shops in the country, with nearly a third lying empty. There are various reasons for this, which I will mention later, but continuing high business rates are a major contributor to a difficult trading environment. The trend is that business rates are too high as a proportion of rents, and consequently many retailers are struggling to stay afloat. Small and medium-sized businesses are suffering disproportionately.
I have been looking in my constituency at the balance between rents and rates of many empty shops, which we desperately need to reopen. The problem was articulated by the head of north-west high street chain, Timpson, at a business event in Manchester on 15 October. James Timpson said he had considered opening a new site in Stockport recently, but the rent of £10,000 was almost half the £18,000 business rates. He added:
“Business rates have got completely out of hand. It’s become a real stifler and is stopping businesses from taking more space and trying new things. The higher the business rates the harder the gamble is to pay off.”
The Minister will be aware that last year’s 5.6% rise in business rates was the biggest increase in 20 years. If a chain like Timpson’s is being put off by high business rates, what can it be like for other businesses? As banks are very risk-averse, the current level of business rates must deter them from lending to those wishing to start a new business or extend an existing business. It makes little sense to exhort banks to lend while loading additional costs on business.
Two examples of empty smaller shop units in two key areas of Stockport that we need to develop further —the Market Place and the Underbanks—show the disproportionate level of business rates to rent. In one empty shop in the Market Place, which the council has spent much money on refurbishing, the rent is £9,750, yet the business rate bill is more than half that, at £5,287. In another empty property in our unique Underbanks area, which we are looking to revitalise, the former Greggs bakery, the rent is £15,000 a year but the estimated rates bill is £6,862. Many bigger shops in Merseyway, which we need and which must stay in Stockport, are appealing against their high rateable values.
There is no doubt that business rates are a barrier to new entrants to the high streets and a drag on investment and growth for small business. A recent survey of small shops identified that business taxation was one of the top five barriers to growth. As co-chair of the all-party group on retail, I tabled an early-day motion earlier this month, calling for a freeze of business rates next year to save jobs and prevent more shops from becoming empty.
There is widespread concern that a 2.6% increase in business rates in April 2013 would impede retailers’ ability to invest and create jobs, particularly for young people. The retail industry, as hon. Members have mentioned, is the UK’s biggest private sector employer, providing crucial first jobs to a million 16 to 24-year-olds. In Stockport, 5,700 are people employed in the retail industry. Business rates have already risen dramatically in both 2011 and 2012, by 4.6% and 5.6% respectively, a cumulative increase of more than £500 million.
The early-day motion also calls for a review of the mechanism by which rates are increased, to ensure a fairer and more sustainable formula for the future, based on an annual average of the consumer price index, rather than the lottery of using only September’s RPI. The RPI is unpredictable and usually higher than the measure that the Government choose to use for pensions and benefits.
I, like many colleagues, am also unhappy that the Government are postponing the 2015 rates revaluation until 2017. That will punish northern businesses particularly, by keeping them locked into 2008 rates, set near the peak of the property boom. The rationale for this decision is that local firms and local shops will avoid unexpected hikes in their business rates bills over the next five years. I quote the Minister in a recent article in The Daily Telegraph:
“The best thing Government can do to help such businesses is to provide them with a stable economic environment. This is why we want to protect local firms from soaring tax bills.”
Which businesses is he trying to protect? From the Government’s own calculations there are 800,000 winners and 300,000 losers from the postponement of the revaluations. Those figures, as the hon. Member for Waveney (Peter Aldous) said, probably require closer analysis and examination.
I shall make a helpful comment. Does the hon. Lady agree that, in some instances, local authorities are taking enforcement action against premises that have gone to appeal against their revaluation? It is crazy that there is a risk of their going out of business because of overburdening action by the local authority, pending the outcome of the appeal. Surely, local authorities could at least wait till the appeal is heard before going after the money.
The hon. Gentleman makes a good point. We must have systems in place that support local businesses and do not create extra barriers and difficulties for them. He is right about that.
Colliers International research shows that prime rents in Stockport fell by 29% between 2008 and 2012, so Stockport will not be a winner in this postponement; we are going to be losers. The winners and beneficiaries of the revaluation’s postponement will be those shopping centres where rents have risen, such as premium centres, which are still doing well. Shopping centres that need to be protected from “soaring tax bills”—I quote the Minister—are going to get hammered.
Mary Portas identified high levels of business rates as both a deterrent to investment and a disincentive to occupy physical shops. This policy can only add to the demise of our high streets. This is unfair and has been called the retail equivalent of the poll tax. I urge the Government to think again.
In addition to the high level of business rates, there are other important reasons why many high streets, particularly those in medium-sized towns, are struggling. They include major changes in shopping trends and habits, which have been accelerated by the economic recession, including fewer shopping trips, increased internet shopping, lack of investment and forward planning over the decades, and the continuing trend towards premium shopping centres. We also see a polarisation of consumers: those on low incomes struggle and shop in Poundland, bargain basement shops and charity stores, whereas those on high incomes continue to spend on designer-style goods in premium centres. There is a classic squeeze of middle shops and middle-sized shopping centres with smaller units.
We have to recognise that some high streets might never go back to being the destination of choice for major purchases, as nearby regional centres act as magnets, drawing shoppers from an ever-wider catchment area. We can, however, rebuild new and unique styles of shopping and experience, and towns such as Stockport need to have a distinctive shopping offer. We are looking at doing that based on the town’s cultural and heritage sites. We are one of the Portas pilots and we are looking at a culture-led renovation of our Underbanks and the Market Place, building on exciting national screening events at the Plaza, teenage and vintage market events and the High Peak beer festivals. We are doing all we can to attract independent retailers to the Underbank area, and some new specialist shops have opened.
Too many shops open and close, however; the economic environment is tough and we need retailers starting a new business to be successful and to expand. I therefore urge the Minister to take heed of the exhortations of the hon. Member for Stockport and other Members in all parties who are passionate about and interested in retail and to think again about postponing the revaluation exercise, freezing the business rates for next year. Please will the Minister give our entrepreneurs the space to take a chance and to build for future jobs and prosperity?
Thank you for allowing me to speak in this important debate, Mr Caton. It is a pleasure to follow the hon. Member for Stockport (Ann Coffey), who set out a great advert for Stockport and what it has to offer. I congratulate the hon. Member for Rochdale (Simon Danczuk) on securing the debate; I have great respect for his work on issues relating to town centres and our high streets.
I have been slightly disappointed by the debate’s lack of acknowledgment of the general economic picture. Nor has much mention been made of the state of the public finances, which is another extremely important part of the context for the debate. It is worth restating, in support of the coalition Government, that when they came to power in May 2010 there was a car crash of a situation in the public finances and we had the largest deficit in the G20. To put things into perspective, the Government have had to make difficult decisions over the past two and a half years, but positive progress has been made. The deficit has been reduced by 25% in those two years and, throughout the world and in the markets, our country’s economic position is seen as stable. That is reflected in the low interest rates that we still have and which we would not have had were the Opposition in government; those low rates are allowing people to go out and use our shops to support our retailers.
Perhaps the hon. Gentleman also wants to put on the record that when the previous Labour Government left office the economy was growing and unemployment was falling. This Government have presided over the longest double-dip recession that we have ever seen, and that is why people do not have money to spend in shops.
The coalition Government should not take any lessons from the Labour party on economic management. We all know that we had the biggest bust in living memory under the previous Government, that under them the country was running a structural deficit long before the banks went bust and that since this Government came to power 1 million jobs have been created in the private sector. Growth might have only just come back into the economy and things might be slow, but we are building on a sustainable basis and not on the basis of borrowing and more spending, as we saw under the Labour party.
That brings me on to the points that I would like to make with my other hat on, as chair of the all-party group on town centres. I am passionately interested in issues relating to town centres, so I am concerned about the effect of delaying the revaluation. Town centres have been under the cosh for a number of years, internet retail is booming, out-of-town shopping centres are still buoyant and having an extremely good time in the main, and the net effect is that our town centres are currently in decline. Many of the national multiple retailers, which, only a few years before 2008, many of us were probably criticising for creating clone town centres, are now retrenching and consolidating their estates; when leases or break clauses come up, they are deciding to close town centre stores in favour of stores in large retail parks and of investment that they can make in internet retailing, because they can see that the writing is on the wall.
If we decide not to proceed with the revaluation at this point, we risk causing further damage to our town centres. Since 2008, town centre property values in my constituency have fallen like a stone, and rental income has reduced in the prime rental areas by 38%. Business rates are predicated on property value, and not revaluing the businesses in town centres seriously undermines the progress the Government have made on these issues. I welcome the Mary Portas review and am glad that the Government have taken on most of her recommendations, although such work could be undermined by the current proposals and, as my hon. Friend the Member for Waveney (Peter Aldous) mentioned, by local authorities that consider their car parks to be cash cows and think nothing of putting up car-parking charges year on year. We need to be careful that we do not price our town centres out of existence in a number of ways.
It is incumbent on the Government to be more creative. I would not personally advocate putting up business rates throughout the country, but the situation needs to be re-examined. My hon. Friend the Member for Waveney was critical of the valuation office figures for the proposed review, because they were now probably well out of date given the difference in economic circumstances between 2008 and now. The issue, therefore, needs to be looked at more carefully; we need to look at what we can do to support our town centres.
I hope that the Minister can give me, as chair of the all-party group, more confidence that the Government are listening to the concerns of those running businesses in our town centres—small, independent retailers and the large, multiple retailers which are seriously considering withdrawing their stores from many of our town centres. I hope that he takes the message back to the Government and that they reconsider what we can do to support such a vulnerable group of businesses in our community hubs. Most of our constituencies rely on town centres as the community centre for a local area, and we ignore that fact and the community values of our town centres and what they provide at our peril.
It is a pleasure, Mr Caton, to serve under your chairmanship. I congratulate my very good friend, my hon. Friend the Member for Rochdale (Simon Danczuk) on securing this important debate, and setting out the arguments effectively and stylishly.
As a north-eastern lad, I feel somewhat hemmed in by the north-west contingent, but I will do my best to set out some of my concerns about my constituency, and the impact of the Government’s policy on Hartlepool. I will mention five specific points.
First, any discussion of underpinning business rates in my constituency should take account of the Hartlepool economy’s peculiar characteristics. Hartlepool borough council must deal with high need and a low base, by which I mean that it must tackle complex and long-enduring social problems but is generally unable to raise locally the taxes to fund those services. That is why redistribution of business rates from more affluent areas to relatively deprived ones, such as my constituency, is vital. About a fifth of my population are over 65, and that percentage will increase in the next few decades, placing enormous strain on already tight social care budgets.
Hartlepool has 81 looked-after children per 10,000 population of children, which is four times the rate of comparable local authorities. The town suffers from one of the highest levels of youth unemployment anywhere in the country, with one in four young men without a job or not in education or training. Hartlepool borough council must tackle those problems, but finds it difficult to raise the necessary revenue because of the narrow local tax base. Only 43% of council tax is raised locally. Three quarters of properties in Hartlepool are in council tax bands A and B, and only 7% of properties in the town are in band D.
That brings me to my second point, which is the peculiar nature of my local economy when it comes to rates. Hartlepool collects around £27 million in business rates, and receives back from the Government around £40 million. That £13 million redistribution is vital for the complex social needs that I have mentioned. The nature of the town and our economy leaves the local authority hugely exposed to major financial and economic risks. As I said, we raise around £27 million a year from business rates, and over 40% of that—around £11 million —comes from only 10 businesses. Hartlepool power station alone—that one single business—contributes about £4 million, or 15% of the total revenue collected locally through business rates. That leaves Hartlepool borough council exposed to a huge financial risk. If one of these 10 businesses closed or relocated, or the power station, as it comes to decommissioning at the end of its life, reduced its output and, therefore, pressed for a lowering of its rateable value, Hartlepool borough council would be extremely vulnerable to a considerable financial shortfall. The Government’s proposals to set safety net thresholds at between 7.5% and 10% will not provide my local authority with adequate financial protection because of its high reliance on large business rate payers.
I raised the matter with the Minister about a month ago in oral questions, when he made his first appearance at the Dispatch Box, and he kindly offered to meet me to discuss it. I hope we can agree a time for that meeting soon, but I hope that he will outline today any protection that could be made available to local authorities such as Hartlepool that are exposed financially in this way.
The third issue is the effect of top-slicing of local government spending control, funded mainly from the business rate take, which the Government intend to implement before determining grant allocations for individual local authorities. The awards to be top-sliced are considerable, with £250 million to fund capitalisation allocations, and £500,000 for the new homes bonus allocations. One purpose of capitalisation allocations is merely to allow councils to pay for the costs of redundancy through borrowing. Hartlepool borough council, rightly and prudently, has taken the view that any redundancy costs should not be paid through capitalisation as it is not prudent to fund the cost of making people unemployed through loans, thereby increasing the budget deficit in future years.
Although Hartlepool is keen to build more homes, the configuration of the new homes bonus shifts the redistribution of business rates away from areas of high need and low base in the north to more affluent areas in the south. My local authority has stated:
“These arrangements change the basis for allocating total available funding and will reinforce the disproportionate impact of grant cuts on councils in the North East, including Hartlepool Borough Council, compared to other parts of the country”.
What is the Minister doing to mitigate the effects of that top-slicing of business rates, which impacts most harshly on local authorities such as mine and those throughout the north?
Fourthly, as every contributor to this excellent debate has mentioned, the Government’s decision earlier this month to delay the revaluation of rates—my hon. Friend the Member for Rochdale spoke far more eloquently about this matter than I could—will have a massive impact on retailing. The Government have form on this. My hon. Friend and I sat on the Enterprise and Regulatory Reform Bill Committee, so we know that on matters such as unemployment legislation, feed-in tariffs for solar panels, and the tax grab for oil and gas companies in the north-east, the Government implement measures without consulting business or providing them with the ability to adapt, and without providing empirical evidence. Why do the Government not provide such evidence for what they are doing, and why do they not have a pro-business policy to consult and engage with businesses about their decisions?
Changing shopping habits, the existence of three large supermarkets in the centre of town, and the general harsh economic climate in the north-east has had an impact on retailing in Hartlepool. As a result, it has the fourth worst-performing medium centre for retail, with a vacancy rate of 28.8% according to the local data centre. The decision to delay revaluation of rates—as hon. Members have said elsewhere, 2008 was the height of the property boom—will have a further hugely severe impact on retail in areas such as mine, and further closures are inevitable. Those high streets that are already struggling will be hit hardest. That has come out loud and clear during the debate. What will the Minister do to mitigate the detrimental impact of his decision on areas such as mine, and other high street centres?
My final point is one of context. Changes to business rates must not be made without considering the wider context of local government finance. Local authorities such as mine have suffered severely the brunt of Government cuts. Hartlepool borough council had disproportionate cuts in 2011-12 and 2012-13 amounting to about £150 per person, compared with the national average of about £50. The local authority faces cuts to its budget of around one quarter this year, on top of cuts of £10 million last year. In an area of high social need and economic deprivation, cuts of such magnitude will unleash enormous and potentially irreparable damage to the fabric of Hartlepool society.
Will the Minister reconsider what he is doing with business rates and the cuts to local government finance in general and, most relevant to the debate and my area, the redistribution element of his policy, which will see much-needed funds flow from high-need, deprived areas such as mine to more affluent areas? Hartlepool borough council needs that redistribution exercise to provide the services required by the town’s population and heritage. I hope that the Minister will respond positively, because my town really needs that redistribution.
It is a pleasure, Mr Caton, to speak under your chairmanship. I congratulate my hon. Friend the Member for Rochdale (Simon Danczuk) on securing this debate. Since he came to the House, he has been a powerful advocate for his constituency, and has done an enormous amount of work with businesses to try to promote growth in Rochdale. We congratulate him on that. He made the point that the Government are failing to manage that change and to consider important issues, such as rebalancing the economy, the gap between what is happening in some of our more deprived areas and in other areas, and the gap between the Government’s windfall from increasing business rates and the money being spent on the Portas pilots to help our high streets.
Other hon. Members have also made powerful points. The hon. Member for Waveney (Peter Aldous), who gave a thoughtful and considered speech, mentioned the reasons why the high street is being hit hard—the changes in our buying habits, the growth of internet sales, and so on—and he made the point powerfully about the differences between out-of-town shopping centres and high streets. That issue must also be considered. My hon. Friend the Member for Stockport (Ann Coffey) has consistently put the case for retail, and especially for smaller shops, and she showed how rental values in Stockport have fallen enormously, by 29%, so that they are now totally out of line with the business rates paid. My hon. Friend the Member for Hartlepool (Mr Wright), who was not only an accountant but a very effective Local Government Minister, pointed out the real problems of low tax bases in places such as Hartlepool, as well as the need for a redistribution of business rates, and the high risk that authorities in those places have when they are dependent on a few large businesses for a high proportion of their rates. We raised those issues during the passage of the Local Government Finance Bill, and I will return to them shortly.
In the Growth and Infrastructure Bill—never has a Bill been more inaptly named—the Minister has decided to bring forward proposals to delay the revaluation of business rates. We want to support business in any way possible, but during the passage of that Bill, we will want to scrutinise the evidence that he is bringing forward—evidence that has been queried in today’s debate. We will also want to look at exactly where the winners and losers are, and what the effect would be on our regional economy. There is no doubt, as hon. Members have said, that the rise in business rates has had a huge impact on businesses, particularly small and medium-sized enterprises and the retail trade. We have all seen it in our constituencies, as many hon. Members have said: we have seen shops closing and young people unable to get jobs. I know many graduates who cannot get jobs aimed at their level of education, and who have sought jobs in retail to show that they are willing to work. Businesses, however, are simply not taking them on as they used to. They cannot afford to.
As my hon. Friend the Member for Rochdale pointed out, last year the RPI rise was 5.6%. The RPI figure in September was 2.6%, and even though that is lower, it will mean an extra cost of £175 million for businesses. Some of those businesses are in areas where rental values have fallen alarmingly, and they are struggling to survive. We all know that business rates are the third biggest outgoing for most firms, after rent and staff costs. As has been said, the current business rates use the rateable values from 2010, which were based on the rental values in April 2008, when property values were close to their peak. Many businesses therefore find themselves in a trap: in many areas, they are paying high rates while struggling to cope with the effects of a recession.
When the Minister made his announcement about revaluation, he said that the five-yearly review will resume
“once the economy has had a chance to recover fully from the financial and fiscal crisis”.—[Official Report, 18 October 2012; Vol. 551, c. 33WS.]
Perhaps when he responds he might tell us when that will be. He clearly does not think it will be by 2015, which is what the Chancellor told us originally. Is he confident that it will be by 2017, and that another review will be carried out then? If he cannot say that, he is simply introducing more uncertainty for businesses.
Whatever the answer, it is clear that the system is not working as well as it should; that is evidenced by the number of outstanding appeals, to which my hon. Friend the Member for Rochdale pointed. There are 241,700 of them, and the Valuation Office Agency is struggling to clear the backlog. One thing the Minister could do is ensure that the VOA has more resources to tackle that backlog, so that at least businesses could have their appeals dealt with and can pay the right level of business rates. I hope that he will commit to that.
As the Minister will be aware, although the Localism Act 2011 introduced more powers for local authorities to grant discretionary rate relief, that power has rarely been used, because the councils that would most need to use it are often precisely those that have had the biggest cuts in their budgets, and they cannot afford to. As with everything the Government have done, it is the poorest authorities that have seen the biggest reduction in their spending power. In this Alice in Wonderland—or should I say “Through the Looking-Glass”—world that the Government have created, those who most need to offer discretionary rate relief are the least likely to be able to afford to do so. How does the Minister plan to tackle that problem?
Need is particularly acute, at a time when the Treasury is getting increased revenue from business rates. Over the last four years for which we have the figures, the contribution to the national pool has gone up by £3.5 billion, not because there is a hugely growing economy, but because the rates were calculated at a time when property values were high. That has particularly hit the retail sector, because year-on-year growth for retail has averaged only 2.1% over the past two years, while consumer spending fell for three quarters in a row.
The Government, however, are facing another problem, which my hon. Friend the Member for Hartlepool touched on. The Local Government Finance Bill makes local authorities more dependent for their income on business rates. They will get back 50% of their business rates. I believe that the Government’s intention in the long term is to get out of paying grants altogether—grants are discretionary under that Bill—and put more reliance on business rates. Local authorities, however, do not set the rate. It would be out of the scope of the debate to go through the whole Bill, but I suspect that the Government have clocked a real problem. If they have a revaluation in 2015, some local authorities could see their income fall drastically because their rental values have fallen. I have great respect for the guile and cunning of the Secretary of State. I suspect he has seen that problem, and has seen that what he is setting up in the Local Government Finance Bill might well implode as a result, which is part of his reason for wanting to postpone the revaluation.
If the Government are going to use that postponement to consider how business rates should be set, which I hope they will—as hon. Members have said, there are issues about whether we should take a 12-month average based either on the consumer prices index or RPI; whether we should take the RPI based on one month; how often revaluation should be done; and so on—they need to involve those who receive business rates as well as the businesses that pay them. That means not simply the Treasury, but local authorities as well. It is even more important to do that, because as we have heard today, the postponement of the revaluation is being viewed very differently in different parts of the country. It is not simply a north-south divide, although I accept what my hon. Friends have said about it impacting hugely on the north. Businesses that were hoping for a better alignment between rental values and the business rates that they are paying have been hugely disappointed. There is a big difference between what has happened in, for example, Rotherham, where rental values have fallen by 35% between 2008 and 2012, and what has happened in Bond street, where they have gone up by an average of 50%.
In that context, I wonder what the Minister plans to do to assist businesses, particularly small and medium-sized enterprises, in areas where rental values have fallen and business rates are now totally out of line with the values that currently apply. I hope that he will be able to answer some of the fundamental questions that we have posed today, because he will simply be creating more uncertainty and more difficulties for business if he cannot resolve those problems. Hon. Members have made that clear in the debate, and I hope that we will now hear more from the Minister about how he intends to respond to those concerns.
It is a pleasure to respond to the debate under your chairmanship, Mr Caton. I join other hon. Members in congratulating the hon. Member for Rochdale (Simon Danczuk) on securing the debate, which is indeed on an important subject. I thank him for drawing it to the attention of the Chamber, and I thank all hon. Members who have spoken so passionately on the issue. It is useful for me to be able to set out the Government’s position on business rates, and on revaluation in particular.
First, let me correct the fundamental misunderstanding that some people have about revaluations. They do not change the amount of revenue raised through business rates. Revaluations simply redistribute the rates burden among ratepayers. Therefore, what revaluations ensure is that the share of the national rates bill paid by any one business reflects changes over time in the value of its property relative to others. That means—this is the important point—it is likely that very many businesses whose rents have fallen, but by less than the average, would have seen a tax increase from 2015. The detailed work of reassessing all 1.7 million properties has not yet started, but the estimates prepared by the Valuation Office Agency suggest that 800,000 premises would have seen a real-terms increase in their rates in a 2015 revaluation. Sectors facing big hikes would have included retail as well as petrol stations, hotels and pubs. My hon. Friend the Member for Nuneaton (Mr Jones) mentioned pubs; as the Minister responsible for community pubs, I fully appreciate that point.
Let me set out the action that we have taken. To provide certainty and stability to all businesses, the Government intend to postpone the next revaluation from 2015 to 2017. To answer one of the points raised, the date of 2017 is in the Growth and Infrastructure Bill. Thereafter, revaluations will continue to take place every five years. The required legislative changes are in the Growth and Infrastructure Bill.
If the revaluation took place in 2015, and was not moved to 2017, how many businesses would pay less in business rates?
I am not sure that I followed the hon. Gentleman’s point. Could he clarify it?
If the revaluation took place in 2015, as it should, how many businesses would see their business rates reduced?
As I published yesterday, the Valuation Office Agency’s view is that about 800,000 premises would have seen an increase and about 300,000 a decrease. We are talking about the retail sector, petrol stations, hotels and pubs. Those kinds of business would have been most affected by hikes. Postponing the revaluation—
Where do the 300,000 businesses in the Government’s figures tend to be based—which regions?
At the moment, the estimate is done across the country. We are looking at publishing these estimates, but what the Valuation Office Agency can and will publish is a matter for the VOA. We are looking to ensure that that is resolved before the Bill’s Second Reading on Monday.
Postponing the 2015 revaluation in England will avoid local firms and local shops having to face unexpected hikes in their business rate bills during the next five years. As business rates are linked to inflation, there will be no real-terms increase in rates over the period. The reform therefore provides certainty for businesses to plan and invest, supporting local economic growth.
Since the last revaluation, which was based on 2008 valuations, the economy and property market have faced exceptional changes. A revaluation at this point would therefore be likely to result in sharp changes to business rate bills in many parts of the country and in many sectors. Tax stability is vital to businesses that are looking to grow and to help improve the economy. The Government are committed to maintaining up-to-date rate bills through regular five-yearly revaluations, which will resume, as I said, after 2017.
We can look only at estimates for the revaluation in 2015, because the detailed work has not yet started. The estimates have been prepared by the Valuation Office Agency and are based on professional judgments informed by limited rental market evidence up to January 2012. They suggest that many smaller and medium-sized firms would have seen rate increases in 2015. Overall, the estimates suggest, as I have said, that 800,000 premises would have had a real-terms increase in their rates from a 2015 revaluation. The retail sector, some parts of which have criticised our decision to postpone the revaluation, would have faced big hikes in bills in 2015.
If I understood the Minister correctly, he said that the detailed work had not been done by the VOA. If that is the case, how can he be confident of the numbers that he has given on winners and losers?
As I have said, the publication of the figures is a matter for the VOA, and one that we are looking to resolve before the Bill’s Second Reading on Monday, but those are the figures from the VOA that we have at the moment. To do the full, detailed calculation, we would need to go through the full revaluation procedure, and the figure for that is just under £50 million. I will come back to that in a moment. We have taken steps to change the legislation, but both Houses—I think that my hon. Friend the Member for Waveney (Peter Aldous) raised the point about reviewing and looking at what is happening—will of course have the chance to examine the policy fully during the passage of the Growth and Infrastructure Bill.
Variation in business rates can have a significant impact on businesses. As has been noted, business rates can add 50% to property costs and can equate to 7% or more of turnover. Large-scale changes in these costs can be very disruptive to businesses at a time when they want to concentrate on delivering growth. That is why we felt that postponing the revaluation was the right thing to do. It provides certainty and stability, allowing businesses to have confidence in what they are doing.
I am aware of concerns that have been heard recently from organisations such as the British Retail Consortium that business rates are generally too high and should not be increased in line with inflation. In fact, the system of increasing the rating multiplier only in line with inflation, which was introduced in 1990, has provided valuable certainty for businesses over the years. It has meant that they have been able to forecast their business rates bill between revaluations and plan accordingly. That was touched on by the hon. Member for Warrington North (Helen Jones), I believe.
The Government have said that they will review the case for uprating in line with CPI instead of RPI, or using a 12-month average instead of the September inflation figure. That commitment still stands. I do understand that in the current economic climate, there are retailers and other businesses that would like lower business rate bills, and there are businesses that would like the Government to raise less money from business rates at the next revaluation. When we consider calls, such as those made today, for lower business rate bills, we have to balance that not just against a system that has capped business rate yields for 22 years, but against the Government’s deficit reduction priority and the tough decisions needed to reduce the deficit. To back up the comments made by my hon. Friend the Member for Nuneaton, it is important, if there is to be that deficit reduction, that we do not make further spending pledges, which is, to an extent, what hon. Members have invited me to do today.
To date, the approach to granting business rates relief has been to target it where support is most needed—on, for example, small businesses, charities, and businesses in hardship. However, we find discussions with groups such as the British Retail Consortium helpful—I will meet it in the next couple of weeks—and will of course continue to keep the rating system under review.
Let me touch on a couple of specific points that were raised. I am aware that there have been delays in relation to rating appeals at the VOA. It has devoted extra resources this year to help to clear the backlog. My officials have regular meetings with the VOA to discuss the appeal numbers. Postponing the revaluation will allow it to deploy more resources to clear the appeals, but we will also be looking to work with the VOA to see what more can be done to clear appeals.
I am grateful for that assurance. We look forward to seeing the impact of the additional resources. Will the Minister also commit to ensuring that up-to-date data about the VOA’s performance continue to be published? There have been delays in publishing the statistics, which might mean that worse performance is deliberately being suppressed.
I will certainly take that point back to the Department. May I highlight that any ratepayers with an outstanding appeal who are in financial hardship or facing enforcement action from a local authority should contact the VOA directly, because it will look at bringing appeals forward in such cases?
I do not know whether the Minister has ever tried to contact the VOA, but my office certainly has. I speak on behalf of many businesses that find it exceptionally difficult to deal with the VOA. Does he agree that its performance on appeals is completely unacceptable?
The hon. Gentleman invites me to stray well outside the scope of the debate, but I take his point on board and will take it back to the Department. My offices speak and meet with the VOA regularly, and I will ensure that that matter is considered.
A specific point on out-of-town car parks was raised. The VOA independently assesses all properties, including out-of-town retail premises, for business rates on the same basis—annual rental value. I assure hon. Members that the rateable values reflect the value of car parking in an out-of-town location, to the extent that it is reflected in rents. I know that there is an issue with some councils seeing car parking in town centres as a cash cow; we have made changes to the rules around the transparency of car parking charges, so that residents can understand fully what councils are doing.
Of course, the Government have already taken action on business rates. We have doubled the level of small business rate relief in England for two and a half years, so the higher level of relief will apply throughout the 2012-13 billing year. We estimate that more than 500,000 businesses in England are benefiting, with approximately a third of a million businesses paying no rates. The measure therefore reduces fixed costs for existing and new small businesses, helping them to make the most of opportunities as the economy returns to growth. It is a useful measure. My hon. Friend the Member for Sherwood (Mr Spencer), who is no longer in his place, mentioned empty shops and start-up ventures. It is an interesting point, which I will take back to the Department to look at.
Through the Localism Act 2011, we simplified the process for claiming small business rate relief; waived £175 million of backdated business rates demands levied on businesses, including some in ports; and gave local authorities wide-ranging discretionary powers to grant business rates discounts. We listened to concerns about the RPI increase for 2012-13, and gave businesses the option of spreading the increase over three years.
As has been mentioned, we are also introducing the new business rates retention scheme. We want to give councils every encouragement to drive growth, so that they fully play their part in growing our economy through the planning system and their other levers. The business rates retention proposals represent a fundamental shift in the way that local authorities are funded. They give councils a strong financial incentive to drive local economic growth and to engage with local businesses to develop a positive approach to growth. Subject to the Local Government Finance Bill receiving Royal Assent, we will introduce the business rates retention scheme in April 2013.
We have taken other steps to boost the high street and growth. We have doubled the number of Portas pilots. Following applications by local MPs, over 300 town teams have signed up to become town team partners, and will benefit from a package of support. In March this year, we announced a £10 million high street innovation fund for the top 100 places most affected by the riots, or with the highest empty shop rates. In August, we announced the £1 million future high street X-fund. For those who have not yet applied, its closing date is 6 December.
We will shortly announce the details of a £500,000 fund to help set up business improvement districts. We will continue to support the high street by working with areas to remove barriers that prevent local high streets from prospering. We will publish a further response to Mary Portas’s review in spring 2013, building on the knowledge from the pilots, experiences across the country, and the progress that we have made on many of the other recommendations in the review since last December.
As was mentioned, next week is the Second Reading of the Growth and Infrastructure Bill, which will help the country to compete on the global stage by setting out a comprehensive series of practical reforms to reduce confusing and overlapping red tape that delays and discourages investment, new infrastructure and job creation. Postponing the revaluation until 2015 in England is the right thing to do.
The Minister’s figures confirm that at least 300,000 businesses will pay more than they should in business rates for two years, from 2015 to 2017. Many businesses will have many more than one premises, so we cannot assume that that is 300,000 shops. Is that the right way to run a tax system?
The hon. Gentleman omits to point out that 800,000 businesses would have had to pay more, and does not mention the uncertainty that would have been created over the next couple of years while businesses worked through the situation. That is not sensible in the current exceptional economic climate.
We want to provide local firms and local shops, including many of the most disadvantaged, with the certainty that they need to plan, invest and grow. VOA estimates suggest that the change will save 800,000 premises from a tax hike and protect key sectors such as retail. We recognise that regular revaluations are important to maintain up-to-date rates bills, but such immense volatility is not, at this time, in the public interest. Postponing revaluation will provide businesses with a stable economic environment in which to deliver growth.
(11 years, 9 months ago)
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It is a pleasure to serve under your chairmanship, Mr Caton. In August, I visited a cable factory in Washington, in my constituency, which supports more than 100 local jobs and is part of a company that employs more than 1,350 people across the UK. It produces some of the highest-quality cabling in the world—the kind of cable that is used in everything from laptops to submarines. I met Paul Atkinson, chief executive officer of the cable company Prysmian UK, to discuss the challenges facing the industry. Despite the fact that his company faces similar economic pressures to many other companies, one of his chief concerns was the issue of counterfeit substandard cabling. I was shocked to discover that the cable that we so often take for granted in our homes, hospitals, schools and even in the Palace of Westminster is largely unregulated and potentially dangerous. Some 20% of all cable in the UK is suspected of being counterfeit and therefore at risk of overheating and emitting toxic fumes.
Electrical fires are soaring in number in parallel with the increase in counterfeit cabling that is being imported into this country. As a result of improper regulation, this unsafe cable is hard to detect and is often installed by professionals who are unaware that it is counterfeit. A council in my local region recently had to reinstall all its newly fitted data cables after it detected, at the last minute, that cheap and dangerous material had been used within the cable. That came at a cost of tens of thousands of pounds, which the council had to bear.
Counterfeit cable not only poses risks to our safety, but is harming the British cable industry, which is a world leader for high-quality cables. Over the past few years, more than 30 producers of safe high-quality cable have been forced out of business at the gain of cut-throat distributors of unsafe and counterfeit cable from overseas. This export-led, globally respected domestic industry will shrink further if we do not act now. The problem of counterfeit cabling could be substantially mitigated by suitable enforcement of basic regulation for the detection of unsafe cables.
The cable industry is not asking for anything other than for the UK to catch up with global standards for regulation, in order to halt the victimisation of British manufacturers and to ensure that our schools, hospitals and homes are safe from the dangers that substandard cables can cause.
Customs and Excise statistics show that the UK has become a global target for distributors of counterfeit and substandard cabling, and it is now estimated that a fifth of all cabling in the UK is suspected to fall into that category, and therefore be potentially dangerous. To put that in perspective, the Olympic venues alone required more than 350 miles of cabling, so if they followed the national trend, that would mean that more than 70 miles of that cabling was counterfeit.
On a national scale, there is potentially hundreds of millions of miles of cable that is not only substandard but potentially life-threatening. That is backed up by the official fire statistics for 2010-11, which show that electrical distribution caused more than 4,000 fires in homes and 3,000 in other buildings.
According to statistics from the Department for Communities and Local Government, fatalities caused by faulty electrical distribution systems have tripled since 2004. The incentive to source cheap cabling has been greatly increased by the dramatic increase in the cost of copper, which now accounts for more than 90% of the total cost of the cable. Therefore, manufacturers of counterfeit cable are able to undercut quality cable by cutting down on the amount of copper they use. However, doing that leads not only to more faults, but to overheating, which dramatically increases the risk of fire. The fire itself is not the only life-threatening risk. Due to the present lack of regulation, substandard cable distributors are also free to cut costs by using cheap material that emits toxic fumes, and which falls below fire-resistant standards. If such cable is used as part of emergency lighting or fire alarm systems, which should function for up to two hours to allow people to escape safely, those systems could fail within minutes, thereby increasing the risk of casualties.
The Minister will share my deep concern that, because of a lack of any real regulation, cables in our schools, homes, and hospitals will almost certainly contain counterfeit cabling, which could lead to deadly consequences.
I congratulate my hon. Friend on securing this important debate. My father worked in a cabling factory in County Durham for 40 years, and Prysmian is also based in my constituency. She is emphasising a hugely important point. There have been a number of very serious fires that have led to deaths. There was one recently in Prestatyn, in north Wales. This is an urgent problem, which we need to address.
I agree, and I thank my hon. Friend for his contribution. I am so pleased that he was able to come along this morning because he is as passionate as I am about this issue.
In addition to the serious safety issues that we have been discussing, unregulated counterfeit cabling is also undermining British jobs. As I said earlier, more than 100 people are directly employed at the Prysmian factory in Washington, and even more may be employed in my hon. Friend’s constituency in Wrexham. However, high-quality cable manufacturers operating in Britain are struggling to survive because of the unfair competition from counterfeit cables. Britain’s domestic cabling industry is a world leader because of the refusal by its companies to compromise on quality and safety standards. However, that integrity and sense of responsibility to the end user has left the members of that industry under threat from cut-throat distributors of unsafe, substandard products. At a time of rising unemployment, my understanding is that the entire cable industry, which includes manufacturers as well as supply chain jobs and distributors, provides more than 150,000 private sector jobs nationally, and also helps support efforts towards an export-led recovery, with exports totalling more than £300 million. However, those jobs are constantly under threat due to the lack of protection that basic regulation would provide.
The extent of the damage that counterfeit cabling is doing to the British cable industry can be seen clearly in the rapid decline of jobs in the sector over the past 15 years. In 1995, there were 70 domestic cable manufacturing firms, providing 110,000 jobs. Now there are just three cable manufacturing firms, providing 5,000 jobs. All the other manufacturers have fallen victim to cheap and often substandard imports from abroad. By sacrificing product safety and misleading consumers, distributors of dangerous counterfeit cabling are able to undercut UK suppliers, potentially putting more of them out of business. Such manufacturers ceasing operations not only means that jobs are lost, but further increases the market share available for distributors of counterfeit and substandard products to exploit.
The problem of counterfeit cabling risking jobs and lives in Britain can be solved with relatively simple regulation and suitable enforcement. However, the issue has been largely neglected by Government, falling victim, as it has, to being caught between the responsibilities of the Department for Business, Innovation and Skills, and the DCLG. Indeed, I believe that there was some discussion last week about which Department would answer this debate today.
The British cable industry has been clear; it believes that fair competition incentivises innovation and higher standards. I do not for one moment want to stop fair competition in the cable industry, or to stop cable manufactured overseas, whether in Europe or elsewhere, from being imported and distributed in the UK. This is not about doing British manufacturers special favours, even when they employ our constituents. This is about creating a level playing field for competition, based on the fundamental point that cabling is a product that needs to be up to standard because of the potentially fatal consequences if it is not.
British manufacturers, including Prysmian, do not believe that the safety of the British public should be compromised, especially in public buildings such as schools and hospitals. In the present marketplace, however, this belief costs them competitiveness and therefore customers, who are often uneducated about the dangers of counterfeit cables. Consequently it is vital that the tide of counterfeit and dangerous cable is halted and that safety standards are enforced.
Dangerous cable could be tackled by revising legislation to incorporate four checks on the market. First, there should be quality checks on cable at ports of entry, ensuring that products coming into the country are up to the standards that we require of British-made products. Secondly, there should be a requirement that, at the very least, all cable used in public buildings in the UK is third party-certified, meaning that it has been tested and proven to be of the quality that we expect. Thirdly, cable inspection and verification should be added to the list of mandated checks performed by building inspectors, ensuring that any counterfeit product is identified as early as possible, so that it can be replaced. Fourthly and finally, there have to be consequences for those who are found to be endangering life and property knowingly by installing substandard cabling, and at the very least that should mean prosecution for those found to be doing so in public buildings. Similar measures already operate internationally, so implementing them would merely be addressing an anomaly that leaves Britain uniquely vulnerable to the kind of dangerous electrical cabling that causes deaths, casualties and damage to property, while undermining British jobs.
I am grateful to my hon. Friend for giving way to me again. She has made a compelling case about the dangers of cable that is not health and safety-certified. Does she agree that it is regrettable that we sometimes have soundbites that criticise this type of regulation, whereas in fact it creates an opportunity for good manufacturers who have safe systems in the UK and the absence of such regulation penalises those good manufacturers at the expense of those that do not provide safe cables?
Yes. On that very point, I know that the Minister announced last week that he is going to tackle Europe’s “regulatory machine” and that he is committed to reducing red tape for small and medium-sized businesses. However, I hope he will agree that, as my hon. Friend just said, cabling is very different. I hope he sees that this kind of regulation for cabling would be welcomed and would definitely help British businesses, as well as reducing electrical fires and ultimately saving lives. I look forward to hearing his response to the debate.
It is a pleasure to serve under your chairmanship, Mr Caton.
I congratulate the hon. Member for Washington and Sunderland West (Mrs Hodgson) on securing the debate and on raising important issues, and I recognise that she has a particular constituency interest in this issue. I also welcome the hon. Member for Wrexham (Ian Lucas) to the debate and welcome the interest that he has shown in it.
I will begin by describing some of the regulatory regimes that electric cables fall under, so that we are clear about them. As far as safety is concerned, there are robust safety regulations that apply to manufacturers, importers, distributors and retailers, which require products to be safe. How do we interpret “safe”? We do so on a case-by-case basis, taking account of good engineering practice, the extent of scientific knowledge, the ability of engineering to provide solutions, and the reasonable expectations of the user of the product, among other factors.
A “safe” product means that a product does not present any risk, or only the minimum risks compatible with its use, consistent with providing a high level of protection for the safety and health of persons. It is important that we distinguish between the requirements of legislation and the requirements of standards. There is no requirement in the legislation for compliance with a standard, and there is a good reason for that. While compliance with a relevant standard provides a presumption that a product is safe, there has to be a route for innovative products and advances in technology. Standards generally cannot prejudge advances in technology, and therefore are amended and updated in the wake of innovation and scientific advances.
I now turn to a specific issue that the hon. Lady raised, which is misusing trade marks to mislead consumers deliberately. Counterfeiting is an issue that the Government take very seriously, because—as she set out very clearly—it threatens legitimate businesses and the economy, and of course it also poses a risk to consumer health and safety, as well as undermining consumer confidence in these products.
The infringement of an intellectual property right is a civil matter. However, the infringement of trade marks can also be a criminal offence. Trading standards officers are primarily responsible for enforcing the criminal IP laws, with support from the police and investigative assistance from the owners of the IP rights. Government and the associated public enforcement organisations continue to engage actively with British businesses to raise the profile of the threat of counterfeit products entering relevant supply chains, including supply chains in the electrical cabling sector. For example, the IP crime toolkit, which was launched by the Intellectual Property Office in November 2011, aims to make businesses more aware of the growing risk from counterfeit goods entering supply chains, and it also gives guidance on how to strengthen and protect IP assets.
There is also legislation for addressing issues relating to falsely described goods, and it is applicable when such goods are supplied to a business or a consumer. The supply of cables that are falsely described by any means to a consumer is likely to be a criminal offence under the Consumer Protection from Unfair Trading Regulations 2008. Businesses enjoy similar protection against misleading advertising and marketing, including false statements, under the Business Protection from Misleading Marketing Regulations 2008. Both of those sets of regulations are enforced by local authority trading standards officers.
I now turn to some of the concerns that the cabling industry has expressed. It initially raised safety concerns about cabling with my Department back in 2009. Those concerns were referred to the Health and Safety Executive, which is the relevant enforcement authority. The HSE then approached my Department for funding for a special project. A special market surveillance exercise undertaken by HSE was agreed, to determine the state of the UK market given the serious concerns that had been raised. That exercise commenced early in 2010.
The market surveillance project had the overall objectives of determining how the cable supply sector was functioning and whether there were any market failures that needed to be addressed. Once the HSE had performed an initial study of how the sector functioned, it was able to proceed to taking samples from across the sector. It had to take a sufficiently large number of samples to determine whether the cables available on the market were safe or not. Those samples were not taken at random; they were a biased selection taken from cables that were considered by HSE inspectors to be the most likely to be non-compliant.
That project has now concluded, but the final report is still to be produced; it is expected very early next year. I understand that the findings of the report will show that, with the exception of one large batch of cable that had copper content that was 50% underweight and of two samples with questionable origin, there was no justification from the other samples that were found for the HSE to remove any product from the market. The samples that were found to be non-compliant were voluntarily removed from the market without any formal action being taken by the HSE.
Part of the administrative requirement of the legislation is for those in the supply chain to be able to provide a copy of the declarations of conformity that the cable complies with the legislation. These declarations were found not to be generally available, but they were provided within the 10 days requested by the HSE. If the HSE had formally requested them, it would have had to allow 21 days for them to be produced, rather than the initial 10 days. The HSE found that some manufacturers outside the EU were reluctant to supply declarations of conformity and that there was evidence of hostility from those manufacturers towards importers who requested the declarations of conformity, however they were supplied. The HSE is not an enforcement authority for counterfeit goods, but it should be reported that it did not identify any counterfeit product during its market surveillance assessment.
While it was assessing the sector, the HSE found that the market is dominated by a small number of importers, most of whom had a low level of awareness of the administrative requirements, although some were fully aware of their obligations. The industry is standards-led, and considers that the standards provide all the protection that it needs. However, it was generally unaware of the general failure to meet the requirements of the standards. The industry also suffers from a poorly developed system of product recall. The HSE has therefore advised that on the basis of its assessment most products on the market are safe. Although they may not always be compliant with the standards with which they are claimed to be compliant, they meet the requirements of the safety legislation.
While carrying out the assessment of the market, the HSE identified a considerable lack of awareness of the administrative requirements of the legislation. It has now put in place measures to increase awareness of them. The measures led to distributors and importers demonstrating a greater understanding of their obligations and of the risks—financial liability and reputational risks—that they expose themselves to. I understand that that has led to a significant improvement of best practice by some of those in the supply chain. The HSE’s recent follow-up visits to a leading UK distributor-importer have verified that it has adopted processes to identify substandard, non-compliant cable before it enters the UK wholesale-domestic market. The HSE will facilitate awareness of that best practice at an event that it is planning, to engage other distributors.
The current HSE assessment of the market demonstrates that most cables on the market are generally safe and that there are robust regulations in place dealing with safety, counterfeiting and false declarations. Traceability is an issue and all cable needs to be marked, but market surveillance hands are tied until the industry puts its house in order on marking. The thorough HSE market surveillance assessment provides a reassuring and clear statement of the market: that it is functioning satisfactorily. There are cases where non-compliant products are identified. Those should be referred on a case-by-case basis to the relevant enforcement authority. In matters of product safety that is the HSE for workplace products and trading standards officers for products supplied to consumers; in relation to false marketing declarations it is trading standards officers for both business-to-business and business-to-consumer transactions; in relation to counterfeit goods, or in cases of suspicion of counterfeiting, evidence should be supplied to trading standards, Her Majesty’s Revenue and Customs and the police.
I have been listening intently to the Minister’s response, as has my hon. Friend the Member for Wrexham (Ian Lucas). So, I am sure, have the industry experts in the business world, who are far more cognisant than I am of the finer points of what he says. I am not an expert in the field, although I am trying to represent my constituents as well as I can on the issue. Will I therefore be able to enter into correspondence with the Minister, for follow-up, if we want to drill down on some of the points in his response?
I am certainly happy to engage with the hon. Lady in correspondence on any of the technical points I have raised. If anything is not clear I shall get back to her about it. I, too, am not an expert on cabling regulations. The hon. Member for Wrexham may be the only expert in the Chamber—apart from you, Mr Caton. I know that you have some knowledge of the area.
It is kind of the hon. Gentleman to say so. Perhaps it is a process of lifelong learning for all of us.
I do not want to introduce too much levity into the discussion. There are concerns about conformity of the distribution chain with the administrative requirements of the product safety legislation, but the products on the market, which I have accepted may often be non-compliant with the current standards, are generally considered to be adequate for the purpose intended and are safe. However, I assure the hon. Member for Washington and Sunderland West that we take the concerns seriously. We believe that the legislative framework is robust; but I urge her and the hon. Member for Wrexham to report directly to me at the Department any evidence that they have in connection with the points they have made, so that we may look at it. If they have any specific evidence of counterfeiting or false marketing, that should be reported directly to trading standards officers in the specific local authority areas.
(11 years, 9 months ago)
Westminster HallWestminster Hall is an alternative Chamber for MPs to hold debates, named after the adjoining Westminster Hall.
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It is a pleasure to serve under your chairmanship, Mr Hollobone. I am grateful to have a further opportunity—you might wonder why we are taking another chance to raise the issue—to discuss the Leeds children’s heart unit. Given that there is a new ministerial team at the Department of Health—I am delighted to welcome the Under-Secretary of State for Health, my hon. Friend the Member for Broxtowe (Anna Soubry) to her new post—and that the decision on the unit has been referred to the Independent Reconfiguration Panel, it is critical that the independent review gets this right. The issues that we have been raising need to be assessed in great detail by the independent panel.
It is important for us to remind ourselves of the key issues. I want to make it crystal clear at the outset that we have always supported the objective of the review. Of course, we all want the best services for our children, and having fewer specialist centres is a principle that we have never doubted. My grave concern is that the review will fail to meet the objectives, particularly in the north of England, subjecting my constituents and those in Yorkshire and Lincolnshire to a worse service than the one that they currently enjoy. That is why I want to outline our concerns.
First, the review has always made it clear that units need to perform 400 operations or more a year. If that is the agreed standard, we must accept that. However, a survey by PricewaterhouseCoopers showed that the majority of patients who live in east, west and south Yorkshire would not travel to Newcastle. Instead they would go to Liverpool, Birmingham, or, in some cases, even to London. Anyone who knows our area knows that that is instinctively the case. Since the decision was made, adverse weather over the past couple of months has caused huge problems on the A1. Would a parent go there or would they choose less problematic routes? The issue is made clear in the analysis. The independent review document states:
“There was more reluctance amongst members of the public to consider travelling to Newcastle as a centre. If the preference of the parents and the public were factored into assumptions of patient flows, they may have implications for projected levels of activity at – in particular – the Newcastle centre.”
What is the review’s answer to the problem? At the decision-making process meeting—a seven-hour meeting to rubber-stamp a decision that clearly had already been made—it was said that patients preferring centres other than Newcastle would be influenced by referring doctors, with the assumption made that they would be pointed to Newcastle. Frankly, the evidence points to the contrary: all 20 referring clinicians in the Leeds network, whose views were never sought by the Safe and Sustainable review, said that they would not refer patients there for treatment.
In addition, the review argued that if 25% of patients from Leeds, Sheffield, Doncaster and Wakefield chose to go to Newcastle, that unit would perform 403 operations a year, conveniently just over the target of 400. That also assumes that 100% of patients in the other remaining postcodes, including Hull and Harrogate, would go to Newcastle. Newcastle can only reach the 400 figure if all the assumptions—that 25% will go from south and west Yorkshire, that clinicians will refer, and that 100% in Harrogate, Hull and elsewhere would use the centre—are correct, but there is no evidence to support such assumptions.
Given the importance of the 400 figure, it is staggering that it has been reached on the basis of assumptions. I know my hon. Friend the Minister was a barrister before entering the House. I wonder how the court would have reacted if she had based her defence or her prosecution on assumptions. That is why I believe the review is flawed. If we are going to change, it must be for a much better service.
That brings me to the issue of co-location. The foundation of the review was the inquiry at Bristol, and ensuring that such events never happen again is crucial. A key recommendation of the inquiry was to have all paediatric services under one roof. The British Congenital Cardiac Association has stated:
“It is important that the centres designated to provide paediatric cardiac surgery must be equipped to deal with all of the needs of increasingly complex patients. For these services at each centre to remain sustainable in the long term, co-location of key clinical services on one site is essential.”
I completely agree with that statement. Indeed, Professor Sir Ian Kennedy, in his report following the Bristol inquiry, stated in recommendation 178:
“Children’s acute hospital services should ideally be located in a children’s hospital, which should be physically as close as possible to an acute general hospital. This should be the preferred model for the future.”
Yet despite Sir Ian’s assessment panel describing the location of key services on a single site as optimal, Sir Ian accepted a watered-down definition of co-location, which allowed Newcastle to be described as a co-located service, and that led to the decision to close Leeds, despite the Paediatric Intensive Care Society’s assertion that it
“would dismiss any suggestion that a service located on another hospital within the same city can be regarded as being equivalent to a service located on the same hospital site.”
What has caused Sir Ian Kennedy to change his mind? Anyone visiting the Leeds unit will know that it is a wonderful, integrated unit. It has all the services that are needed for children with complex and multiple needs. They need paediatricians there with other specialities. On my several visits to that unit, on each occasion I have seen paediatricians coming to help patients with complex needs.
My hon. Friend has led this campaign in Parliament with his customary charm and tenacity. As ever, he is making an excellent case. The national health service is paid for by the public for the benefit of the public. Ultimately, the services that we provide should be the ones that the public want. MPs from our region, from across the parties, are here today, and it is clear that the people in Yorkshire have confidence in the unit, want it to continue and believe it will offer the best possible treatment. Should that not be one of the most important factors that the Government bear in mind?
I am grateful for my hon. Friend’s kind words. It has been a tremendous cross-party campaign. People right across our region have been speaking in high praise of the unit. My hon. Friend is absolutely right that it should be about what patients want. Patient choice is a bedrock of the NHS. I hope that today’s debate will enable us further to put across our grave concerns about the review.
Another concern that people have raised is the initial consultation that took place, especially with regard to the language and translation for a large section of our community who suffer particularly from congenital heart disease. Will my hon. Friend comment on that? Does he think that that issue has been fully addressed thus far in the process?
No, I do not. The projections of population growth, particularly in the south Asian community, are a huge issue that has not been fully addressed. I hope that that issue will be taken up by the independent panel when it considers the detail of the decision that was reached.
It would be a backward step for us to go to a unit that was separated from the rest of children’s services by three miles. We have a wonderful unit at Leeds general infirmary, where all the children’s services are under one roof. Staff there talk about the difference between now, and when the unit was at Killingbeck. There were great problems with getting doctors to travel there, even though it was only a couple of miles away. It is unacceptable for our constituents and poorly patients to receive a much lesser overall service, because the rest of the services will be three miles across the city of Newcastle.
A phrase that I have heard a lot in this campaign is, “Bring the doctors to where the patients are and not the other way around.” The review has been inconsistent regarding whether population density matters. The consultation document said that Birmingham gets a high number of referrals because of the large population in its catchment area, and it should therefore remain as a unit, but that simply does not seem to apply to Leeds. Leeds serves a population of some 5.5 million, double the 2.6 million in Newcastle, and projections show that that number will increase. The recent census showed that the population of the north-east had increased by 57,000, compared with an increase of 300,000 in Yorkshire, so surely we should put the services where the population is, and where it is growing.
The health impact assessment stated that options G and I were the only ones to induce few negative impacts—option G being the one that includes Leeds—and it admitted that option B would have a more negative impact than option G. That information was released only at the meeting on 4 July.
I want to talk about public opinion because, as my hon. Friend the Member for Shipley (Philip Davies) mentioned, support for the campaign has been phenomenal. Some 600,000 people have signed a petition, which shows the strength of feeling in our area, but those signatures were counted as just one response, while 22,000 separate text messages in support of Birmingham were counted as 22,000 separate responses. The NHS constitution states that the NHS is guided by several key principles, one of which is:
“NHS services must reflect the needs and preference of patients, their families and their carers. Patients, with their families and carers, where appropriate, will be involved in and consulted on all decisions about their care and treatment.”
The fact that so many people felt compelled to sign the petition shows the strength of feeling that they have.
I have spent a great deal of time in the Leeds unit, speaking to families that use it. One of them is the family of one-month-old Lauren, who had problems with feeding and was referred to the Airedale hospital when she was approximately one week old. A heart problem was then suspected, and she was referred to Leeds general infirmary, which has strong links with Airedale. She was transferred to LGI through Embrace, the Yorkshire and Humber specialist ambulance service—a service that does not exist in Newcastle—and it took four hours to get the baby in a stable enough position to undergo the journey to Leeds. Imagine expecting that child to go all the way to Newcastle. Her mum, Sara, said that she could not understand why, given the size of the population in Leeds and the surrounding areas, as compared to the size of the population in Newcastle, it was contemplated making people travel further and separating them from their often crucial family support. I know from my time at Martin House children’s hospice how important it is to have family support close by. The patients are in incredibly stressful situations, and it is critical that others can share in the care and visit the children.
What assurances has my hon. Friend had regarding ambulance services? He is right that Embrace, the Leeds service that looks after children in getting them from home to hospital, is second to none. How will Newcastle get anywhere near that quality of service in the time scale required?
The answer is that I do not know. I have not been given any assurances that that will happen, which again highlights the crucial problem with the decision: we will be subjecting our constituents to a lesser service.
I spoke to another family at the unit. Libby was diagnosed at 20 weeks with complex heart problems, and her mum was referred for the rest of her antenatal care to LGI, where the baby was delivered; that again demonstrates the crucial co-location of services. It was clear that the daughter needed treatment immediately after birth, and at six days old she had her first of many operations. As she has complex medical needs, she has also needed support from the paediatric neurology and renal teams, and all those services are under one roof, which provides first-class care. My final example is of a child who had an operation in Leeds at 18 months. All the care was then delivered in Barnsley by doctors from Leeds. Leeds doctors have been out working in all the towns and cities across Yorkshire, at 17 different locations, over the past decade. We have a well-established network of services. Those are just a few examples of the kind of impact that the proposal could have on any of our families.
I congratulate the hon. Gentleman on securing the debate, which, as he rightly points out, is extremely important. Does he agree that it is not just the children’s congenital heart problem services that serve us so well at Leeds general infirmary, but the post-16 services, which the review did not take into account? Does he also agree that Leeds is perhaps the leading centre in the country for training post-16 congenital heart problem surgeons in what is a valuable and important skill?
The hon. Gentleman makes an absolutely first-class point. Indeed, I think we have all asked the question: why is the review into children’s services being held separately from that into adults’ services? It is bizarre. We know that the surgeons operating on adults are often the same people who operate on children. We have yet to get a sufficient explanation of why the reviews have not been run in tandem, and we expect, or at least hope, that the Independent Reconfiguration Panel will consider that issue.
That brings me on to my next point. I wholeheartedly welcome the fact that the Secretary of State has decided to refer the decision to the Independent Reconfiguration Panel—that is great news—but it is absolutely crucial that we get the decision right. There is no point in simply reviewing the decision; we want the panel to consider the whole process, right down to the information that was used at the very beginning regarding what the services were like at the different units. That must include the scoring.
I echo other Members’ compliments about the force of the hon. Gentleman’s case. The review, if it is about anything, must be about the right clinical outcomes for children. That is why we are all here. We are all so passionate about the Leeds children’s heart surgery unit, which I have the privilege to represent. Will he confirm that despite the impression that is being given in some quarters, no assessment of the relative clinical effectiveness of the units considered in the review has been undertaken? Does he agree that the independent review must do that, as we all believe that it would lead to the decision being overturned?
The right hon. Gentleman is absolutely right. He makes a clever and important point, because that is the foundation of the decision, and the information either does not exist or is incorrect. I want a root-and-branch review of the decision and all the information that was at the disposal of the Safe and Sustainable review team. I hope we can get an assurance today that the panel will do that.
There are further problems with the decision-making process. The joint committee of primary care trusts is still not disclosing information requested by the joint health and overview scrutiny committee in our area, including the agendas, minutes and reports of several meetings material to the JCPCT decision. There is also no evidence that the joint health and overview scrutiny committee’s report was even discussed by the JCPCT. The JCPCT has refused to disclose the breakdown of the Kennedy scores awarded to each children’s heart surgery unit by the panel. The value of the total scores, which are the supposed measure of quality, could neither be understood nor scrutinised.
I think we all believe that the JCPCT has misused the Kennedy scores. The JCPCT requested not to be shown the breakdown of the Kennedy scores, which raises many questions about the JCPCT’s ability to make an informed decision. The Kennedy scores were not prepared for the purposes of comparing one centre with another, yet a ranking of the units by total score was published. The scores were misused as indicators of quality, even though the scores did not assess units on what most of us would regard as measures of quality, such as clinical effectiveness, safety and patient experience.
The total unit score was given as 401 for Leeds and 425 for Newcastle. Those scores were published with the independent expert panel’s report in 2010. According to the first breakdown of the total scores, however, which was only released after the JCPCT made its decision, the Leeds unit gets 414 points and the Newcastle unit gets 421 points. Despite the enormity of the review, a basic mistake appears to have been made in the calculation. That matters because, in the eyes of the JCPCT, which saw only total scores, the advantage of the Newcastle unit was more than trebled from seven points to 24. When that was pointed out to the JCPCT, a second set of sub-scores was published that still did not add up to the original scores of 401 for Leeds and 425 for Newcastle; it stated that the Leeds unit outscored Newcastle on the core clinical standards used by Professor Kennedy by 347 points to 336. On care quality, Leeds is ahead; Newcastle outscores Leeds only because of the addition of leadership and vision standards, which are non-clinical standards covering IT and business strategy, working practices, and so on, that were developed by commissioners, not clinicians.
When the fact that Leeds outscores Newcastle on core clinical standards was pointed out to the JCPCT by the Yorkshire and Humber joint health and overview scrutiny committee, a third set of sub-scores was published, with the dubious claim that they were the raw Kennedy scores. The scores did add up to the original 401 for Leeds and 425 for Newcastle, but, mystifyingly, they now put Newcastle ahead of Leeds on core clinical standards. It is unclear which of those different sets of scores was used by the JCPCT because they give such different impressions.
The Kennedy scores were subject to a weighting system that disproportionately emphasised certain aspects of the assessment in a way that produced misleading results when used in a comparative process. No explanation was given for the way the weightings were worked out. I could address further issues, but I am aware that other hon. Members want to take part in this debate.
We suggested that the JCPCT’s decision be implemented elsewhere, but that in north-east England, both Leeds and Newcastle remain open and that the decision be delayed until April 2014. That would give an opportunity for patient choice and for parents to consider which centre they want to use, as is their constitutional right. By the end of that period, each centre would have to demonstrate that it is fully compliant with all the standards set by the Safe and Sustainable review. The judicial action brought against the JCPCT by Save Our Surgery might then cease; that would avoid the risk of sinking the review in its entirety. Leeds and Newcastle would have the opportunity to demonstrate their compliance with Safe and Sustainable standards. Less controversial decisions taken by the JCPCT could proceed elsewhere in the country, and the Government would be shown to be listening to the concerns of patients. That would give a clear message from the Department of Health that patient choice comes ahead of professional convenience. We made that suggestion, and it was rejected out of hand in no time at all. It is a sensible proposal for a solution that would allow us the very best services for our children and young people, as evidenced by where people go and what services they want.
Finally, I attended last week’s Westminster Hall debate on the Leicester unit. My hon. and learned Friend the Member for Harborough (Sir Edward Garnier) summed up the debate well. There is no point in my trying to come up with a fancier conclusion, so I will do him the honour of quoting what he said:
“The House does itself no great service if it shilly-shallies around process and avoids the question. As Members of Parliament, we must ensure that the question is put…The Secretary of State has the levers of power in this question and he must pull them—he must exercise them—and make a decision…I do not care who made the decision or how the dainty route was created to get to it. We all know that the current decision is wrong and needs to be dealt with.”—[Official Report, 22 October 2012; Vol. 551, c. 188WH.]
I am just checking that the seven Members standing match the seven names in front of me, and they do tally. We have 45 minutes until I call the Opposition Front-Bench spokesman, which gives you about six minutes each. I cannot enforce that, but I urge Members to stick to six minutes so that everyone can get in. To be helpful, I will read out the batting order: Nic Dakin, Greg Mulholland, George Mudie, Martin Vickers, Julian Sturdy, David Ward and Andrew Jones.
Thank you, Mr Hollobone. That is very helpful, as your chairmanship always is. It is a pleasure to serve under your chairmanship.
I welcome the Minister to her post, and I congratulate the hon. Member for Pudsey (Stuart Andrew) on securing this debate. His cross-party and cross-regional leadership on this matter has been a credit to him and the region, and it is a pleasure to have worked with him. I hope we have a satisfactory outcome. He has spelled out in clinical detail the key issues in this case: the need to get the right clinical outcomes; the discrepancies in the clinical information issued throughout the process; the number of operations necessary to secure a unit; and the difficulties in securing that number of operations if Leeds closes and other centres are expected to receive its patients, given that if there is patient choice, it is clear that patients from the area that I represent, Scunthorpe, will probably go south, rather than north, to access services.
The hon. Gentleman has reminded us of the largest petition that I can remember in the region, which some 600,000 people signed at fairs and civic events in my constituency and, presumably, across the whole region. That was an active process in which people were engaged and supportive. Counting that as one response is not giving the public view the weight that it should have.
The villages and towns of the area that I represent will always be peripheral and on the edge. People from our area must travel to access services. It is interesting to note their concerns. I will refer to a couple of correspondents, because theirs are the voices of which we need to be reminded, and their observations echo the points made by the hon. Member for Pudsey. One correspondent said:
“All of us heart families, as you can imagine, are devastated…Please can you review this decision and hear our views?”
Behind the petition signed by 600,000 people are many people’s views. Another correspondent said:
“Our daughter is diagnosed with a rare condition, truncus arteriosus. She had major open heart surgery in July 2011 at Leeds general infirmary. Naturally, we were devastated with the diagnosis, coming to terms with it and going through her operation and hospital stay. The service they provide at Leeds is…at its best. I feel that our daughter is in extremely safe hands there. The staff on ward 4, ward 10 and HDU provide the best quality of care. The cardiologists and surgeons are truly amazing in the work they do. Whilst our daughter was in hospital, this was a terrifying time for us. Leeds is a good hour’s drive away, which is bearable in this situation”,
but
“it could endanger lives if people have to travel further, for example those babies born who need emergency heart surgery. I have read so many comments on the support group page that if Leeds surgery closed and they had had to travel further afield, their baby would not have survived the journey.
All the facilities are on site at Leeds general infirmary, i.e. X-rays and other investigations that need to be done prior to operation. Again, if Leeds was closed and we had to go to Newcastle, my understanding is the checks have to be done at other hospitals, again endangering lives in those more serious cases.”
Another constituent of mine says:
“I would now like to explain how the threatened closure affects my daughter. I have a 5 year old daughter who has 22q deletion…She has a number of complex, life-affecting and life-threatening health conditions, including serious congenital heart defects, as well as learning and communication problems. She is a pupil at St Luke’s school in Scunthorpe. Routine antenatal appointments at Scunthorpe failed to pick up her problems; an additional late scan there found a problem, and antenatal care was then transferred to Leeds.
Leeds general infirmary provides many services under one roof. During her stay on the cardiac ward, I required treatment due to birth complications and had access to the midwifery team and appropriate treatment. I was unable to walk following the birth for several days, and was able to stay on the heart ward with food provided and then in family accommodation.”
That emphasises the proximity of all services, and how that affects the well-being of not only heart patients, but mothers and other family members.
I take note of your instructions and encouragement, Mr Hollobone. I feel that I have reinforced the issues that were raised in the excellent speech made by the hon. Member for Pudsey, and I have added a couple of illustrations from my constituency that underline the point.
I congratulate my neighbour, my hon. Friend the Member for Pudsey (Stuart Andrew), on everything that he has done and on securing this debate. It is also good to have four other parliamentary neighbours here, as well as many other colleagues from our region. That speaks for itself.
I put on record my regret that we have still not had a full and proper debate on the Floor of the House of Commons. Six minutes is not enough for me or other hon. Members to state our serious technical concerns about a deeply flawed process, and I do not believe that this debate should be seen as a substitute. However, I thank the Minister and her colleagues for doing the right thing in listening and correctly, considering the huge concerns, referring the decision to the Independent Configuration Panel. That is clearly essential. I am pleased that she and her colleagues did so, considering the outrageous protestations from the Joint Committee of Primary Care Trusts and, I am afraid, from other organisations trying to stop the process and prevent what is clearly essential democratic scrutiny. That in itself is a matter that should be taken further. It is a disgraceful thing for any body involved in the decision to seek to do.
Briefly, in the time that I have, I will raise with the Minister the slight concern also mentioned by the joint health overview and scrutiny committee for Yorkshire and the Humber. We want an assurance—today is a good opportunity—that the terms of reference for the Independent Reconfiguration Panel will not be restrictive. Otherwise, there is a danger that it could simply repeat the same deeply flawed assessment process that my hon. Friend the Member for Pudsey eloquently described. Will the Minister ensure that that is not the case, and that the IRP can properly and fully consider the decision?
We have all heard what a blow the decision has been to the wonderful staff who work at the unit and, most importantly, to the families and children involved, as well as to people in the region and beyond who rely on the unit or could do so in future. We must be clear on this point, which I want the Minister to take away. Of course we have all heard the stories of the awful situation in which families and children have found themselves. Each and every one is heart-rending, and they deserve to be listened to. However, we must also accept that the same stories would apply to any of the units in the review, so that is not the point. The point is a cold, hard one: by the review’s own criteria for bigger and smaller units, the JCPCT has made an absurd decision in favouring the closure of Leeds.
The JCPCT has demonstrated a clear bias all the way through. I am sorry to have to say it, but the JCPCT’s decision was clearly a stitch-up. If it had followed its criteria properly and gone through the process following the criteria set down by the previous Government, it could not have failed to argue, given the troubled times and all the other things that we have heard about, that Leeds must be a fully functioning bigger unit, yet it has not. I believe that investigations are still needed.
It is utterly disgraceful how the JCPCT and others have sought to avoid proper scrutiny. To back up what my hon. Friend the Member for Pudsey said, the JCPCT has continued to refuse to provide all the information requested of it by the body charged in the health service to scrutinise it. That is not only disgraceful but quite sinister, and I ask the Minister to look into it properly. If the JCPCT will not release its reports and minutes properly under the Freedom of Information Act, it must say why, but it simply has not done so. I pay tribute to Councillor Illingworth, his predecessor and the body of councillors for all the good work that they have done. They are being refused the information that they need to do their job. That is not acceptable, and I want it to be taken up properly with the JCPCT.
The other issue that has not been raised so far—none of us wants to repeat what has been said—and that I want to bring to the Minister’s attention is the absolute nonsense that despite the geography of the whole country, the Yorkhill unit was not included. There is already a flow of cross-border patients from the north of England to Scotland and the other way around. It is somewhat ironic that Sir Ian Kennedy, who chaired the Safe and Sustainable review panel in England and Wales, also separately commissioned a review by NHS Scotland of Yorkhill. He said:
“The panel had significant concerns about important aspects of the service in the surgical unit...Of most concern was a lack of leadership and coherent team working. Also of concern was a sense that the provision of paediatric intensive care may be unsafe if critical staffing problems are not addressed.”
He concluded:
“The panel was of the view that urgent remedial action is required in PICU to prevent care from becoming unsafe.”
I have to say to the Minister that it is nonsensical as well as dangerous for Yorkhill not to be included in the Safe and Sustainable review. If it had been, the only logical conclusion would have been to keep the Leeds unit open, and to allow the patients in the north of England and south of Scotland to choose between Leeds and Glasgow.
There is a concern about the whole review itself. The Scottish Government—we accept that there is devolution—have now decided that the Glasgow unit does not have to comply with the magical 400 cases per year, but that three surgeons performing 300 operations is enough to be safe.
I am sorry about the time, but as I have made clear, I object to the fact that we have not had a proper debate so far on this serious matter. I will be as brief as I can.
It is simply not acceptable to have one rule for children in Scotland—to say that it is safe to have 300 units—and to say to the people of Leeds that we have to close a perfectly safe unit on the basis of a number that has been dreamt up in Whitehall. That is inconsistent. Yes, there is devolution and we may even have independence, but even then we would still have people crossing the border to access surgery.
This simply does not make sense. It is dishonest. I am afraid to say that the Little Hearts Matter charity has been quite dishonest, on the one hand saying that Safe and Sustainable is the right way forward, and on the other saying that it is okay for Yorkhill to carry on performing only 300 operations per year. That simply does not make sense.
My final question to the Minister is one that has not been answered. If Leeds does close, will we be told how much it will cost to close it? It will cost an awful lot to close and to reconfigure the services. We have not had that figure yet. If we do get it, I think people will be even more angry about the decision to close a much-needed, perfectly safe and excellent children’s heart surgery unit.
I join with hon. Members in congratulating the hon. Member for Pudsey (Stuart Andrew) on securing the debate and on the way that he has handled the campaign. He has been inclusive. He has handled it sympathetically and intelligently, and he has worked with a very good campaign in Leeds. I hope it is successful above all for the children’s unit, but it would also reflect on the hon. Gentleman. I echo his comments about the Minister. I am delighted to see an independent mind in the Department of Health. It makes such a difference, but I wonder how long it will be before those officials weigh down on her.
As a layman, it seems to me incredible to place such an important facility in Newcastle rather than West Yorkshire. Some 5.5 million people are served by the Leeds unit and 2.5 million served by Newcastle. By 2030, the population of Yorkshire and Humberside will increase by 16.5%, up to 6.2 million people. Newcastle’s will increase by only half of that—8.2%. If those figures are challenged as being only projections, in the last census Yorkshire and Humberside went up by 300,000 and the north-east by 57,000. If we are talking about placing a strategically important, sensitive service, Newcastle is not the place where the conurbations and numbers are.
When the subject was first debated, I argued in the House that we should look at Newcastle in a different light. I hate the idea of us and Yorkshire saying, “Our kids cannot go 100 miles because of this, that and the other,” but we are then put in this corner of arguing that Newcastle kids can come down and do the same thing and it is okay for them. The hon. Member for Leeds North West (Greg Mulholland) said that Scotland is content with the numbers. If the people of Newcastle wanted that unit and were prepared to have that unit, I think there is a case for leaving it, because the geographical distances cause a great problem.
In Leeds, 23% of the children are from an Asian ethnic background. In Yorkshire and Humberside, that figure is 6.2%, or 326,000. In the north-east, it is less than 70,000. I had to fight to close the South Shields immigration tribunal centre and open the Bradford centre, because I was aghast at the cost for people from ethnic minorities—the Bangladeshi community are among the poorest in the city—having to travel all that way. That is compounded when going to sit beside a child who has had surgery, and who is recovering or not recovering. The time and expense is a factor that does not seem to have been considered.
This is not the time—perhaps it is appropriate: more publicity and so on—to re-argue the case. The case has been argued. The case is stated. It is how this review body carries out the review. There are fears that the panel will not address the accuracy, objectivity and rigour in the assessment processes throughout the Safe and Sustainable review, and that impact assessments carried out by independent bodies were all ignored. The Minister said that it would be for the review body to decide the full extent of its review of all the decisions that have been made. That seems to suggest—we all agree with this—that the finding of the panel will be independent but the evidence it chooses to consider will be its own choice. I seek assurances from the Minister that she shares my view that all the facts that were part of the eventual decision—all the facts—should be investigated, and in particular, the specific facts raised in relation to Leeds and Leicester.
The hon. Member for Pudsey asked the Department of Health to ensure that the JCPCT released non-confidential information to the joint health and overview scrutiny committee. The Minister replied with the unsatisfactory,
“it is for the JCPCT to decide what information to release about the review and we are unable to comment further.”
Why did the Minister take this clearly unsatisfactory line? When she replies, I would like her to indicate whether she or her colleagues even asked the panel to release non-confidential evidence and, if they did not, why not.
It is a pleasure to take part in a debate under your chairmanship again, Mr Hollobone. I, too, congratulate my hon. Friend the Member for Pudsey (Stuart Andrew). This is something of an action replay, not only for you, Mr Hollobone—you were in the Chair last week for the debate on Glenfield hospital in Leicester—but for the Minister. I apologise to her that some of the points that I am going to press her on now are identical to those that I raised last week. One is the point about distance.
It is noticeable that three out of the four representatives from northern Lincolnshire are here to take part in the debate. We are the remotest part of the area served by the hospital. That does not just present problems for people visiting. As we have heard in previous debates and meetings, getting babies to a unit has actually made the difference between life and death, and that cannot be ignored. In the Cleethorpes area, there are a large number of parents and grandparents whose children have received treatment here. We held a public meeting in July and the strength of opinion was evident.
In last week’s debate on the Leicester unit I was slightly disappointed by the Minister’s response. I appreciate that she is walking a tightrope, but she is noted for being an independent voice. She showed signs of being sucked into the departmental bureaucratic nonsense that we often hear, but I am sure she will rectify that in half an hour’s time. Commenting in her reply on something that I said, she made the perfectly valid point that in cases of the kind that we are considering we want
“fewer, but much bigger units.”—[Official Report, 22 October 2012; Vol. 551, c. 186WH.]
That is the opinion of some experts, but equally, of course, other experts disagree. If we are to be ruled by expert opinion, there are two possibilities. One is that we pack up and go home, because we are superfluous. The other is that because experts always disagree, someone democratically accountable is needed to arbitrate between them. My hon. Friend the Member for Brigg and Goole (Andrew Percy) wishes to intervene, as usual.
I want to intervene to defend the Minister. My hon. Friend is entirely right about the geographical problems in our area; but even if we accept the argument that we need bigger units, is not the core issue the fact that the population—the patient base—is in our region, not in the north-east? If we must go along this line—let us assume that we must—we should move the doctors to where the patients are, not the other way around.
As usual, my hon. Friend and neighbour is correct. Because of the remoteness and so on, the assumption that all patients in northern Lincolnshire will transfer to Newcastle will simply not be borne out. They will choose alternatives and I suggest that most will gravitate south. Therefore the Newcastle target of 403 will not be achieved.
There are expert opinions on both sides of the argument. The significant point is that the parents and grandparents of the children who receive the treatment are not convinced about the alternatives, because they have seen surgeons and other experts in Leeds performing miracles on their children with modern medical technology. That is their doubt: they do not have confidence in the alternatives when they have seen the Leeds centre of excellence in action.
My hon. Friend the Member for Pudsey stole a line from me because I too was going to quote the point that my hon. and learned Friend the Member for Harborough (Sir Edward Garnier) made in last week’s debate. I will take another line from his speech:
“The Secretary of State has the levers of power in this question and he must pull them—he must exercise them”.—[Official Report, 22 October 2012; Vol. 551, c. 188WH.]
That is what we expect. We do not want the question shuffled off to a panel of experts, with automatic acceptance of what they say. Different experts come up with different decisions.
Time is pressing. In Leeds we have a centre of excellence. It deserves our support, and already has the support of those we represent. I am sure that the Minister and the Secretary of State would not want to be responsible for destroying it.
If the final three hon. Members who want to speak in the debate take five minutes, they will all get in.
It is a pleasure to serve under your chairmanship this afternoon, Mr Hollobone. I congratulate my hon. Friend the Member for Pudsey (Stuart Andrew) on securing this important debate. He has been a champion of the children’s heart unit in Leeds, and I know that the staff, and, most importantly, the young patients, appreciate all that he does to lead the campaign in Westminster to save it from closure. It is a testament to the campaign that so many hon. Members from across the House are here to support it.
The debate over the Safe and Sustainable review has been going on for months. At each stage I have openly supported the need for the review. We must always strive to improve clinical standards in the health service. That is right; and it is right that the responsibility for treating children’s heart problems should be transferred to units that can offer the outstanding treatment that all affected children and their families deserve. The families of those children would not want anything else. I am a parent and understand it completely. Indeed, my support for the Leeds children’s heart unit is based not simply on close geographical links to my constituency or the wider region that it serves; it is based on the fact that the unit offers superb clinical outcomes for young patients. Indeed, as other hon. Members have mentioned, it scores higher on the JCPCT’s core clinical standards than the preferred option for the north-east. Core clinical standards should be combined with core statistics from the local area, too. More than 600,000 people have signed a local petition demanding that the Leeds unit should remain open. Leeds serves a population of 5.5 million, and 14 million are within two hours of the city. That is a catchment area far larger than those of other units.
Throughout the saga, I have been reluctant to compare the Leeds unit directly with others, particularly Newcastle.
Order. Mr Sturdy has about three minutes remaining.
Thank you, Mr Hollobone. As I was saying, throughout this saga I have been reluctant to compare the Leeds unit directly with others, in particular Newcastle’s. My intention is not to criticise the Newcastle unit, which has also carried out great work, saving many young lives over a number of years. Rather, my belief continues to be that the Leeds unit has always had the strengths to merit its survival without such comparisons. Put simply, its own case is strong enough. That is my message to the Minister today, and it was also put eloquently by my hon. Friend the Member for Pudsey.
The single biggest failing in the consultation has been the flawed decision-making process of the Joint Committee of Primary Care Trusts, from the lack of weight given to transport and travel times, and the population that centres such as Leeds serve, to the true co-location of services. There has also been a lack of clarity over the terms of the review, and the failure of the JCPCT to release the information and evidence behind its decision is only adding to the controversy and suspicion. Without being able to break down the scores awarded to each children’s heart surgery unit by Professor Sir Ian Kennedy’s assessment panel, the decision-making process lacks basic transparency and scrutiny.
Throughout York there exists huge public interest in this ongoing and disruptive issue. I am particularly concerned for the families of affected children in York who now face the problem of having to travel to other areas for treatment—I stress “other areas”. The Minister must be under no illusion that the families and children displaced to Newcastle if Leeds closes will not automatically head north. They will disperse to centres throughout the country, and we must not lose sight of that.
In conclusion, the Save our Surgery campaign has suggested a balanced solution to the current dispute, as set out by my hon. Friend the Member for Pudsey. It suggests that the decision should be implemented in full throughout the country, but delayed in the north-east until April 2014. That window of opportunity could then be used to clarify the figures and findings of the JCPCT, allowing both affected units to demonstrate their capacity and capability on a level playing field.
I am delighted that since the election, the Government have worked to make health services more representative and more responsive to local people. I urge the Minister to continue that fine work by listening to the concerns of patients and residents in Yorkshire and taking on board and responding positively to the Save our Surgery campaign to save the children’s heart surgery unit in Leeds from an unjust and ill-informed closure.
I add my thanks and compliments to my hon. Friend the Member for Pudsey (Stuart Andrew) and all hon. Members who have engaged in this debate. The brevity of my thanks and congratulations in no way reflects my sincerity.
I want to make a brief point about where I believe responsibility for the decision lies. The Health and Social Care Act 2012 contains a contentious element concerning the Secretary of State. The contentious Bill was debated at length in the Lords, and in the Commons, but it remains within the legislation that the Secretary of State retains ministerial responsibility to Parliament for the provision of the health service in England. That is where I believe responsibility for the final decision should lie.
I turn to local circumstances. Most people will be aware that Bradford has the fastest-growing young population outside London. It has grown by 25% during the past 10 years. The issue is not simply the large number of young people in the area, but the incidence of the ailments that must be dealt with. As was said, 23% of Leeds cardiac surgery patients are south Asian, which is 6% of the population in the catchment area as a whole, but 23% are children on cardiac wards. Many come from Bradford and south Leeds—about 90 a year, and the number is increasing. Proportionately, those children have far more complex bowel deformities and facial deformities such as cleft lip and palate, and can be treated under one roof—that is the key—only at Leeds children’s hospital.
I am sorry that the hon. Member for Bradford West (George Galloway) is not here. That is not surprising but it is a shame because two of the constituencies in Bradford are in the top 3% in terms of deprivation and unemployment in the country. Bradford is generally a community that is less well off than average, and people would face particular difficulties in having to travel more than 100 miles further, not only because of the cost of travel and accommodation, but because of lost income from having to be away from work to be with their children. Bearing in mind what I said about incidence, it does not make sense to move the children’s heart surgery unit away from the community that is statistically more likely to need it.
Finally, much has been said about the flawed process in the analysis, but I want to talk about the flawed process of the consultation. The review did not have any translated documentation. Of the families attending the unit, 23% speak Urdu at home. Translated copies were requested, and a small number finally arrived, but they arrived three months after the consultation had started. The translation was largely unreadable in Urdu because italics were used for quotes. The Safe and Sustainable review tried to rectify that by holding separate events for black and minority ethnic participants, but they were told that that community would not travel to Newcastle. They were clearly given that strong message. The community indicated that to the review team, and it was shown clearly in the PricewaterhouseCoopers analysis and in a Mott MacDonald study, which stated that children from that community would be worse off and would not travel north.
The message has been consistently clear. Unfortunately, there has been an unwillingness to listen to that message, and I hope the Minister has taken it on board now. The community has largely been ignored in the process, and that shows that the process outlined by my hon. Friend the Member for Pudsey and others was flawed not only in its methodology, but in the consultation exercise.
It is a pleasure to serve under your chairmanship, Mr Hollobone. I add my congratulations to my hon. Friend the Member for Pudsey (Stuart Andrew) on securing this debate and providing very effective team leadership that has crossed parties and brought us all together in support of this unit. Teams need leaders, and he has been a very effective one.
I am aware of the time, but I want to say a few words. I welcome the decision to have an independent review of the Safe and Sustainable process. I do not think it was wrong; it was right in principle, and none of us would want a repeat of the Bristol scandal, but the highly unexpected decision surprised and disappointed me. I did not expect the Leeds unit to be rejected in favour of Newcastle.
Colleagues have explored some of the arguments, and my hon. Friend the Member for Pudsey detailed the excellent clinical standards in Leeds, and compared them with those of Newcastle. This is not a Leeds versus Newcastle fight. We must focus on the process and recognise that both units have merit, and both have patients with heart-rending stories. We need to look at how we take this forward to deliver the best for patients. In Leeds, we have a unit that offers excellence. The question in the review is about location, and in my opinion, that is where the Leeds unit should have scored particularly highly. It is also where the independent review needs to focus.
Colleagues have mentioned the 5.5 million people in our area, and compared that number with the numbers in the north-east, but transport links are also an issue. Leeds has good transport links, not only from north to south, but from east to west, and the key point is that the review proposed that 100% of people in the Harrogate postcode should now travel north to Newcastle. It assumes that everybody will do that, but I want to share with colleagues that the feedback from those in the Harrogate and Knaresborough postcodes—I acknowledge that that area stretches beyond the Harrogate and Knaresborough constituency—is that that is nonsense. It is absolutely ridiculous; they simply will not do it. Bear in mind that the geography suggests that if anybody is going to do it, it should be those in the Harrogate and Knaresborough constituency, because we are already 15 to 20 miles north of Leeds, and therefore 15 to 20 miles nearer Newcastle.
The impact of population numbers, and travel times and patterns, simply needs far more weight in the review. I want to see the Leeds unit continue its excellent work, serving the people of Yorkshire and beyond, but as we take the review forward, correct weighting needs to be given to the important factors of travel time and population numbers. I hope that the Minister hears that point today, and that we do not start viewing this as a Leeds versus Newcastle contest. We should explore the opportunities for co-location and for a child-driven service.
It is a pleasure to serve under your chairmanship, Mr Hollobone. I congratulate the hon. Member for Pudsey (Stuart Andrew) on securing the debate, and on the way in which he and other Members across the House have put their case. The issues surrounding Leeds children’s heart surgery unit are important and certainly merit our debate. I also take the point made by the hon. Member for Leeds North West (Greg Mulholland) that a wider debate on the Floor of the House may be warranted.
I take this opportunity to pay tribute to the dedicated NHS staff who work in children’s heart services, both in Leeds and across the country. We are all incredibly grateful for the tremendous job that they do, more often than not in complex, difficult circumstances.
Clinicians and professional bodies, including the Royal College of Nursing and the Royal College of Paediatrics and Child Health, have been clear that children’s heart services need to change. Surgeons are too thinly spread, and services have grown in an ad hoc manner in England, which, to be fair, the hon. Member for Pudsey recognised in his opening speech. Changing how we provide any hospital service is difficult, but when changes are necessary to improve patient care, as they may be for children’s heart services, politicians on both sides of the House should be prepared to listen to that argument and, if necessary, support it.
I know, however, that there have been real concerns and a great deal of protest in the communities surrounding the unit at Leeds general infirmary, particularly about the plans to close it. A motion of support from Leeds city council has been supported by people from across the political spectrum in the city. There has also been a large protest in Millennium square in Leeds, where, I am informed, over 3,000 protestors were joined by local MPs, parents and nurses to campaign to prevent the closure.
As we have heard today, there are similar concerns about plans to close the Glenfield hospital in Leicester, and the Royal Brompton in Chelsea, west London. That could mean that in future, children’s heart surgery would remain at the London children’s hospitals, and in Southampton, Birmingham, Bristol, Newcastle and Liverpool. Although the Opposition support the principle of fewer, more specialist centres, we have concerns about the location of the selected sites, which would leave a huge swathe of the east of England, from Newcastle right down to London, potentially without a centre.
As we have heard, the unit based at Leeds general infirmary serves the 5.5 million residents of Yorkshire and the Humber, and performs 360 operations a year, done by three surgeons. We have heard, too, that there are concerns that the closure of the unit will leave millions of people in the region without local access to the children’s heart surgery expertise that currently exists in Yorkshire and the Humber at Leeds. The local Save Our Surgery campaign group, under the Children’s Heart Surgery Fund, believes that families from Yorkshire, north Lincoln and the wider Humber region may have to travel up to 150 miles for treatment at the nearest unit in Newcastle or Liverpool, if the closure goes ahead.
As an aside, I was privileged to visit the hospital in Hull, at the invitation of my hon. Friend the Member for Kingston upon Hull North (Diana Johnson), as part of my duties as a shadow Health Minister. It took me an hour and a half to get from Manchester to Hull to visit the hospital. However, because there was a slight flurry of snow on the way back, the M62 ground to a halt, and it took me over five hours to get back over the Pennines to Manchester. I have never seen so many Lancastrians trying to desert Yorkshire at the same time as me, but it shows that geography matters in such decisions. We cannot ignore the fact that the Pennines are there, and sometimes they are impenetrable.
Clearly, there is concern that families may be faced with having to travel further at what is undeniably a very stressful time for them. That case has been made eloquently by Members on both sides of the House in the debate. It is also worth remembering that it is not only the care of poorly children that needs to be taken into account; the care of the whole family is important.
I ask the Minister, for whom I have a great deal of respect, whether she was satisfied that the NHS joint committee of primary care trusts properly balanced clinical decisions with practical and transport issues for families. Furthermore, does she believe that the review was fair to families in the eastern half of England, which is now left with no centre between Newcastle and London? As we know, the JCPCT came to the decision in July to close the unit. The SOS campaign group launched legal proceedings against the NHS to stop the unit being closed, submitting an application to the High Court for permission for a judicial review. Last week, as we have heard, the Health Secretary asked the Independent Reconfiguration Panel to review the decision to close three centres.
We know that children’s heart surgery matters greatly to many people. However, as we also know, the issues surrounding children’s heart surgery have needed to be resolved for some time. The findings of the Bristol Royal infirmary inquiry into children’s heart surgery 10 years ago highlighted that between 1990 and 1995, a number of children died at the infirmary as a result of poor care. It is clear that children’s heart surgery has become an increasingly complex treatment. The aim must be for children’s heart services to deliver the very highest standard of care. The NHS should use its skills and resources collectively to gain the best outcomes for patients. The Government rightly want changes to children’s heart surgery services, so that they provide not only safe standards of care, but excellent, high quality standards for every child in every part of the country.
Does my hon. Friend agree that it is not only the continuum of children’s heart services and the care of parents and other family members that is important? The treatment should continue beyond 16, if it has to. There needs to be an overview of pre- and post-16 services; they should be taken together, because that is how we ensure that the young person, who becomes an adult, survives and lives the rest of their life.
I agree absolutely with my hon. Friend. He makes the point that I was about to come on to. We want that for children’s heart services. It cannot be good enough to say that it is possible to move a service; we want to know whether it is desirable to do so, in order to get the very best outcomes. He makes the point that if we are to have a specialist centre for adults, we should remember that it is often the same surgeons who deal with children, and rather than losing that, it is better to have one specialist centre for all.
It is proposed that the number of cardiac centres in England be reduced from 11 to seven, and it follows that they will all be working at full capacity, so can the Minister ensure that in the event of a superbug outbreak like the one in the Belfast neonatal unit this year; a fire like the one in the Birmingham hospital in 2010, or the one in Leicester in 2011; or any other unforeseen incident occurring in one of the cardiac units, the other six will be able to cope with the pressure without endangering the lives of the critically ill children and babies in their care?
As I have previously said, I welcome the recent decision by the Health Secretary to have a review of the decision to close the children’s heart surgery unit at Leeds general infirmary. It is important that there be a full review, and that the right decision be made, with full consideration of all the facts. I echo the concerns raised by other hon. Members on that point. Many campaigners are concerned that the review by the Independent Reconfiguration Panel will simply repeat a process that was seen as flawed the first time round. What steps will the Minister take to reassure the campaigners in Leeds that it will be a full and comprehensive review? As I have said before, it is not good enough just to close one service and move it to a different part of the country. We must ensure that any potential decisions take full account of the facts, and that any moving of a service will result in a clear and demonstrable improvement in the outcomes for children’s cardiac services.
Here we are again. It is a pleasure to speak under your chairmanship, Mr Hollobone. It is about a week since we had a very similar debate, also under your chairmanship. That has already been described by my right hon. Friend—sorry, I always call my hon. Friend the Member for Pudsey (Stuart Andrew) the right hon. Member for Pudsey. [Hon. Members: “Soon!”] Perhaps I am trying to elevate him too soon, but as he has explained, we had a similar debate only last week about the situation at Glenfield. I join everyone else in paying tribute to him for securing this debate.
I pay tribute to all hon. Members who have spoken, of whatever party. In many ways, this has not actually been a debate, because normally in a debate there is a degree of disagreement and people put forward their arguments for or against a particular motion or notion, but that has not been the case in this debate. Here, we have had an outbreak of complete unity, which I acknowledge, between all political parties. It is right and proper that, on this matter, people come together, are not divided by political party and are determined not to score any form of party political point in making their argument. All hon. Members have come to this debate for the right reasons. They have come to represent their constituents and to put forward all the arguments that they can on behalf of their constituents and with full force. That is absolutely right and as it should be, but I want to make this point as well, and not because I am any form of coward—after all, I spent 16 years defending, largely, the indefensible.
I have to say that the hon. Member for Denton and Reddish (Andrew Gwynne) was treading somewhat on my good humour with some of his remarks when he was asking me for my opinion because, as we all know, this whole review has taken great pride in the fact that it has been an independent review—independent of Government. It was set up, quite properly, by the last Government, on a cross-party basis, and it was on the basis that we needed fewer but larger and more specialised children’s heart services in England. It was accepted—I say this with great respect to my hon. Friend the Member for Cleethorpes (Martin Vickers)—that that was the basis of it all and that it was being done so that we could secure the best children’s heart services for babies and young children that we could possibly obtain, and so that we could ensure that those services were sustainable. We wanted to concentrate the specialist heart surgeons in a smaller number of centres to ensure that they had the best skills for dealing with babies and young children.
At the end of the day, we are talking about arguably some of the most specialised surgery that exists. There are instances in which surgeons are operating on a baby’s heart that is no bigger than a walnut. As I say, it is perhaps the most specialised and the most precarious of all types of surgery, so their skills have to be the best. It is also the case that if we have fewer, but larger, more specialised units, we can ensure that those surgeons, those doctors, those nurses and the other health professionals are training the future surgeons, doctors, nurses and other health professionals to do this very important and highly specialised work.
I pay tribute to my hon. Friend the Member for Pudsey. As we would all have expected, he advanced a thoughtful, well researched and sound set of arguments on behalf of his constituents. He gave the examples of Lauren, Libby and Abi. The hon. Member for Scunthorpe (Nic Dakin) also spoke with considerable feeling about what his constituents had told him. That is only right and proper. I am sure that all those constituents will welcome the comments of their Members of Parliament in advancing their arguments for keeping their children’s heart surgery unit open. It is quite clear from the various interventions that this has all-party support. We heard from my hon. Friend the Member for Shipley (Philip Davies), the right hon. Member for Leeds Central (Hilary Benn) and my hon. Friends the Members for Skipton and Ripon (Julian Smith) and for Brigg and Goole (Andrew Percy). As I said, people are coming together, whatever political differences they might otherwise have, in agreement and in support of children’s heart surgery at Leeds general infirmary.
A number of matters strike me from the speeches that have been made. In addressing some of the remarks made and arguments advanced by hon. Members on both sides of the Chamber, I shall try to give a response that perhaps allays some fears and certainly answers some questions.
I am sorry to intervene when the Minister is about to give those responses, but she said that the review, quite rightly, was independent; it was set up by the previous Government to be independent of Government. I think that the prevailing view this afternoon is that it was not impartial. Will she comment on that?
I will not comment on that, quite deliberately, because it is imperative that I am seen and, indeed, fellow Ministers are seen to be completely independent and impartial ourselves. Of course, that does not prevent hon. Members from making their own judgments and vocalising them, and there may be merit in them, but it is not for me to say whether there is, because, as hon. Members know, this has all been referred to the Independent Reconfiguration Panel—that is right and proper, in my view—and it will look at all aspects of how these decisions have been made. It will take evidence not just from the NHS, clinicians and local authorities, but from Members of Parliament. I am in no doubt that all hon. Members who are here today will make their own representations to the IRP on behalf of the children’s heart services at Leeds general infirmary and will make them with the force with which they have made them today and on the basis of as much information, sound evidence and argument as they have shown us here today.
I was going to try to move on to some of the issues, but I will happily give way.
I thank the Minister for giving way. Can she confirm that the panel will include some people who are actually living in the north? What is the make-up of the panel?
I shall be absolutely blunt: I cannot answer that question. I took a strong view some time ago that if I did not know the answer to a question, I would say so. However, I am more than happy to write to my hon. Friend and answer his question as much as I can.
Travelling times were mentioned by a number of hon. Members. I was going to go through all those who mentioned them, but I may not have time to do so. I shall just make this point. Of course, it is surgery that it is proposed will be lost from Leeds and will go to Newcastle. It is very important that all hon. Members, when they communicate to their constituents about this debate, make the point that the plan is that the surgery will take place in Newcastle, but all the follow-up, all the support and all the other things that we might imagine are involved when a baby or a small child has surgery will continue to be provided at Leeds. It is not the case that the whole thing will move up to Newcastle; it is simply the surgery. I just put that into the pot because the point was made about travelling times. Of course, it is for others to say, but it may be that they take the view that those were very good points that hon. Members advanced in the debate today.
The hon. Member for Leeds East (Mr Mudie) asked specifically about the JCPCT’s refusal, or otherwise, to disclose information. The hon. Member for Leeds North West (Greg Mulholland) spoke with passion, as ever, and commented on that, as did my hon. Friend the Member for Pudsey and other hon. Members. It is for the JCPCT to decide what information should be disclosed, in accordance with the requirements of the Freedom of Information Act. I am told that the Yorkshire overview and scrutiny committee has indicated its intention to refer the matter to the Information Commissioner, which is the established recourse laid down by legislation. I am afraid that it is not for Ministers to order the JCPCT to disclose information to the OSC in Yorkshire or any of the other local authorities involved. The various authorities are open to make applications under the Freedom of Information Act. I hope that answer deals with that point.
The powerful arguments the hon. Member for Leeds East put forward were largely based on population figures. I have already alluded to the contribution of my hon. Friend the Member for Cleethorpes. In large part, my hon. Friend and I disagree on the basis of the review. He said that different experts have different views, but I have to tell him that we have seen an outbreak of unity on this issue among many of the royal colleges, experts and leading clinicians in the field, who welcomed the decision of the JCPCT.
We heard from my hon. Friend the Member for Leeds North West that experts in Scotland disagree, so there is clearly some basis for doubt.
I am grateful for that contribution, but I know that when the JCPCT’s decision was announced, it was universally welcomed by many of the clinicians who have been involved in such specialised surgery, certainly throughout England, but I cannot comment on the views of those north of the border.
I have a short time left to speak. The Independent Reconfiguration Panel is just that—an independent reconfiguration panel. I can provide details to those who need to know its composition. It comprises independent experts, and Members can be assured that they will conduct a full and independent review. As I said, they will take evidence from NHS organisations, local authorities and local MPs. It is hoped that their deliberations will conclude at the end of February. It will then be for the Secretary of State to receive the findings and recommendations and to decide whether to act on them. There is a concern that there may be some delay due to a legal challenge.
In last Monday’s debate my hon. Friend the Member for Pudsey made a helpful intervention, to which I responded that if any local authorities in Yorkshire are minded through their OCSs to refer the matter to the IRP, they should get on and do it. I want to put that into the pot, because the one thing that nobody wants is any more delay.
This debate began back in the 1990s, and hon. Members talked about what happened in Bristol. It was determined then that we needed to ensure that our babies and young children had the finest specialised heart surgery services possible, which is why it has been a long process. It is difficult and painful, but the Safe and Sustainable review was set up on the basis that there would be a reduction in the number of units. No one wants to set one hospital against another, and I pay tribute to everyone who has avoided doing so, but unfortunately sometimes tough decisions have to be made. It is always important to remind ourselves that they are made for the very best reason, which is to ensure that our babies and young people are safe and get the very best service.
(11 years, 9 months ago)
Westminster HallWestminster Hall is an alternative Chamber for MPs to hold debates, named after the adjoining Westminster Hall.
Each debate is chaired by an MP from the Panel of Chairs, rather than the Speaker or Deputy Speaker. A Government Minister will give the final speech, and no votes may be called on the debate topic.
This information is provided by Parallel Parliament and does not comprise part of the offical record
It is a pleasure to have you in the Chair, Mr Hollobone. I applied for a debate on this subject to raise the case of one of my constituents, who, for today’s purposes, I will call Mr Able. He has seemingly exhausted every official regulatory channel available, without anyone taking responsibility for remedying what has happened to him. Although cases of his kind may be in a minority, I want to illustrate how easily a vulnerable adult has been appallingly failed through poor communication and a lack of scrutiny in the system of court-appointed deputies and in the Office of the Public Guardian.
In 1997, my constituent was awarded a not insubstantial sum following a road traffic accident in which he was injured. He was assessed as being affected by learning difficulties and additional cognitive impairment following the collision. The following year, the Public Trustee was appointed his receiver—the role now known as that of the deputy—and in 2001 that role passed to a firm of solicitors. They failed not only to protect his existing funds, but to secure and maximise his income. Over the nine years that followed, Mr Able’s award was virtually wiped out, and the local authority has been looking after his deputyship since 2010.
It is clear that the eventual decision to replace his court-appointed deputy with Wiltshire council is the best thing that has happened to Mr Able during my involvement in his case. Before that, inadequate sharing of information across agencies about my constituent’s actions and circumstances led to a large proportion of his capital being eaten up by solicitors’ fees, and to him not receiving the benefits to which he was entitled.
Nearly £33,000 was spent on the cost of his court-appointed deputy, but despite the hefty price tag, the deputy was not able to prevent a further £13,500 being spent on a different firm of lawyers’ pursuit of a speculative unfair dismissal case, which adds up to more than £46,000. That firm predicted that Mr Able could secure between £20,000 and £36,000 in damages, but won him less than a tenth of that, leaving him substantially out of pocket and his deputy trying in vain to get those lawyers’ costs below £13,000. How can the system conclude that it is in the best interests of a vulnerable adult, with no other means, to run up such fees? How could the situation have gone so far with no one in authority suggesting that it was in any way exploitative?
The Court of Protection has a panel of people who can be appointed deputies. My constituent’s case suggests that those considered for appointment are not suitably equipped to serve some of the clients assigned to them. It also suggests a disturbing degree of laxity in how some individuals become deputies. Mr Able’s deputy for much of the period had no links to the panel of deputies. To all intents and purposes, he had inherited his case from a deceased colleague. The level of vagueness that my staff and I encountered when trying to clarify exactly what happened in that period, and how the application process to find Mr Able a new deputy was managed, was disturbing.
I understand from the Office of the Public Guardian that a review has been undertaken of the panel of deputies, one of the aims of which was to introduce clearer procedures on how individuals become and remain panel members. I would appreciate the Minister’s assessment of how that exercise has gone, and how it has treated the question of whether solicitors are, in all circumstances, suitable for appointment by the court as deputies.
Mr Able has gained access to the support he needs only through a patient and conscientious local authority team, to whom he pays nothing comparable to the solicitors’ fees I outlined. However, that support was secured only when he was approaching the point of crisis, and after his money—the management of which was his deputy’s task—had been almost entirely depleted.
It seems that at that and too many other points in this case, Mr Able’s behaviour and capacity have been cited as a reason why certain things did or did not happen, and have been used to explain and justify action, or inaction, by those who were supposed to have his best interests at heart. That is not acceptable. If professional court-appointed deputies are unable to work with their clients’ behaviour, they are probably not the right people to do the job. If that is what happened in this case, they should have said so. Instead, they were just happy to take his money for the time and the attention that he demanded of them.
There is a related point about scrutiny and who monitors whether deputies are undertaking their duties effectively. The Court of Protection visitor had decided to stop visiting Mr Able back in April 2003. Mr Able did not receive another visit until January 2011.
Would this gentleman’s circumstances have been different if the court had recognised early on that he did not have the capacity to look after himself, and if someone suitable had been appointed from an organisation that looks after people with disabilities? Does responsibility for what took place lie with the court or the solicitor?
That is the astonishing thing about this case. The court made an assessment, in which it determined that Mr Able was not capable of managing his own finances. The things that we are led to believe the system considered Mr Able capable of doing, in terms of looking after his best interests and challenging what was happening to him, is extraordinary given that original assessment. I certainly agree that part of the problem is that inconsistency in what he was expected to be able to do, given the decision that the court had already made about his ability to manage his finances. That does not absolve the court-appointed deputy of the responsibility of saying that in the circumstances they were not the best people to serve him.
Mr Able did not receive a visit from the Court of Protection visitor again until January 2011. Even a change of deputy in 2005 was not considered an appropriate trigger for a visit, despite the fact that it took a year for Mr Able’s deputy’s replacement to be confirmed. As part of the oversight process to protect people who lack capacity, visitors can be commissioned to make reports by either the Court of Protection or the Office of the Public Guardian. I contend that not having Mr Able visited at any time in eight years demonstrates a terrible sense of complacency among those who were meant to be looking after his best interests.
In this case, my constituent was removed from the list of people to be visited for the “time being” on the grounds that regular visits would not “achieve anything”. However, a court visitor was engaged on Mr Able’s case when the deputy applied to be discharged, and produced a report in 2009, which seems to have been compiled without the visitor even meeting Mr Able. In such cases, the system seems to serve the needs of the deputies rather more than those of their clients. I wonder how well the criteria for how deputies manage their clients’ money are set and monitored, especially clients in Mr Able’s position, given the view that had been taken about his capability. I would welcome the Minister’s opinion on whether the system of visits is in need of review to help improve the situation for people in similar circumstances.
I am interested to hear my hon. Friend say that a review is required. Does he agree that there is perhaps a need for a fundamental review of the entire system? I have come across a case of a court-appointed deputy, a solicitor, who made a misleading statement to the Court of Protection, gave incorrect information to agencies such as Her Majesty’s Revenue and Customs, appointed inappropriate case managers who did not have the required expertise, paid bills against invoices without first checking that the invoices were valid, and took an enormous fee in the process. I must declare an interest, because my wife was recently appointed court deputy in place of the solicitor and is, of course, saving the client a fortune in fees. Does he agree that the system has basically not performed adequately at all, and needs fundamental review?
I do agree. I hope that the Minister will conclude—if not today, then before long—that a thorough review of the situation is required. I raised this case because it is illustrative of many others. As I shall explain, one of the things about this case that has frustrated me immensely is the lack of accountability for what is happening. In any situation, there will be people whose conduct is not up to the standard that we would hope for. There may even be people who exploit a situation. If there is sufficient accountability in a system, we have some safeguards. I am not convinced that there is such accountability in this case.
Does my hon. Friend agree that one possible way forward is to increase the powers of the Public Guardian, whom I met quite recently and found to be an extremely reasonable individual? He said that one of the issues is that his current statutory powers are limited. Is one way forward to increase the scope of what the Public Guardian can do?
I understand that we have a relatively new Public Guardian. I hope that he will be rather more concerned about this situation than his predecessor appeared to be, given the report that I received when I made this investigation. Perhaps that is something that we will hear more about from the Minister.
I have been pursuing this case, with the help of my staff, since before my election in 2010. I have taken every available route, up to and including the parliamentary ombudsman, to get the full facts and to bring scrutiny to bear on the individuals and agencies involved. Frustratingly, after all the reviews and oversight processes that have been triggered at every level, none has found any individual at fault, and that is despite the evident general failure to ensure my constituent’s financial well-being. Indeed when I requested that the parliamentary ombudsman investigate this case, I received a thoughtless parroting of the Public Guardian’s own review, which had been conducted at my request and completed in January last year. It added no value to the scrutiny of the situation, and I find that completely unsatisfactory.
There was consensus among professionals that Mr Able did not have the capacity to manage his finances, so it cannot be suggested that the outcome—the depletion and, in some cases, wasting of his money—was his fault, or something for which he can be held to account; that is the very point of deputies acting on his behalf. None the less, the result, effectively, is that a vulnerable man has been left more or less penniless by the inaction of those who were meant to protect him, and the regulatory reaction has been tacit indifference. For example, on the costs that my constituent was charged by his deputy, the Office of the Public Guardian’s internal review said that it found no evidence that Mr Able was ever formally told by his deputy, or anyone else, that he was entitled to challenge the assessment of his costs by the Senior Court Costs Office.
Similarly, I look at the failure to secure Mr Able’s income through benefits to which he was entitled. The Public Guardian considers that his deputy “made reasonable attempts”' to do that, but that these did not always succeed, and that
“with hindsight, different approaches should have been tried.”
More than a third of the personal capital that Mr Able possessed when control of his financial affairs was passed to court-appointed solicitors was subsequently paid to those solicitors as fees for the job of controlling his expenditure, yet they did not even ensure that he received appropriate benefits when he was unemployed. The Public Guardian, however, does not consider that Mr Able’s deputy was at fault for not providing him with the support to ensure that he attended the right appointments, was able to cope with benefits-related interviews and assessments, and continued to sign on.
However, now that Wiltshire council acts as Mr Able’s deputy, he has qualified for employment and support allowance, and he receives support that addresses his needs appropriately, including the use of reports from medical staff and social workers when applications are made. If the council can achieve that, surely—given the expense that Mr Able was forced to incur—his court-appointed deputy should have been able to achieve it, too.
No review of the case has concluded that any agency has done something wrong, and no lessons have been learned. Although this case may be unique, as we have heard today, the failings exposed by it are certainly not unique. I draw the Minister’s attention to the Westminster Hall debate secured by the hon. Member for Cardiff West (Kevin Brennan) on 19 July 2011, in which I participated, and to the transcript of BBC Radio 4’s “File on 4” report on court-appointed deputies by Fran Abrams—I gave the Minister a copy today—which catalogues failings similar to those I describe.
I ask the Minister what other avenue is available in seeking redress for my constituent. I recognise that she is new in her post, so I ask that she personally looks further into the wider issues discussed today, and raises them with her colleagues in the Ministry of Justice. In particular, I ask her to consider whether the panel from which deputies appointed by the court are drawn is too narrow, and whether it could include, for certain cases, representatives of voluntary sector organisations, especially those with experience of dealing with the sometimes complex circumstances of vulnerable people. My final question is this: is the OPG, as currently constituted, fulfilling its responsibilities to vulnerable people, or has it been captured by the learned and organised legal practitioners who collectively draw such great revenue from this work?
Exasperated as I am to see my constituent suffer this unremedied injustice, it is imperative that—at the very least—lessons are learned from his saga, so that others do not face the same fate in future.
It is a pleasure, Mr Hollobone, to serve under your chairmanship today.
I congratulate my hon. Friend the Member for Chippenham (Duncan Hames) on securing this debate. I know that he has a keen interest in these matters, and I am glad to have the opportunity to speak about the work of the Office of the Public Guardian and in particular the Public Guardian’s role in supervising deputies appointed by the Court of Protection. This is a vital and complex area of work, and people who have lost capacity are often very vulnerable indeed. It is absolutely right and proper that we consider whether the arrangements that are in place to support and protect them are completely acceptable and operating as well as possible.
My hon. Friend raised issues that centre on the role of deputies appointed by the Court of Protection and then supervised by the OPG. It would be helpful if I outlined how the system of deputyship currently operates, before describing how the OPG is considering, through a fundamental review, some of the wider issues raised about deputies and how they are supervised.
The decision whether a deputy is required, and who the proper person is to take on that role, is entirely a judicial matter. The court will only appoint a deputy when the person concerned lacks capacity to make the relevant decisions and if no legal arrangement had been made while they still had capacity. In the case of financial matters, if there are assets that require management frequently the only option is to appoint a deputy.
Once a deputy is appointed, they must always act in the best interests of the person for whom they have been appointed. They must also ensure that the individual concerned is supported to make as many decisions for themselves as they can. Where the deputy has to make decisions on the person’s behalf, they must still ensure that the person concerned is involved in the process as much as possible. That is especially important in cases where a person may lack capacity to make some decisions but not others, or where their level of capacity can fluctuate or vary over time. These factors make the role of deputy a challenging one and the balance between allowing a person to make decisions for themselves and having to make a decision for them is often a fine one.
When a deputy needs to be appointed, they will often be a family member or close friend of the person lacking capacity. Normally, the court will consider appointing a professional deputy only in circumstances where there is no one else suitable and able to act. It may be that the person lacking capacity has no close family or friends, or it may be that a conflict of interest exists within the family, or that the size and complexity of the estate mean that a professional deputy is better placed to act on their behalf. Such professional deputies are entitled to charge fees and in complex cases these costs can be very high. However, the costs must be representative of the work done by the deputy. The costs charged by professional deputies are set out in a practice direction issued by the president of the Court of Protection. If a deputy wishes to claim over and above the fixed costs, their claim must be assessed and approved by the senior court costs office.
Once a deputy has been appointed by the Court of Protection, the Public Guardian is responsible for supervising them to ensure that they carry out their duties properly and act in the best interests of the person they are representing. This is a statutory duty placed upon the Public Guardian by the Mental Capacity Act 2005 and it is entirely right that, where the state has had to intervene to appoint an individual to make decisions on another person’s behalf, that individual is subject to adequate but proportionate oversight.
However, the Public Guardian does not have any role in directly managing the affairs of a person who lacks capacity. Their role is entirely to supervise and investigate. It is not within their jurisdiction to remove a deputy once they are appointed or to place limits on how the deputy exercises their powers. If the Public Guardian believes that a deputy is unable to fulfil their role or functions effectively, they may make an application to the Court of Protection seeking the deputy’s replacement or seeking to have limits placed on their powers.
In most cases, the Public Guardian will require the deputy to report to them on at least an annual basis. In the early stages of appointment, there may also be additional contact from the Public Guardian’s office to ensure the deputy is carrying out their duties properly and to identify any need for additional support. In certain cases, that may also involve a visit from an independent Court of Protection visitor who will report their findings to the Public Guardian. My hon. Friend may be pleased to know that almost 6,500 such visits took place last year.
I now turn to the work that is currently going on at the OPG as part of the Ministry of Justice’s “Transforming Justice” agenda. This work is being taken forward under Alan Eccles, who was appointed earlier this year as the new Public Guardian. The OPG is currently taking forward a major transformation programme that is designed to move its services on to a digital platform, to reduce the bureaucracy of the current paper-based system. The programme is focused squarely on placing the needs of users, including deputies and those whom they support, at the heart of the business, and on ensuring that the OPG is able to meet the demands placed on its services well into the future.
As part of that work, the new Public Guardian has launched a fundamental review of how the supervision of deputies is carried out. The aims of the review are twofold: first, to ensure that proper safeguards are in place to protect people who lack capacity and to ensure that decisions are made in their best interests; and secondly, to ensure that supervision is proportionate. That means focusing attention on those cases that require most support or where there are potential concerns, but allowing deputies who are operating effectively to do their job with minimal intervention. That might mean tailoring supervision to the needs of different kinds of deputies. Professional deputies, such as legal professionals and public authorities, might require a different type of supervision from lay people acting on behalf of family members. Also, a new deputy will often require additional support so that they understand their responsibilities and the support available to them.
Any changes will also need to be in line with the Public Guardian’s statutory duties, to which my hon. Friend referred, and must also consider the demands that the increasingly ageing population places on the OPG’s services. The OPG must be able to deal with the rising number of deputies in the future, as well as encouraging people to plan for the future by making lasting powers of attorney, which may remove the need for a deputy to be appointed at all. A key element of the work is the need to build a richer understanding of the deputies’ circumstances and their needs. I am pleased to say that the OPG has already surveyed some 1,300 deputies. In the coming months the OPG will conduct in-depth interviews with deputies to gain a deeper insight into their needs and the needs of those for whom they care.
The OPG will continue to listen to experts across the mental capacity field as it looks to improve its services. Building a clearer picture of its customers will help the OPG to design a more responsive and effective supervision regime, which I know my hon. Friend the Member for Chippenham will support.
The Minister mentioned the Office of the Public Guardian and his statutory powers. In cases of over-billing, once it has been stamped by the court, as the Minister alluded to, the issue for the Public Guardian is that, under present legislation, his scope to act is extremely limited, even if, as it may transpire, the over-billing has happened as a result of the Court of Protection successfully being misled by a deputy.
The issue that my hon. Friend raises in relation to over-charging vulnerable people is extremely important. It is worrying and it is one of the reasons why the new Public Guardian has launched a fundamental review into the supervision of deputies. My hon. Friend the Member for Chippenham raised the matter with me just a few moments ago, and I will look into it. I will write to him, and perhaps we can take matters forward.
I thank my hon. Friend for raising the issues. I also thank my hon. Friend the Member for South Norfolk, who I know has met the Public Guardian and who has extensive personal experience of the current system of deputyship. The issues are important and I hope that both my hon. Friends are reassured that the Government take matters very seriously. I will look carefully into the issues they have raised on accountability, visits, the statutory powers of deputies and panel composition. I hope they are both reassured that the OPG continues to look into this area to make further significant improvements.
I very much welcome the fundamental review that the Minister has advised us of this afternoon. She said that the OPG had been and would be surveying deputies as part of the review. I hope that she will ensure that the clients of deputies are consulted and interviewed and asked their views as part of the review in order that the true customers of the service have their voices heard.
(11 years, 9 months ago)
Westminster HallWestminster Hall is an alternative Chamber for MPs to hold debates, named after the adjoining Westminster Hall.
Each debate is chaired by an MP from the Panel of Chairs, rather than the Speaker or Deputy Speaker. A Government Minister will give the final speech, and no votes may be called on the debate topic.
This information is provided by Parallel Parliament and does not comprise part of the offical record
It is a pleasure to serve under your chairmanship, Mr Hollobone. I am grateful for the opportunity to debate an issue that has so far received little attention, but one that will affect large numbers of people in this country quite soon. It is appropriate that we should be debating it today. This is the day on which 4G services have become widely available in a number of cities as a result of Everything Everywhere making use of the 1,800 MHz spectrum.
Understandably, the competitors to Everything Everywhere have been concerned that it should be given a lead and so have been pressing to be able to go ahead with the provision of their own 4G services, and to do that they require access to the 800 MHz band. The Culture, Media and Sport Committee, which I am proud to chair, also shared the view that we needed to get on with the allocation of spectrum for 4G, because 4G carries real benefit to the economy, and we did not wish to get left behind.
I am pleased that Ofcom is now pressing ahead with the auction. However, the use of 800 MHz for mobile telephony will have consequences. It will result in interference with the provision of services currently using that band, particularly digital terrestrial television.
We have, of course, just been through a major exercise: the analogue switch-off and digital switchover. When I first became Chairman of the Committee, the first inquiry we had was into analogue switch-off. We felt that this was a huge undertaking, with risks that we highlighted. Happily, the exercise has now been completed and it has gone remarkably smoothly. I pay tribute to Digital UK for its success in overseeing the switchover process with very little problem or complaint. I like to think that the report of my Committee, in which we flagged up some of the problems in advance, allowed us to take account of those and put in place measures so that they did not cause the complaints or disruption that we were concerned about.
Similarly, I want to flag up one or two concerns that I have about the effect of mobile services being made available on 800 MHz, and what we might do to try to avoid difficulties. It is estimated that the reception of digital terrestrial television in 2.3 million homes may be affected once mobile 4G services become available. Of those, 900,000 are primary DTT households that will require filters for them to continue to receive television without interference. I welcome moves by the Government to make filters available to those households. I also welcome the additional help of a £50 voucher, should they have a loft or masthead amplifier, so that the filter can be professionally installed.
I recently met with Ofcom and saw one of the filters that it is intended should be fitted. I accept that as long as someone does not have an amplifier, it is pretty simple to unplug the aerial cable, insert the filter and plug it back in again. However, there will be households for which it is not so simple and the Government are right to make additional help available.
One of my concerns, however, is that the Government are making the filters available only for primary DTT households, and yet there will be a large number of additional households that have second sets, and they will not receive filters. I accept that the Government have to draw a line somewhere, but given that the mobile companies will be bidding a substantial amount of money for the spectrum, I think there is a case for households that still use DTT, but not as their primary means of receiving television, to receive some help.
I also understand that additional measures can be taken to try to mitigate the effect of the interference at the base station. That could help all households that are likely to suffer from interference, but it is not clear to me yet what plans the Government have put in place to ensure that the mobile companies carry out the base station mitigation at the stations that will result in interference. I think it is relatively cheap to install a filter at the base station—I was given a figure of £400—and I hope that the mobile companies do that. Will that be made a condition of the auction, so that the mobile companies carry out the base station mitigation to try to minimise the interference that could result?
I am also slightly concerned that while we are relying on projections of the number of households that may be affected, to some extent we cannot know whether such forecasts are right. The Minister conceded that point when he gave evidence to the Select Committee. One way in which we could perhaps get round that is to have a trial in advance, similar to that which took place at Whitehaven prior to the beginning of digital switchover. There may well be a case for a trial in order to get precise figures for exactly which households will suffer interference and to what extent that interference is a serious problem. I hope that MitCo will consider that. I understand it is still a possibility once the advice is received.
Another issue is whether the filters will work properly, and it would help if they too could be tested in a trial. The prototype filters are now available—as I have said, I have seen one—but mass production has not yet started on the scale that will be required.
The situation has been made more difficult by the bringing forward of the timetable for 4G’s introduction. I do not criticise that; it is important that we get 4G roll-out as soon as possible, but there is no question but that the accelerated timetable will make the process more difficult. Digital UK did a good job in overseeing the transition for analogue switch-off, but it did so over a number of years. It mounted a significant publicity campaign in advance, region by region, so that when it came to switch-off almost everyone knew what was happening, and was hopefully prepared.
Instead of a period of years, however, this process will be done in a period of weeks. The auction of the 800 MHz band is due to start in February and it is intended that the installation will take place shortly after, perhaps in March or April, so we could start rolling out 4G in June. Yet, I am prepared to bet that we would be hard-pressed to find anyone on the street who was aware that there was a risk of their television reception suffering interference again, and that they might have to take further measures to those they have already taken to deal with the analogue switch-off.
My hon. Friend makes a powerful case. Is he aware that in a presentation to the all-party parliamentary media group, Arqiva estimated that for some 40,000 homes there was no solution at all, because they were too near to the base stations? In those cases, there will be more than interference; the households will simply not be able to get television reception at all.
My hon. Friend raises an important point, which I have not addressed. He is entirely right. I have been informed that 38,500 households—very much the figure he gave—will still be affected after filter installation and that, of those, perhaps 18,000 will be primary DTT households. After the various measures have been taken, there will certainly be some households that still cannot get DTT, and the Government have put aside a budget to address that problem. The only solution will be for such households to change platform, to Freesat, cable or Sky, and where those options are not available either, they might even need to have a special relay station installed. It will be interesting to hear whether the Minister accepts that those are the current figures. The degree of interference will vary, but some households at the extreme end will no longer be able to get DTT under any circumstances.
As I was saying, the Government need to start alerting people to the problem very soon. I have been told that it is difficult to mount a publicity campaign until we know who has obtained the licences and therefore which base stations will be affected, but it would be a good idea to start informing people of the problem. We must have a fairly good idea of the base stations that are likely to be involved. We do not know which operator will obtain which licence, but if the Government are successful in their hope to achieve competition in 4G provision, it seems likely that at least the majority of the major operators will obtain licences, so there is certainly a case for beginning to prepare the ground now for telling people what will happen.
I want to raise two other concerns. The first is about our old friend the PMSE sector, with which the Minister will be very familiar. The programme making and special events sector includes those who need microphones for television productions and live music performances. This important sector is concerned that it, too, might be affected by interference. It has already had to vacate channel 69 and deal with problems resulting from the analogue switch-off and the making available of the spectrum there, and it is now concerned that the problems might continue. It has been suggested to me that industry experts have said that anything above channel 56 might no longer be suitable for PMSE use, which leaves the sector with just two options. The first is that it suffers interference in the five channels it currently has that might be affected, but that is not really an option. If there is a live performance by Bon Jovi—I think I cited them on a previous occasion—sudden interference in the communications is simply not acceptable. The alternative is that the PMSE sector has to vacate those five channels and find new ones further down. The sector has made a perfectly reasonable request for MitCo’s remit to be extended at least to consider the potential interference, and that the sector be represented on its supervisory board, and I hope that the Minister will consider that.
Finally, I turn to the longer term. The Minister will be aware that there is a debate about the likely ever-increasing demand for mobile services and about mobile telephony’s appetite for bandwidth, as a result of which it is being suggested that mobile telephony might in due course creep into the 700 MHz band, possibly from 2018. That would cause further problems for DTT, which might have to move out of 700 MHz and into the 600 MHz band. That date of 2018 is still a little way off, and it is after whatever decisions are taken at the next world radiocommunication conference, but I ask the Minister for one or two assurances now.
First, in the event that that were to happen, it would seem only right that there should be an allocation of spectrum in the 600 MHz band for DTT, and that if DTT were forced out of its current spectrum it should not have to participate in an auction process. It is worth beginning to consider, some way in advance, how many households might be affected and how many might need new set-top boxes.
My real concern, however, which I hope the Minister feels able to address, is that there has been a suggestion that in due course we might no longer need DTT. We have internet protocol television, or IPTV, coming down the wire, and there might come a time when the different ways of receiving television—broadband and satellite—mean that there is no longer a need for Freeview DTT. I can anticipate that day being reached, but as IPTV services are still in their infancy I think it would take a long time.
A certain amount of concern was raised within the industry by the recommendation of the Lords Committee on Communications. I do not want to criticise my colleagues in the other place, but the Committee’s report on broadband states:
“We recommend that the Government, Ofcom and the industry begin to consider the desirability of the transfer of terrestrial broadcast content from spectrum to the internet and the consequent switching off of broadcast transmission over spectrum”.
As 2018 is likely to be too soon to even contemplate that, I seek the Minister’s assurance that if DTT finds itself unable to use the 700 MHz spectrum and has to move as a result of further allocation of spectrum to mobile telephony, it would be the Government’s intention to continue to have DTT services, certainly for some considerable time to come.
It is a pleasure to serve under your chairmanship, Mr Hollobone.
I congratulate my hon. Friend the Member for Maldon (Mr Whittingdale) on securing this important debate. As he points out, apart from a brief evidence session before his Select Committee, Parliament has not debated 4G interference with digital terrestrial television, so this debate is a useful opportunity to set out the Government’s position and perhaps address some of the concerns that he highlighted in his excellent speech.
First, I make it clear—my hon. Friend is an expert in such matters, but those watching the debate may not be—that we are talking about interference from the 800 MHz spectrum. As hon. Members may know, after the spectrum auction, mobile phones will use a range of spectrums—800 MHz, 900 MHz, 1,800 MHz, 2.1 GHz and 2.6 GHz—but only the 800 MHz spectrum risks causing interference as it is adjacent to the 700 MHz spectrum used for digital terrestrial television. It is important to make that point, because as my hon. Friend points out, today sees the launch of the UK’s first 4G service by EE, as we must now learn to call it, but that is in the 1,800 MHz spectrum, so nobody need go home tonight in fear that they will miss “BBC News at Ten” or “Newsnight.”
Secondly, only digital terrestrial television viewers will be affected. Again, effectively that is people watching Freeview. People who get their television through Freesat, cable or a commercial satellite provider will not be affected by the 800 MHz spectrum.
My hon. Friend points out that Ofcom has estimated that some 2.3 million households will be close enough to mobile phone base stations using the 800 MHz spectrum to risk being affected by interference. That is an estimate, and the figure may be substantially lower. There are a number of reasons why that may be the case. First, Ofcom estimates that only 40% of those households will be viewing Freeview; the rest will be getting their television in other ways. That brings the figure to 900,000 homes.
My hon. Friend asks whether mobile operators will be compelled to put filters on their base stations. I am pleased to inform him that all the base stations being procured by potential winners of the 800 MHz licence will include a filter as a matter of course. Without wishing to confine myself to a specific figure, I have been informed that it is therefore likely that the new base stations, which are substantially more advanced than the ones used in other countries, may substantially reduce the number of households affected. When that becomes clearer, I will, of course, inform him.
My job as a Minister, working with Ofcom, was to work out the best way to reduce any interference for potentially affected households. First, the obvious decision was to put the mitigation measures into the hands of the mobile operators. They are the ones who will site the base stations and procure the relevant technology, so it seems sensible that, as the people potentially causing the interference, they are in charge of reducing that interference as much and as upstream as possible.
Secondly, I was given a range of financial support options that I could make available for mitigation. To put it bluntly, those options included zero and figures across the spectrum. I chose the higher end of the spectrum. I would rather be the Minister who set aside too much money for this programme than the Minister who set aside too little to get the job done.
How will the money be used? First, all the households that might be affected by the base stations will receive a free filter. So, on the current figure, 2.3 million households will receive a free filter. That means that, for the sake of argument, if a household receives the signal for the main television set in the living room through cable or satellite, it will receive a free filter for, say, a Freeview set in the bedroom. That will help many households that have second sets.
If we zone in, as it were, on the 900,000 households that use Freeview for their primary set, we estimate that some 150,000 of those households will be able to fit a filter without any problem. I have fitted a filter, and my hon. Friend has fitted a filter, which is literally a piece of aerial, to put it in layman’s terms. I simply unplugged the aerial, attached the filter and put the aerial back in. That took me 10 seconds, and I would not class myself as a DIY expert.
We are then left with 220,000 households that are technically vulnerable, which means people with disabilities or people aged over 75. I do not want to get into a secondary debate—I know many 75-year-olds who might not class themselves as vulnerable—but technically, they are vulnerable. That is about one in four of the 900,000 households, and help will be available to them should they so choose. We know from the digital switchover scheme that, of the people who were eligible for help, only 15% chose to make use of the available help scheme. Nevertheless, money will be set aside on the basis that every single one of those households will use the help scheme.
The next category is people with amplifiers, which are used to boost the power level of the TV signal. Before the switchover, amplifiers were quite prevalent because, obviously, people were using them to boost weak digital signals before we completed the switchover. Sometimes amplifiers are used to boost a strong signal where there are two or three televisions in a home. Ofcom estimates that some 380,000 of the affected Freeview homes have amplifiers, but many of those will no longer be in use and there will be no need to fit a filter. Where there is an amplifier, there is no reason why, in quite a significant number of cases, a normal able-bodied person will not be able to fit a filter. There has been a suggestion that, if the amplifier is in the loft, that could be a problem, but it should be possible to go into the loft to fit the aerial extension.
We acknowledge, however, that if the amplifier is on the roof, we certainly would not expect someone to get out the ladder and climb on the roof to fit the aerial. Ofcom estimates that there are some 125,000 households in that category and, as a result of the high-profile concerns that were raised on that specific issue, we have instructed that about £12 million of the £180 million be set aside to pay for the reasonable costs of professional installation. We have estimated those costs to be about £50 plus VAT. It is important to stress that by “professional installation” we mean going up a ladder safely and putting the aerial extension into an amplifier. That is not the same as adjusting an aerial for the digital terrestrial television switchover, which was a more complicated, technical task, but we expect people to use a registered digital installer. That is something that we inherited from the digital switchover scheme and will ensure that people are using professional installers.
Finally, there comes the issue of fitting filters to communal properties. We think there are about 20,000 such properties, which make up the rest of the 900,000 affected households. Those properties will require a more sophisticated filter, which we think will cost up to £300, but those filters will be provided to communal properties free of charge. Fitting such a filter is probably more demanding than fitting the filter that my hon. Friend and I have used, and we think a figure of about £220 is right. As a general rule, we would expect landlords to be responsible for ensuring the fitting of that filter to their property.
My hon. Friend says that he thinks people with second or third sets should get additional free filters. I am afraid that at this stage all I can do is agree to disagree with him. Additional filters will be easy to obtain and should cost £10 or less. It is difficult to give an open-ended commitment to provide free filters and to ask people to write in to say that they have two, three, four, five or six television sets, or to try to guess how many television sets they have. I think it is easier simply to give everyone a free filter and then say, “If you want a second filter, they are relatively cheap.”
I have also noted my hon. Friend’s suggestion for a pilot or trial period before rolling out 4G. There have been a number of technical trials already, and we have seen commercial roll-out in other countries, so we have a great deal of experience to draw on. We do not believe that a trial would add anything to our knowledge, and it would significantly delay much-anticipated 4G services. We will keep the matter under review, but it is important to explain again that 4G will roll out gradually; not all the country will be covered by services the minute 4G goes live in the 800 spectrum category.
I note my hon. Friend’s concerns about the lack of a public awareness campaign. Again, the mitigation programme is different from the digital switchover programme, because it does not affect every household in the country. Far fewer households will be affected. Also, every single household within range of a base station will get at least four weeks’ notice, and the roll-out process will take two to three years. We believe that embarking on a widespread publicity campaign at the moment might not have the impact that my hon. Friend suggests.
It is also important to stress that those who hold 800 MHz licences after the auction will have strict key performance indicators on the provision of public information as part of their licence conditions. Our final guarantee is that if any of the mobile network operators fails to meet the key performance indicators, the immediate sanction will be that they must switch off the offending base station and not add any others until they have remedied the issues for local TV viewers. That strikes me as an elegant and effective way of ensuring that mobile network operators take the issue seriously.
My hon. Friend is right to point out that because of our work in clearing the spectrum more quickly than we had anticipated, bringing the benefits of 4G to the UK more quickly than planned, we have a stretching timetable, but I am pleased that the mobile network operators moved quickly to set up the mitigation company, which has the elegant title of Digital Mobile Spectrum Limited and Andrew Pinder as its interim chair. The creation of the company has been at the heart of discussions with the MNOs about bringing forward the roll-out of services, and the MNOs are still required to have the mitigation company operational in time to launch services. I am confident that the MNOs are taking that requirement seriously. Furthermore, we will have oversight through an oversight board. I am delighted to tell my hon. Friend that the board had its first meeting this morning, and it was very productive.
Finally, let me address three points quickly; I am conscious that I might run out of time. My hon. Friend said that 38,500 people could be so seriously affected that no filter will help them. That figure may change over time as base stations become more sophisticated, but yes, we have made provisions for them to have a full platform change, or even a direct digital terrestrial television relay should one be required.
We note the concerns of the programme making and special events sector. I met with Lord Grade recently to hear its concerns. It is for Ofcom to deal with the PMSE sector and find suitable frequencies for it. It has a dedicated channel, channel 38, but we will keep the issue under review, and I promised Lord Grade that we would meet regularly.
Finally, my hon. Friend mentioned the long-term future of 700 MHz. We note concerns about the long-term future for spectrum as mobile phone demand increases, and we have an ambitious campaign to release public sector spectrum. There is, of course, an international dimension to the designation of the 700 MHz band, and we will undoubtedly continue to negotiate with our international partners about its future use, but I note absolutely my hon. Friend’s comments. It is important that we do not run before we can walk.
I do not think that there were any problems with transmission or reception during that debate, but I am afraid it is time to tune out and switch off.
Question put and agreed to.
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Written Statements(11 years, 9 months ago)
Written StatementsToday I am publishing the Government’s response to the Nuttall review on employee ownership. In parallel with this, I am also publishing a consultation on deregulating employee share buybacks, along with draft regulations.
Copies of these documents will be placed in the Libraries of both Houses.
The Government response sets out how we will address each of the 28 recommendations made in the Nuttall review. It focuses on three themes of raising awareness, increasing the resources available to support employee ownership and reducing its complexity. These three themes will make up the key elements of the Government’s approach to promoting employee ownership in the private sector, complementing and drawing parallels with the activity around public sector mutualisation.
(11 years, 9 months ago)
Written StatementsOn 24 May 2011, I made an oral statement setting out the Government’s plans for a UK green investment bank which would help lead the United Kingdom’s transition to a green economy. I gave a commitment to update the House on further milestones and am very pleased to tell the House that the bank began full operations on 29 October 2012.
The commencement of commercial operations by the bank has been contingent on state aid approval from the European Commission. On 17 October 2012 the European Commission gave its approval, relating to the bank’s remit, its operating model and Government funding of £3 billion over the period to March 2015. Under the terms of the state aid approval, the bank will be able to make investments, on commercial terms, across the following green sectors:
offshore wind;
waste;
non domestic energy efficiency;
biofuels for transport;
biomass power;
carbon capture and storage;
marine energy; and
renewable heat.
The Department for Energy and Climate Change is seeking state aid approval for the financing of the green deal separately. The UK green investment bank would be able to invest in the green deal in accordance with the terms of that approval.
My Department has, in parallel with the state aid application process, been taking the necessary steps to ensure that the company would be ready to begin operations soon after receipt of state aid approval. I have, in particular, given my approval as shareholder to the appointment of Shaun Kingsbury as the company’s chief executive officer, with effect from 29 October 2012. I have also agreed the appointment of six non-executive directors with a wealth of relevant experience in investment and wider green issues.
On 26 October 2012 the board of UK Green Investment Bank plc resolved that the company would be ready to begin full operations on 29 October, having concluded that the necessary personnel, processes and systems would be in place.
In April this year UK Green Investments (UKGI)—a team of finance professionals in my Department—began making investments in green infrastructure on commercial terms, committing £180 million to specialist fund managers to co-invest equity in smaller waste infrastructure, energy from waste, and non-domestic energy efficiency projects. Assets built up by UKGI will transfer to the bank.
The Government will provide funding to the bank under section 228 of the Banking Act 2009, pending parliamentary approval of a bespoke power to fund the bank under clause 4 of the Enterprise and Regulatory Reform Bill.
(11 years, 9 months ago)
Written StatementsToday I am publishing an updated Cabinet Committee list. I have placed a copy of the new list in the Libraries of both Houses.
(11 years, 9 months ago)
Written StatementsI have today laid draft secondary legislation needed to give effect to the charitable incorporated organisation (CIO). The CIO is a new legal structure, under the Charities Act 2011, designed specifically and only for charities.
Charities seeking the benefits of incorporation can currently set up as a company limited by guarantee, but many are put off by the additional administrative burden of dual registration and regulation under both charity law and company law (of the 162,000 registered charities only just over 30,000 are structured as a company limited by guarantee). The CIO has the benefits of legal personality and limited liability, but will be solely registered with, and regulated by, the Charity Commission for England and Wales. The CIO will add to the range of legal structures that charities can choose to adopt. Implementing the CIO supports the Government’s aim of making it easier to set up and run a civil society organisation. Due to its limited liability, the CIO structure should make it easier for charities to recruit and retain trustees, and to engage in contracts and hold property. Implementation of the CIO is supported by the Charity Commission and will be welcomed by the voluntary sector.
The CIO is expected to be a popular legal structure for both new and existing charities seeking the benefits of incorporation. Given the expected levels of demand for the CIO, and to help the Charity Commission manage its available resources to support the implementation of the CIO, we have agreed with the Charity Commission a phased implementation plan, which is set out below.
The phased implementation timetable set out below is indicative (and implementation is subject to parliamentary approval of the secondary legislation needed to implement the CIO). The Charity Commission will need to retain flexibility to change the dates on which application windows open if the level of demand significantly exceeds expectations. The commission will maintain an up-to-date implementation timetable on its website.
The current package of secondary legislation does not make provision for the conversion of charitable companies limited by guarantee, community interest companies, or charitable industrial and provident societies. Separate secondary legislation will be brought forward in due course to provide a mechanism for the conversion for these entities that wish to convert into ClOs.
Charity Commission's indicative timetable
Date | Applications for the CIO Structure |
---|---|
As soon as SIs are approved by Parliament | Window opens for charity Commission to receive applications to set up ClOs from brand new charities with anticipated annual income of over £5,000. |
1 March 2013 | Window opens for existing unincorporated charities with annual income over £250,000 to set up a CIO and transfer assets into it. |
1 May 2013 | Window opens for existing unincorporated charities with incomes between £100,000 and £250,000 annual income to set up a CIO and transfer assets into it. |
1 Jul 2013 | Window opens for existing unincorporated charities with incomes between £25,000 and £100,000 annual income to set up a CIO and transfer assets into it |
1 Oct 2013 | Window opens for existing unincorporated charities with incomes of between £5,000 and £25,000 annual income to set up a CIO and transfer assets into it. |
1 Jan 2014 | Window opens for existing unincorporated charities with annual incomes of less than £5,000 to set up a CIO and transfer assets into it, and for brand new charities with anticipated annual incomes of less than £5,000 to set up a CIO. |
During 2014 | Window opens for corporate conversions into ClOs (subject to parliamentary approval of separate conversion regulations to be made during 2013). This may also need to be phased by income bracket. |
(11 years, 9 months ago)
Written StatementsOn 18 October 2012, Official Report, column 390W, the Department for Culture, Media and Sport answered the following parliamentary question:
To ask the Secretary of State for Culture, Olympics, Media and Sport, how many full-time equivalent staff there were in Broadband Delivery UK (BDUK) in each quarter since May 2010.[12370].
The accompanying table shows such data as we hold on leavers and joiners to BDUK. As well as external joiners and leavers the figures include internal moves between broadband and other DCMS teams:
Quarter | Full-time Equivalent Staff | |
---|---|---|
2011 | April-June | 47.08 |
July-September | 49.86 | |
October-December | 50.97 | |
2012 | January-March | 49.28 |
April-June | 65.77 | |
July-September | 75.77 |
Quarter | Full-time Equivalent Staff | |
---|---|---|
2011 | Pre-April | 19 |
April-June | 21 | |
July-September | 29 | |
October-December | 34 | |
2012 | January-March | 49 |
April-June | 54 | |
July-September | 62 |
(11 years, 9 months ago)
Written StatementsI am today providing an update on the UK’s carbon capture and storage (CCS) commercialisation competition. The UK is providing funding to support the development of CCS technology, which if developed at scale could allow the safe removal and storage of harmful carbon emissions from coal and gas plants.
The competition, which has £1 billion in capital funding available to support commercial scale CCS projects, was launched on 3 April 2012. Its objective is to identify and support projects which can contribute to reducing the costs of CCS technology so that it can compete with other low-carbon technologies in the 2020s. The competition closed for bids on 3 July 2012 and eight bids were received.
Since then, my Department has undertaken a detailed analysis of the bids received and I can today announce we will be taking four projects forward. The next stage will be a new intensive phase of negotiations leading to decisions on which projects to support further in the new year. These negotiations are critical to ensuring we reach the best deal for the UK taxpayer.
The four full chain projects we are taking forward are (in alphabetical order):
Captain Clean Energy Project—A proposal for a new 570 MW, fully abated coal integrated gasification combined cycle (pre-combustion) project in Grangemouth, Scotland with storage in offshore depleted gas fields. Led by Summit Power, involving Petrofac (CO2 Deepstore), National Grid and Siemens.
Peterhead—A 340 MW post-combustion capture retrofitted to part of an existing 1180 MW combined cycle gas turbine power station at Peterhead, Scotland. Led by Shell and SSE.
Teesside Low Carbon Project—A pre-combustion coal gasification project (linked to c330 MWe net power generating capacity fuelled by syngas with 90% of CO2 abated) on Teesside, north-east England with storage in depleted oil field and saline aquifer. A consortium led by Progressive Energy and involving GDF SUEZ, Premier Oil, and BOC.
White Rose Project—An oxyfuel capture project at a proposed new 304 MW fully abated supercritical coal-fired power station on the Drax site in North Yorkshire. Led by Alstom and involving Drax, BOC and National Grid.
We will make further announcements in the new year.
The NER300
The NER300 is a European Commission competition for CCS and innovative renewable projects. The Commission is due to announce awards from its first round of funding at the end of this year. In order to do that member states need to state which projects they are prepared to support from the list that the Commission has published. The Commission has informed us that no more than two or three CCS projects (across Europe) will receive funding in this round. The maximum support available for CCS projects is around £250 million per project. Each member state is allowed to support three projects in total (i.e. CCS and renewables projects combined), although projects on the Commission’s reserve list are allowed to be supported without limitation at this stage.
With a maximum of two or three CCS projects able to be supported across Europe, the UK will not secure funding for three UK CCS projects. My officials have therefore confirmed support for the one UK renewable project on the Commission’s candidate list of projects and for the two CCS candidate projects that remain in the UK process. My officials have also confirmed our continued support for the one renewable and one CCS project the UK has on the NER reserve list. (The CCS reserve project also remains in the UK process.)
For clarity, the NER projects the UK has supported are:
Teesside CCS, White Rose Oxyfuel CCS and Sound of Islay Tidal as our three candidate projects;
Peterhead CCS and Kyle Rhea Tidal Turbine Array as the reserve projects.
Significant UK Government funding is required for the CCS projects. Our support for the CCS projects is therefore subject to them ultimately being successful in the ongoing UK Government competitive process. My officials have written to DG Climate Action to explain the next steps in our process and to reconfirm the substantial financial offer we have committed to CCS. DG Climate Action will now consider our response and we understand they aim to make award decisions to successful projects by the end of this year.
(11 years, 9 months ago)
Written StatementsThe guideline hourly rates (GHR) for solicitors in legal proceedings are set by the Master of the Rolls. The Advisory Committee on Civil Costs (ACCC) was established in 2007 by the Ministry of Justice to provide advice on this and other issues— 12 September 2007, Official Report column 124WS.
I am grateful for the work which the ACCC has carried out since its inception. However, I have decided that the ACCC’s remaining function of advising on the GHR should be transferred to the Civil Justice Council (CJC) from January 2013. I envisage that a sub-committee of the CJC would be established to deal with this issue. The ACCC will be disbanded forthwith, which will reduce the number of advisory bodies.
This proposal does not go so far as Sir Rupert Jackson’s recommendation for a Costs Council as the new sub-committee’s standing role will be limited to a review of the GHR; other fixed costs will remain for the Lord Chancellor to consider in the first instance. However, there may be other costs issues on which the Lord Chancellor and judiciary would welcome advice from the new sub-committee from time to time. I will liaise with the Master of the Rolls, who chairs the CJC, concerning the membership, terms of reference and work to be undertaken by the CJC within the scope of its statutory role of keeping the civil justice system under review.
(11 years, 9 months ago)
Written StatementsMy right hon. Friend the Minister for the Armed Forces and I wish to make the latest of our quarterly statements to the House reporting progress with the inquests into deaths of service personnel who have died on active service overseas. As the season of remembrance approaches, we make this statement in solemn recognition of the sacrifice made by our service personnel who have given their lives for their country. We honour too the sacrifice of the families they have left behind. Our thoughts are particularly with the families of the 13 service personnel who have died since our last statement in July.
In this statement we provide details of inquests conducted by the Oxfordshire coroner, the Wiltshire and Swindon coroner and other coroners in England and Wales. This statement gives the position at 21 October 2012.
We have placed tables in both Libraries of the House giving supplementary information for this statement. The tables provide the status of all current cases. They include information about those cases where a board of inquiry or a service inquiry has been held or has been directed to be held.
The Ministry of Defence and the Ministry of Justice have worked together for several years to ensure that our processes are the best they can be. On 17 September His Honour Judge Peter Thornton QC took up post as the first Chief Coroner for England and Wales. He will have a number of specific powers and duties in relation to service personnel inquests. Most recently, on 24 September, we commenced section 12 of the Coroners and Justice Act 2009, which for the first time enables deaths of service personnel killed abroad on active duty to be investigated in Scotland, where the Chief Coroner thinks it appropriate. We wish him well and look forward to working with him.
Our Departments will continue to support the coroners who are conducting these inquests. Once again we record our sincere thanks to coroners, to their staff and to all those who help, support and inform families throughout the inquest process.
Both Departments have provided funding for additional resources for these inquests since October 2007 to the coroners for Wiltshire and Swindon and for Oxfordshire. This is because the airbase for the repatriation of fallen service personnel was previously located at RAF Lyneham in Wiltshire; repatriations were rerouted to the RAF Brize Norton airbase in Oxfordshire in September 2011.
Current Status Of Inquests
Since the last statement eight inquests have been held into the deaths of service personnel on operations in Iraq or Afghanistan. Altogether, 563 inquests have taken place in relation to service personnel who have fallen in Iraq and Afghanistan or have died in the UK of injuries received in those operations. In three cases there has been no formal inquest. In one of these, the serviceman died of his injuries in Scotland and it was decided not to hold a fatal accident inquiry. In the other two cases, the death was taken into consideration during the inquest proceedings for other service personnel who died in the respective incidents.
Open Inquests
Deaths in Iraq and Afghanistan
Currently 51 open inquests remain to be concluded into the deaths of service personnel in Iraq and Afghanistan. A total of 24 of these inquests relate to deaths in the last six months.
Nine of the open inquests have been retained by the Wiltshire and Swindon coroner and 19 by the Oxfordshire coroner. Coroners closer to the next of kin are conducting the remaining 23 inquests. Two hearing dates have been set at present.
Deaths of service personnel who returned home injured
Six inquests are open into the deaths of service personnel who returned home injured but sadly died of their injuries. These inquests will be listed when the continuing investigations are completed.
We will continue to inform the House of progress.
(11 years, 9 months ago)
Written StatementsLater today the Government will publish the consultation document “The National Employment Savings Trust (NEST)—Proposals for amendments to the NEST Order”.
These proposed minor technical and consequential amendments will align the order with changes to automatic enrolment legislation. They will also provide clarity and certainty to NEST and the employers and members who use it.
The period of consultation will begin today and will end on 26 November 2012.
A draft amendment order is annexed to the consultation document, along with an initial assessment of the impacts.
I will place a copy of the consultation document in the Libraries of both Houses and it will be available later today on the Department’s website at: http://www.dwp. gov.uk/consultations/2012