General Practice: Large Housing Developments

(Limited Text - Ministerial Extracts only)

Tuesday 29th March 2022 Westminster Hall

[The Minister for Housing (Stuart Andrew)]

It is a pleasure to serve under your chairmanship, Mr Dowd. I cannot think of a better way to start my day than by spending it with my colleagues. I offer my hon. Friend the Member for South West Bedfordshire (Andrew Selous) my congratulations and thanks for securing this important debate. As the hon. Member for Greenwich and Woolwich (Matthew Pennycook) said, it has been useful and wide ranging. Hon. Members will understand that I may not be able to answer a number of questions about health here and now, but I will address some of the points that have been mentioned.

My hon. Friend has been a tireless campaigner for increasing access to GPs for his constituents. I know that he and everyone here wants our constituents to have timely appointments when they need them, and I am sure that everyone will agree that waiting weeks to see a GP is simply unacceptable.

When there is a growing population and a growing supply of new homes, it falls to Government to ensure that local services are not overburdened. Part of the problem is that in the past new development has not always been accompanied by real-world improvements in local infrastructure to serve the new community. When new homes are built, roads feel busier, schools appear to be over-subscribed and appointments for local surgeries and other healthcare provision are harder to book—I see that across my own constituency of Pudsey, Horsforth and Aireborough. It is an issue that often pits communities against new development because, too often, people feel that planning is something that happens to them, not something in which they are engaged. That needs to change and I say to all colleagues here that I get it.

We need to ensure that new homes automatically translate into new infrastructure, whether that be hospitals, GP practices, schools or parks and play areas, because they are all things that we rely on. I offer my praise to GPs who have worked incredibly hard in extraordinarily difficult circumstances. My hon. Friend the Member for Loughborough (Jane Hunt) mentioned being kind to the staff at GP practices, which is an important message to relay.

It is important to say a few words about what should be happening, in order to reinforce the message to those who may be listening. Local plans are a way for areas to develop the communities they need. They are key to driving investment in the local area and securing the housing and jobs that our communities need. None the less, those plans should involve all the providers within those communities to ensure they are providing services to match the demands that new housing will bring.

[Sir Gavin Williamson]

My right hon. Friend is a thoughtful, considered and diligent Minister, and I hope he will be able to answer my question. If he does not have the answer, perhaps he can look for inspiration from his officials to his rear. Is he able to inform us how many planning applications have been turned down over the last year, two years or whatever timescale the records cover, as a result of lack of provision for health capacity and the needs of GPs? My guess is that the answer is probably zero, and that in itself sends a message to developers that they can get away with not having to bother with this.

[Stuart Andrew]

I thank my right hon. Friend for asking such a specific question. I do not have those figures to hand, but I will ensure that I get them to him. He makes a very valid point, and I will come on to some of the things that we are looking at to address exactly his points.

I was talking about local plans, which provide certainty for communities, businesses and developers. An effective and up-to-date plan is essential not only to meet an area’s housing requirements, but to create well-designed and attractive places to live, with the services that people need on their doorstep. We are already helping councils to put in place such robust and up-to-date plans. That includes encouraging visits from the Planning Inspectorate and specialist advice from the Planning Advisory Service to provide a range of specialist planning advice to councils throughout England.

Plans should be shaped by early, proportionate and effective engagement between plan makers and communities, local organisations, businesses, infrastructure providers and operators, and statutory consultees. They should seek to meet the development needs of their area, and that includes facilities that will be needed across health, schools and other areas. We recognise, however, that more work is needed. We want all infrastructure providers, including healthcare providers, to be much more engaged in the plan making right from the outset, because that is clearly not happening enough, as we have heard in the evidence of colleagues today. We will come forward on how we will do that as part of our reforms in due course.

Local plans are not the only means of improving services and building that vital infrastructure. There are clear regulatory frameworks for local authorities and developers to follow. The national planning policy framework, for example, states that local plans should aim for sustainable development, which means that new schools, hospitals and local services such as GP practices should be factored in from the outset. Proposed development should be shaped by effective engagement with the local community, so that planners and developers know what is really needed. In some areas, it might be new roads, bridges or bus depots, but in others it will be new nurseries or GP surgeries. That engagement should extend to relevant health bodies too, such as NHS trusts and the clinical commissioning groups, to ensure that any development helps rather than hinders local strategies to improve health and wellbeing.

Local healthwatch organisations have a role to play. They have a firm grasp on the concerns of people who use health and social care services. My Department strongly encourages planning authorities to consult them when new homes are being built, so that they can raise those all-important questions on the number of GPs needed. Equally, to some extent local plans should head some of that off before houses are actually built. I have, however, listened to what colleagues have said—I hear it loud and clear. Put simply, if a GP surgery is right in the centre of town and a new development is on the outskirts, it is obviously better to ensure that a new surgery is built closer to the homes it will serve.

We have touched on some of the funding. Hon. Members are aware that councils obtain contributions through a community infrastructure levy on new development and by negotiating section 106 planning obligations with a developer. That helps to create funding not just for housing, but to address local infrastructure needs. In the constituency of my hon. Friend the Member for South West Bedfordshire, about £5.5m has been allocated to healthcare provision through such funding, and that should be spent on helping to provide GP practices.

I recognise, however, that there is an issue here about which we need to do more. We hope that part of the effective planning reforms that we are to introduce will answer some of that. Our ambition has always been to simplify the system and to ensure that development becomes synonymous with improved services, and healthier and happier neighbourhoods. That is why we are exploring the introduction of a new infrastructure levy to replace the existing system of developer contributions.

At the moment, we plan for that new levy to be payable on completion of development. That will replace the negotiation and renegotiation that we keep seeing happen. The new levy will not be negotiable and will maximise land value, so we get more for local communities. It will also bring much greater certainty on costs, on factoring expenditure into the price paid for land and, in turn, on delivering more vital infrastructure. Under our proposals, local authorities would be allowed to borrow against infrastructure levy revenues so that they could bring forward vital improvements to services, including expanding GP capacity, before the first spade of a new development even hits the ground.

That said, I recognise that we need to test the policy. Many issues have been raised. I cannot at this moment commit my right hon. Friend the Prime Minister to a meeting, but I will raise with him the suggestions and comments made today, and I will meet my colleagues in the Department of Health and Social Care to raise the points made, to ensure that we are prioritising, gearing up and keeping focus, so that we can see what more can be done, and so that we do not miss the opportunity provided by the new fund to get the necessary infrastructure.

[Matthew Pennycook]

The Minister may not be able to answer, but may I tempt him to name the legislative vehicle by which the new infrastructure levy will be introduced?

[Stuart Andrew]

The hon. Member will not have to wait too long before hearing which vehicle will be used; I hope it will be in a couple of weeks.

I want to touch on the issue of transparency. We have introduced infrastructure funding statements, which give people the opportunity to see what councils have done, but we can and must do more to give confidence to residents. That brings me on to community engagement.

As hon. Members will know, changes to the levy system are by no means the only improvement we want to bring to our planning system. One of the reasons why new development has not always been matched with tangible improvements to schools, nurseries or GP practices is that it has not always been easy for local residents to scrutinise applications or to make their voices heard. We need a faster, more responsive planning system, fit for the modern age. That means embracing digital technology and encouraging more residents to voice their views on what is being built in their community, and where.

I know that some of our previous proposals generated significant debate, to say the least, and it is therefore right that we paused for thought and took stock of different voices from across the planning sector and beyond, but on this ambition we are determined to make headway because we believe that it will result in more real-world improvements to services, which hon. Members all want to see.

My ministerial colleagues and I hope to announce a way forward soon so that the planning system supports our wider mission to level up communities in Bedfordshire and right across the country. The key point is that, at its heart, communities must be involved. Communities and neighbourhoods should be shaping the places in which they live, so that we have beautiful places with the necessary infrastructure and a democratic system that also considers environmental improvements. Neighbourhoods should have a big say in all of it.

Colleagues raised a number of other points. My right hon. Friend the Member for Chipping Barnet (Theresa Villiers) never misses an opportunity to raise housing targets with me. She knows from our conversations and meetings that I understand the issue. If she will allow me, I will come back to her in due course. My hon. Friend the Member for Wantage (David Johnston) has also been quick off the mark to come to see me to discuss the issues in his constituency. Again, I understand them.

My hon. Friend the Member for Loughborough talked, quite rightly, about wanting to support new housing but that we should be building places where people want to live, not just huge dormitory estates. There has to be a sense of community. My hon. Friend the Member for North East Bedfordshire (Richard Fuller) asked me to double up with the Secretary of State after his report—I will make sure that I do that for him.

I will see my hon. Friend the Member for Truro and Falmouth (Cherilyn Mackrory) later today to discuss the issue of second homes and its impact on those working in the public sector. I hope we will have a constructive meeting. My hon. Friend the Member for Keighley (Robbie Moore) talked about towns I know well. My mother-in-law lives in Addingham, so I will get an earful from her if I do not get this right.

My hon. Friend the Member for Aylesbury (Rob Butler) talked rightly about the stark increase—from 16,000 to 26,000—in the number of patients at his surgery. That is absolutely an area we need to look at carefully. He also talked about all of the different funds that are available. I think that that is one of the most confusing issues, and it is something that I would like to address as we go forward.

The Opposition spokesman, the hon. Member for Greenwich and Woolwich talked about the new levy. We are currently working with local authorities, providers and industry to ensure that the levy works for everybody.

In closing, I reiterate that I have heard loud and clear the concerns of hon. Members. The frustration of our constituents when large-scale new developments are green lit and local services become increasingly congested is palpable for us all. I hope I have clearly set out what we have already done to address that, through local plans, NPPF and section 106 agreements. I have also reiterated that we intend to go much further, by creating a more streamlined, smoother planning system, which levels up infrastructure and local services in every part of the country. I say to my hon. Friends that I am committed to working with all of them to ensure that we can make that vision a reality.