Social Care Strategy

Baroness Thornton Excerpts
Thursday 10th October 2024

(2 months, 1 week ago)

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Baroness Thornton Portrait Baroness Thornton (Lab)
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My Lords, I am very pleased to take part in this important debate. I congratulate the noble Baroness, Lady Tyler, on her excellent and comprehensive introduction. As the first Back-Bencher to make a speech, at least I will not be repeating anyone else’s. I very much look forward to my noble friend Lady Keeley’s maiden speech.

The fact that there are so many speakers and we are therefore limited in our time tells us how important this matter is. In my short time, I will not be doing the big-picture painting that the noble Baroness, Lady Tyler, did but will talk about some very specific practical things. I am a non-executive director of the Whittington Health trust, which is our local hospital in north London. We are an integrated care organisation and we face the same challenges that all parts of the National Health Service do. We provide hospital and community care services to half a million people in Islington and Haringey, as well as other London boroughs such as Barnet, Enfield, Camden and Hackney, and it is worth looking at the practical issues involved in how you do this.

Haringey and Islington have multiagency care teams, which work across health and the council to assess and support rising risk patients and avoid unnecessary hospital admissions, keeping people in the community. They are multidisciplinary, with pharmacists, housing officers, social care workers, consultants and district nurses working together. We have a single front door in Islington, which we have just launched, for healthcare and the council to share a single triage point to ensure that patients are seen by the right team and to avoid duplication of input, and to ensure the best way of sharing our limited resources. Again, this sees council staff and Whittington staff working together. We have social workers embedded in our hospital; they are in our teams and in our hospital offices.

These are the practical details that can inform how primary care locally can be further developed, as defined by the noble Lord, Lord Darzi, in his report, which points to the need to develop primary care, GP care, social care and community care together. I invite my noble friend and her colleagues to come and visit us at the Whittington, where they will be very welcome indeed. There is no doubt that effective and innovative practice exists. I make a plea not to reinvent the wheel as we work towards the much-needed reform of adult social care.

Secondly, I want to ask my Government to look at who provides care at every level in our communities and at whether it is appropriate that we have care providers that are not going to sustain their care in our communities. For example, in 2023, Beaumont Healthcare, a homecare agency providing care to people with disabilities and complex health conditions in Cambridgeshire, went out of business and handed back the care contract to the local authorities. That would not be unusual, but it was the fifth care provider in Cambridgeshire to hand back care contracts in 2023. We know that the marketisation and privatisation of adult social care following the care Act in 1990 brought with it the dangers and instability that we see today.

I have championed co-operative social enterprise and mutuals for 25 years in your Lordships’ House. Frankly, in rebuilding our economy and in the reform of our public services we need to look at organisations that can provide public services and do so in a sustainable way. I ask my noble friend that, in the rebuilding of health and social care in the UK, we look at the failures and bureaucracy that competition and marketisation have brought and positively seek alternatives, to have a diversity in the provision of social care in our communities.

Baroness Thornton Portrait Baroness Thornton (Lab)
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My Lords, I apologise for not having been in the House in March to speak in the Second Reading debate on this Private Member’s Bill. I am afraid I was out of London for the day, but I can see from the record that my noble friend Lady Blake did a great job from these Benches in giving our strong support to the noble Baroness, Lady Burt, and to the Bill.

I was keen to lend support to the Bill then, as I am now, partly because I am a veteran of the Equality Act 2010 and I participated in the debates about why we put these clauses into that piece of legislation. The noble Baroness, Lady Noakes, possibly did not like it at that time—2009 and 2010, when we were discussing it—either. I can remember the debates precisely about this clause; we were putting provisions on the statute book then. I am also a veteran of the debate in 2013, when I was fulfilling the same shadow role that I do now, when the coalition Government, in one of their deregulation splurges, justified taking out the imposed protections as an unnecessary burden on business.

At that time, of course, our argument was that protecting people from harassment, especially in the workplace, should be seen not as a burden but as a responsibility. It is pleasing that, nine years later, there has been a change of heart by the Government, which I welcome enormously, and we now have this Bill before us. We should pay tribute to the noble Baroness, Lady Burt, for bringing this Private Member’s Bill to us from the Commons. I pay tribute to all the parties that have been involved in this and given it their support both in the Commons and in this place. I also place on the record my thanks to the Minister for her work in seeking a way forward.

It is important to restate, momentarily, the scale of what we face. It needs to be listened to and heard on all occasions, because workplace harassment is experienced by a minimum of 40% of women. The noble Lords who have just spoken talked about freedom of speech and burdens on business, but that has to be balanced against the right to work and not to be harassed and insulted in a detrimental fashion.

I have two questions for the Minister. If these amendments are accepted—the noble Baroness, Lady Burt, accepted that they have to be to get the Bill through—it raises a couple of questions that need to be asked. If Clause 1 is removed, how do the Government propose to deal with, or reinstate, protections for workers against harassment by third parties like customers? I say this partly as a non-executive director of one of our hospitals, where we have to deal with the harassment of our employees—nurses, doctors and so on—and we have to work out how to support them, what is acceptable, what is not acceptable and what to do about it. It is a real issue; we are not talking just about people going into shops or restaurants, or some of the issues that led to this legislation coming forward. I would like the Minister to reflect on that question.

I also want to ask a question about the removal of the word “all”. As I recall from the discussions about this in other legislation, “all reasonable efforts” is an expression that is used in other places in the legislation and in this Bill. I have always thought that that word was there as much to protect employers and others as anything else—it is not superfluous. So can the Minister explain the implications of removing it from the Bill and what ramifications that might have for the rest of the legislation that covers this area?

I cannot promise the House that we will not return to this issue when we are in government. But I definitely give my support to the noble Baroness. I want to see the Bill, even as amended, on the statute book. We will give her every support.

Baroness Burt of Solihull Portrait Baroness Burt of Solihull (LD)
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My Lords, I thank the Minister and fellow Peers for our productive discussions on the Bill in recent weeks. I was honoured to sponsor it in our House, following the efforts of my colleague, the honourable Member for Bath, Wera Hobhouse, who introduced this important piece of legislation in the other place. Like me, she is deeply concerned about the scourge of workplace sexual harassment, which we know is a persistent and prevalent problem across the United Kingdom.

The Government Equalities Office’s own survey into sexual harassment in the workplace in 2020 found that nearly one-third of all employees surveyed—this is slightly different to the figure of the noble Baroness, Lady Thornton, but it is what I found—had experienced some form of sexual harassment in their workplace or work-related environment. That is one in three members of staff. The Bill sought to address this problem by protecting workers, specifically from workplace harassment. It would have amended the Equality Act 2010 to strengthen the legislative protections against workplace sexual harassment and harassment committed by third parties.

While I still firmly believe that the provisions of the Bill would have gone a long way towards tackling workplace harassment, I understand that several noble Lords have reservations about how it is drafted, specifically the entirety of Clause 1 and the word “all”, as in “all reasonable steps”, in Clause 2. Clause 1 would have instated protections for workers against harassment by third parties such as customers by introducing employer liability for such conduct. The Motion by the noble Lord, Lord Hannan, against Clause 1 standing part means that incidents of third party harassment will continue not to be covered by law, other than in extreme cases resulting in demonstrable personal injury or where a criminal offence has been committed. None of the existing legal routes will provide an effective alternative to the ability to bring harassment claims against third parties in the employment tribunal. For example, circumstances such as the reported harassment of hostesses by customers at the Presidents Club will still not be covered.

The amendment of the noble Baroness, Lady Noakes, in Clause 2 will narrow the concept of “all reasonable steps” to simply “reasonable steps”. I have listened carefully to her comments on this issue, and her understanding of it is somewhat different from mine. The Equality Act 2010 already contains a statutory defence that requires an employment tribunal assessment to say whether an employer took all reasonable steps to determine legal liability. The amendment will not change the Act’s existing statutory defence but will create a different test for the new duty on employers. That could be considered as setting a different and lower bar than “all reasonable steps”, and as such could be considered to be a watering down of provisions.

The amendments proposed today will change and ultimately attenuate the provisions of the Bill, but I am a firm believer in not allowing the perfect to become the enemy of the good. While it is disappointing that the Bill as sent to us will be changed by these amendments, I recognise the need for compromise in order to retain its core purpose, while allowing it to progress and reach the statute book. Noble Lords and I have reached an understanding whereby we can assure the passage of the preventative duty in respect of sexual harassment in exchange for accepting the amendments we are discussing today.

I am therefore happy that we have reached a consensus on a pragmatic way forward. As we in this Chamber all know, it is vital that we send a clear signal to prevent this behaviour. I am glad that, even in the Bill’s amended form, that remains the case.

I thank the Minister again for her ongoing engagement and steadfast resolve in seeking a way forward that the House Could agree on. I hope she will be able to confirm that the Government are also willing to accept the proposed amendments.

Domestic Abuse Refuge Spaces

Baroness Thornton Excerpts
Wednesday 21st June 2023

(1 year, 6 months ago)

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Asked by
Baroness Thornton Portrait Baroness Thornton
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To ask His Majesty’s Government what assessment they have made of the availability of refuge spaces for domestic abuse survivors.

Baroness Scott of Bybrook Portrait The Parliamentary Under-Secretary of State, Department for Levelling Up, Housing & Communities (Baroness Scott of Bybrook) (Con)
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My Lords, under this Government, the number of bed spaces has risen. There were 4,344 refuge spaces across England in May 2022, which are the latest figures we have. We are committed to ensuring that victims have access to the support they need within domestic abuse safe accommodation, including refuges. Councils in England have a new duty to provide support within safe accommodation to victims under the Domestic Abuse Act 2021, and 36,545 victims received support within safe accommodation in the first year of this duty.

Baroness Thornton Portrait Baroness Thornton (Lab)
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I thank the Minister for that Answer. As she will understand from her support of and commitment to this issue, it takes huge courage and great risk for a woman to flee domestic violence. Unfortunately, when they have no place to go, those courageous women are left to make a horrific decision between returning home and becoming homeless. I therefore ask the Minister whether the Government have any plans to increase support at a local level to provide the housing promised under the Domestic Abuse Act 2021, which she mentioned and which we all supported. The research that prompted this Question says that there are thousands of women who have to choose between those two brutal situations.

Baroness Scott of Bybrook Portrait Baroness Scott of Bybrook (Con)
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The noble Baroness brings up a really serious point. It is essential that the number of women who are turned away goes down. We have provided local authorities with funding and support to commission services to meet the needs of these victims. As I said, the number of refuge bed spaces is rising, but those are not the only safe spaces. In fact, only 46% of those supported were in refuges. Some 28% are in sanctuary schemes, in which places where they want to stay in the area they already live in are made safe for them. Some 13% are in safe dispersed accommodation, 5% in specialist accommodation, 1% in second-stage accommodation, and 7% in other safe accommodation. This is about not just refuges but looking after the individual, and giving the individual choice and support through what, as the noble Baroness says, are very difficult times.

People of African Descent in the United Kingdom

Baroness Thornton Excerpts
Monday 17th April 2023

(1 year, 8 months ago)

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Asked by
Baroness Thornton Portrait Baroness Thornton
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To ask His Majesty’s Government what assessment they have made of the statement by the United Nations Working Group of Experts on People of African Descent, published on 27 January, in which they said they were “deeply concerned about the human rights situation of people of African descent” in the United Kingdom and which recommended further efforts to address structural, institutional and systemic racism against people of African descent.

Baroness Scott of Bybrook Portrait The Parliamentary Under-Secretary of State, Department for Levelling Up, Housing & Communities (Baroness Scott of Bybrook) (Con)
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This Government are proud that the United Kingdom is an open, tolerant and welcoming country. I commend to the House our Inclusive Britain strategy, which is a rigorous and comprehensive action plan to tackle negative disparities between people from different ethnic backgrounds. We have published today a report on the excellent progress we have made on delivering Inclusive Britain and how it is improving people’s lives.

Baroness Thornton Portrait Baroness Thornton (Lab)
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My Lords, the Minister then needs to explain to the House how the United Nations working group came to the conclusions that it did in the statement it published on 27 January and how it found exactly the same situation as it did on its visit in 2012. It identified

“stark and unsustainable inequalities underpinned by systemic racism, judicial bias, and disproportionate and discriminatory policing of people of African descent”

in the UK today. Does the Minister accept the findings of the working group, and what do the Government intend to do about them?

International Women’s Day

Baroness Thornton Excerpts
Friday 10th March 2023

(1 year, 9 months ago)

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Baroness Thornton Portrait Baroness Thornton (Lab)
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My Lords, it has always struck me as a bit of an irony that we open the International Women’s Day debate in this manner, so for once may I say, “I thank noble sisters and brothers for participating in a varied and great International Women’s Day debate”? I join everybody in congratulating the noble Baroness, Lady Lampard, on her maiden speech. I also thank the Minister for managing to secure a debate in the Chamber this year, instead of in Grand Committee, and for her comprehensive introduction to this debate. Like others, I pay tribute to my noble friend Lady Gale, mentioned by my noble friend Lady Wilcox, who, for many years from these Benches, ensured that we had debates and questions relating to International Women’s Day and White Ribbon Day. In many ways, I dedicate my speech and thanks to my friend Anita. I also join others in paying tribute to the noble Baroness, Lady Boothroyd, whom I have known all my life because she was with my parents, Peter and Jean Thornton, in the Labour League of Youth in Dewsbury and Spen Valley. She was therefore a constant and inspiring presence, for which I am so grateful and which I shall miss.

Like many noble Lords, I have attended several events organised to celebrate International Women’s Day and, as my noble friend Lady Taylor, said, tomorrow I will be joining her to pay tribute to Constance Lytton at Knebworth. It is important to use this annual celebration to remember the women who have gone before and whose endeavour and sacrifice have allowed us to be here and benefit in so many ways. As my noble friend said, Constance Lytton was born and raised in what we might describe as the privileged ruling class but, as a suffragette activist, she was imprisoned four times and was force-fed. Her health was wrecked as a result, and she died before her time. She is one of many women we need to honour. The noble Baroness, Lady Cumberlege, and my noble friend Lord Monks, mentioned women on whose shoulders we stand. Like my noble friend Lord Griffiths, I have had the experience of seeing “Sylvia” at the Old Vic. I did not know what to expect from a musical about Sylvia Pankhurst. It was a huge shock when this barrage of music hit me. It took me a while to adjust, but it is a magnificent musical which I highly recommend.

This International Women’s Day, 8 March 2023, the United Nations wished us to celebrate the theme “DigitALL” on using innovation and technology for gender equality. Many speeches have referred to this and been inspired by it, like that of my noble friend Lord Watson.

I wish to mark and celebrate women all over the world who are leading their communities through crisis. We must support women taking extraordinary action, such as keeping their families safe in the face of famine or conflict and delivering life-saving responses to the climate crisis. Those of us privileged to live in a safe and wealthy country need to recognise that the climate crisis, conflicts, forced displacement and the global hunger crisis are disrupting girls’—indeed, children’s and young people’s—access to education on an unprecedented scale. I believe that the recently published Illegal Migration Bill is a sad and shameful moment for this country. Support for families, women and girls across the country will only be badly affected by it.

I loved the support and exposition that my noble friend Lord Sahota gave, because this is a critical time for women and girls. The year 2022 saw devastating rollbacks of women’s rights in Afghanistan, as referred to by many noble Lords; a violent crackdown against women’s uprisings in Iran; the catastrophic consequences of the hunger crisis on women and girls in east Africa; and the curtailment of women’s abortion access in several countries, including the USA. These issues were also mentioned by my noble friend Lady Armstrong. I look forward to hearing the answers to the questions that my noble friend Lady Donaghy raised.

The noble Baroness, Lady Barker, was quite right to say that in the UK we have good news on reproductive rights. That was achieved with cross-party support from the noble Baronesses, Lady Watkins and Lady Sugg, and many others in this House. However, there is much to do across the world and in the UK. As my noble friend Lady Anderson showed us, there is much that we have to be grateful for here and must pay attention to elsewhere.

Turning to the domestic women and equalities agenda in the UK, I particularly enjoyed the contributions from my noble friends Lord Stansgate and Lord Browne. It reminded me of how proud I am that my niece, who is doing a master’s in astrophysics—I think—at Manchester University, spent last summer at the CERN hadron collider. The whole family was bursting with pride at this; of course we were.

Labour is proud to be the party of women’s equality. I am proud to have been part of the team which put the Equality Act on the statute book in 2010, and to have been party to the other initiatives which came before. I have to say that I am puzzled by our delegation to the United Nations women’s assembly in New York being led by a male Minister. As much as I respect the noble Lord—of course I do—I would have thought that one of the noble Baronesses in front of me would have been a good person to lead that delegation. I am not sure what message that sends to the rest of the world about the priority that the UK is giving—

Baroness Scott of Bybrook Portrait Baroness Scott of Bybrook (Con)
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May I just intervene to say that I would have gone, but the LUR Bill came in in place?

Baroness Thornton Portrait Baroness Thornton (Lab)
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Maybe the noble Lord could have substituted for the noble Baroness doing that then.

Notwithstanding the best gloss that the Minister gave to the Government’s work in this area, the facts are that for the last 10 years, we have seen many women pushed into poverty and the exacerbation of the motherhood penalty, if we can call it that. Women make up the majority of single parents, disabled people and low-paid, part-time and insecure workers, leaving them brutally exposed to the cost of living crisis. The next Labour Government will put women at the heart of our economic recovery, with a new deal for working people to transform their working lives. We will end the injustice that sees mothers and grandmothers forced out of paid work by soaring childcare costs. We have a plan for women’s health, which includes bringing down record high waiting lists for gynaecological care in our NHS.

Something that has not yet been mentioned is the fact that, compared to men, women are disproportionately affected by dementia emotionally, professionally and physically across their life course. Dementia has been the leading cause of death for women since 2011, and 60% of those living with dementia are women. Not only is dementia more prevalent in women; they are also more likely to be unpaid carers for loved ones affected by this condition. This disproportionate impact is not okay and it really needs to be addressed.

We will take the menopause seriously and require large employers to submit menopause action plans alongside their annual gender pay gap reports. We will bear down on the gender pay gap, which, at the current rate of progress, will be eradicated only in 2044. I heard what my noble friend Lady Chakrabarti had to say; we clearly need to have further discussions.

We will tackle the misogyny, harassment and abuse faced by too many women. The Refuge briefing that we all received asks us to speak up on gender-based violence, and that is indeed what we need to do. There has been unanimity on this issue across the House. I am fairly certain that successive Women and Equalities Ministers in this House have taken and are taking these matters very seriously and are championing them across government. However, there is an epidemic of violence and misogynistic abuse to tackle.

That leads me on to childcare. My noble friend Lady Twycross outlined Labour’s proposals. I just want to raise one issue, which came up in the Coram Family and Childcare report that many of us saw yesterday. It reported on the experience of a critical care nurse with more than 17 years’ experience who worked through the pandemic until she was 27 weeks pregnant. She said that work is part of who she is, and:

“It is important to feel like I’m doing something worthwhile, and I don’t want to give that up.”


However, she

“has had to cut her hours to one day a week, and says she will have to change career in the long-term, because of how the cost of childcare eats into her earnings.”

We cannot afford to lose highly trained, highly skilled women from our NHS. My honourable friend Bridget Phillipson said in a speech yesterday that we will reform the childcare system and that it will be her “first priority” when we enter government. She said:

“Labour’s missions must be central to breaking down the barriers to opportunity in this country. To break down those barriers, our Mission commits to reforming the childcare system: that will be my first priority.”


Labour is proud to be the party of equality, especially women’s equality. Previous Labour Governments have always encouraged and empowered women; the next will match that record and more.

International Holocaust Memorial Day

Baroness Thornton Excerpts
Thursday 19th January 2023

(1 year, 11 months ago)

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Baroness Thornton Portrait Baroness Thornton (Lab)
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My Lords, I join everyone else in the House in congratulating the noble Lord, Lord Pickles, on the choice of this debate today and the wonderful way in which he opened it.

As we all know, Holocaust Memorial Day is 27 January, a day when we all remember the 6 million Jews murdered during the Holocaust and the millions of other people murdered by the Nazis, and the more recent genocides in Cambodia, Rwanda, Bosnia and Darfur. I join others in congratulating the Holocaust Memorial Day Trust on choosing “ordinary people” as the theme for this year. As it says, this

“highlights the ordinary people who let genocide happen, the ordinary people who actively perpetrated genocide”,

the ordinary people who became rescuers during genocide,

“and the ordinary people who were persecuted.”

It highlights things such as the choice of language. All of us who have the privilege of public platforms need to be aware of the language that we use. When a Holocaust survivor asks us to consider the effect of our use of language to describe asylum seekers, she tells us that it is the language that was used to dehumanise and justify the murder of her family; in this case, words such as “swarms” and “invasion”. That echoes the remarks of the noble Lord, Lord Pickles, who said that, when the Nazis moved into certain parts of Europe, they did not have to argue the case for anti-Semitism because it had already been made. That places on all of us the need to be careful of the language that we use. As he says, this is a journey, and that starts with the language that ordinary people use. We in the Labour Party have had to learn and relearn this lesson over this most painful time of dealing with anti-Semitism in our own ranks.

Preparing this speech made me wonder what led me to take part in this debate. I reflected that my left-wing parents sent me on an international youth camp in East Germany when I was 13 years old. We had a day trip to Sachsenhausen concentration camp, which of course was a huge shock and a revelation to me, and probably not what my parents expected I would be doing.

When I was 16, the Jewish lady who was attempting to tutor me for my German O-level—which was a bit of a lost cause—gave me a book called Five Chimneys by Olga Lengyel, which I read and reread in the years that followed. It is a woman survivor’s tale of Auschwitz which does not retreat into self-pity or sensationalism, and a stark reminder that the unspeakable can happen in all kinds of places.

I married into a family half of which is missing, because they were lost in the Holocaust. My beloved father-in-law, Henry Carr, was a survivor. He escaped from the Łódź ghetto at 13, making his way across Europe. They lost everyone except Henry and his brother Nathan, who ended up in Israel, and a cousin in the USA. I feel the need to declare an interest because my husband, John Carr, has written a book about his father’s odyssey. What it really tells me is that the story of the Holocaust for my family is about the need to make sure that our children and great-grandchildren never forget.

Domestic Abuse Victims: Housing Benefit

Baroness Thornton Excerpts
Monday 12th December 2022

(2 years ago)

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Asked by
Baroness Thornton Portrait Baroness Thornton
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To ask His Majesty’s Government what plans they have to ensure that housing benefit for domestic abuse victims living in exempt accommodation is only paid to providers that have recognised expertise and who meet the standards in Part 4 of the Domestic Abuse Act 2021.

Baroness Scott of Bybrook Portrait The Parliamentary Under-Secretary of State, Department for Levelling Up, Housing & Communities (Baroness Scott of Bybrook) (Con)
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The Supported Housing (Regulatory Oversight) Bill would introduce national standards for all supported housing, including domestic abuse safe accommodation, as well as locally led licensing schemes. This new system will drive out unscrupulous and poor providers who are exploiting vulnerable people. We will work with supported housing providers, including specialist providers of safe accommodation for those fleeing domestic abuse, using already defined standards for all of those in safe accommodation. The detail of the licensing regime will be developed through consultation and in regulations.

Baroness Thornton Portrait Baroness Thornton (Lab)
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I thank the Minister for that Answer. In a report in October, the Levelling Up, Housing and Communities Committee said that the exempt accommodation is a “complete mess”. Given this, I think the Minister needs to inform the House of situations where some women who are abuse survivors have had to run away, for the second time, from the housing that they were allocated, because the safe accommodation was as threatening and violent as the home they had just left, and sometimes even return to the violent home. It is therefore important that there is some timescale on this, because it is clearly an urgent matter.

Baroness Scott of Bybrook Portrait Baroness Scott of Bybrook (Con)
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The noble Baroness is correct: we cannot accept this. I am not sure that they flee from allocated housing; often, it is from rogue landlords. We are dealing with that in a number of ways, including through the supported housing improvement programme and the measures in the Domestic Abuse Act 2021. Those measures license those houses within local authority control, which are the ones that are normally allocated. Through this and the supported housing Bill, the Government are sending out a clear message to rogue landlords in the sector that we will not tolerate that poor-quality support and the exploitation of very vulnerable people.