Levelling-up and Regeneration Bill

Lord Bishop of Leeds Excerpts

Committee stage
Wednesday 22nd February 2023 Lords Chamber

[Lord Best (CB)]

My Lords, I shall speak to Amendment 15 in the names of the right reverend Prelate the Bishop of London, the noble Baronesses, Lady Hayman of Ullock and Lady Watkins of Tavistock, and me. For this stage of the Bill, I draw attention to my housing and planning interests as in the register, including as a vice-president of the Local Government Association, vice-president of the Town and Country Planning Association and president of the Sustainable Energy Association.

The right reverend Prelate the Bishop of London is not able to be with us on this Ash Wednesday, but I know she feels deeply about this issue, not least from her distinguished career within the health service. I hope that I can cover some of the points that she wanted to make, and I know the right reverend Prelate the Bishop of Leeds will join in the debate.

Amendment 15 would ensure that health disparities are included in the Government’s levelling-up missions by getting this issue into the Bill. Improving public health and reducing health inequalities was a centrepiece of the original levelling-up White Paper. Two of the original missions, seven and eight, were aimed respectively at covering the gap in healthy life expectancy between localities and addressing determinants of mental and physical ill health, but these ambitions do not feature in the Bill. Ominously, it now seems that the promised health disparities White Paper may not see the light of day. There seem to be delays, too, in producing strategies for tackling the so-called obesity epidemic and for smoking reduction.

However, health inequalities in the UK have grown worse over the past decade after centuries of increased healthy life expectancy. Gaps have widened: the Inequalities in Health Alliance of 155 member bodies, convened by the Royal College of Physicians, notes that there is now a 19-year gap in healthy life expectancy between the least and the most deprived communities, and health inequalities cost the country £31 billion to £33 billion a year.

I declare an interest as the chair of the Oxford University Commission on Creating Healthy Cities, which reported last year. We concluded that, if central and local government gave priority to achieving better outcomes for physical and mental health, they would simultaneously address wider inequalities in society, improve productivity, support efforts to tackle climate change, and reduce the escalating costs of the NHS and social care. The Oxford study, driven by Kellogg College’s Global Centre on Healthcare and Urbanisation and the Prince’s Foundation, recommends that health creation should be the key focus of efforts to level up. Our commission supported the Government’s White Paper and its health objectives, and these deserve to be incorporated into the legislation before us. The whole levelling-up agenda can be a massive contributor to improvements in health and well-being.

This amendment is a necessary precursor to later amendments that link specific policy measures for the built environment—for planning, housing, transport and the environment—to the core issue of health. These important amendments would be greatly assisted by a backdrop of the Bill having a clear focus on health inequalities as one of its key missions. This would match advances in Scotland and Wales, where the emphasis on the health dimension in public policy and guidance has been strengthened over recent years.

Finally, in support of the right reverend Prelate’s amendment, I add that using health as the touchstone for levelling-up policies increases wider understanding and public support for the varied local projects that will follow enactment of the Bill. What assurances can the Minister give that we will see a focus on health, and specifically on health inequalities, in the levelling-up missions? What can the Minister tell us about the missing health disparities White Paper? I support the amendment.

[The Lord Bishop of Leeds]

My Lords, at Second Reading, I remember applauding, broadly speaking, the ambitions of the White Paper. However, I share the concerns of the right reverend Prelate the Bishop of London, who of course brings to this much more experience than I do.

I am pleased that, already, the noble Baroness, Lady Hayman, has alluded to the interconnectivity of all these different missions; they cannot be seen in silos or in isolation. For example, if you have children who are turning up at school unfed or living in poor housing, you can try teaching them what you will but it may not be very successful, and that has an impact not only on individuals but on communities and their flourishing.

I will speak to Amendment 15, tabled by the right reverend Prelate the Bishop of London, and briefly to Amendments 7, 30 and 31. Health disparities require discrete attention in the Bill. It is not an optional extra. The Bill as it stands states the missions but does not provide mechanisms for action or accountability. How will we be able to measure whether they are effective or not? The right reverend Prelate the Bishop of London has said that, although assurances by the Minister are very welcome, they are not enough; they have to be backed up in the Bill with measurable implementation gauges.

Good health is key both to human—that is, individual—and social flourishing. As I said, we cannot separate out such things as housing, education, health, transport and so on as if we can solve one without having an impact on the other. However, there are inequalities between the regions in many of these areas. I speak from a context in the north: the whole of west Yorkshire, most of north Yorkshire—but do not tell the right reverend Primate the Archbishop of York that—a chunk of Lancashire, one slice of County Durham and a bit of south Yorkshire. The inequalities are serious. The economic squeeze, in the words of the right reverend Prelate the Bishop of London, is an incubator for inequalities, and we know the impact that inequality has across the board.

The White Paper rightly recognises the centrality of health to levelling up, but the actions by which this will be achieved could be argued to be lacking—and we certainly need long-term solutions and not quick fixes or slogans that sound good but do not lead to content. Can the Minister therefore offer assurances of the Government’s commitment to health within the levelling-up agenda in ways that can be measured and accountability upheld?

The Union (Constitution Committee Report)

Lord Bishop of Leeds Excerpts

Friday 20th January 2023 Lords Chamber

[The Lord Bishop of Leeds]

My Lords, I thank the noble Baroness, Lady Taylor, and the committee, for an excellent report. I hope that your Lordships will forgive me if I do not go into the detail of the report but offer what might sound a bit of a left-field observation. The report is subtitled Building a Stronger Union for the 21st Century. However, an assumption that we often bring to these debates is that what we had in the 20th century and before will automatically persist and that everyone buys into it.

Please forgive me for doing a segue into a different part of the world, but I did a lot of work in Kazakhstan in the noughties. I remember that on one trip, having done quite a lot of media work with young people there, it struck me on returning to the UK via Frankfurt that over there they would forgive corruption and all sorts of things because they were building something that they were investing in. They did not quite know where it was leading but they were building a future of which they were very proud. When I came back to the west, I was struck by the fact that we do not talk about our young people building anything. We have a set of institutions, particularly arising from the post-Second World War settlement, which we expect our young people to inherit and to buy into, but what are they building? You will sacrifice your life for something that you are building, not something that you simply inherit. My concern is about many of the young people, particularly those I have come across from Scotland, who are quite frankly either anti or indifferent to the union.

On the very first page of this report, the first line refers to the committee and then to “we”. It just bugs me; who is the “we” that we keep talking about? My generation cannot construct a narrative. When I came back from Kazakhstan, the concern I had then was about a new narrative for Europe, not one that we simply inherit but one we can build. The only people who can tell us this are the young people who will be around when we are long gone. What are the mechanisms we are building to enable younger generations to explore and articulate a vision for constitutional settlements that command not just their intellectual assent but their imagination, and into which they will invest their energy? I am afraid I do not have the answer. I puzzled over it in relation to a vision for a new Europe, but I also puzzle over what this might look like in respect of the union. If anything commanded attention and could show some leadership from Parliament in convening conversations that begin to identify how young people see the world and the union, it would have done something very important. I commend that to the Minister and hope that it will be taken seriously.

Levelling-up and Regeneration Bill

Lord Bishop of Leeds Excerpts

2nd reading
Tuesday 17th January 2023 Lords Chamber

[The Lord Bishop of Leeds]

My Lords, I am delighted to follow the noble and right reverend Lord, who has already stolen some of what I was going to say—great minds and all of that, maybe. When I first heard the phrase “levelling up”, I thought, “Here we go again—another slogan in search of substance”. Yet what we have heard today so far is that there is a great deal of potential substance to this Bill. I applaud the motivation and ambition behind it, and the attempt in the 12 missions to have a holistic approach rather than simply to pick off bits of our society. But I do think we need to take seriously, after the honest analysis that we had from the Minister, the argument that it gives the lie to the opening assertion of the White Paper that the UK is an unparalleled success story. If it was, we would not need the detail that we have before us. This sort of language of hubris can very easily militate against us taking seriously the scale of the task.

The parallel with Germany has already been mentioned. What is key to Germany—and I spent yesterday evening with 40 German soldiers and academics at a symposium in Leeds, in a curry house, but I will leave that bit out—is that what we learn from post-1989 Germany is not only that it has put in trillions of euros to level up between east and west but that the key to German success in many areas has been its federalism and its devolution of real power. Power is not centred in one geographical location. That means that investment and opportunity are able to take a long-term view, precisely because all of these things are rooted in local voices and real local power structures, not least in devolution to the Länder.

This approach to devolution has an impact on two of the missions that I want to focus on briefly. I realise the screen has gone blank, so I do not know how long I have got, but I will keep going. Oh, good—I have another five minutes. Marvellous.

I will be very brief. One of them is transport. One of the things that has constantly surprised me since I have been in this House is that investments in the north and south—in rail, for example—just do not bear comparison. If we look at the investment in Crossrail and then look at what was proposed several years ago for the entire north of England, it is ridiculous. There has to be serious investment, perhaps a rebalancing of investment, from the south-east and south to the entire north. HS2 might get you from London to Leeds 20 minutes quicker, but there is no point getting there if you cannot get anywhere else once you get off the train at Leeds. Having spent 90 minutes delayed on a train this morning, I feel that viscerally.

The east-west communications in this country are appalling, and they have economic, tourism, business and heritage weaknesses built into them. If you want to go east to west, you have to drive along the M62. What does that do to you when you live in the north-east? So that is transport—and do not get me on to the TransPennine Express, which is a great misnomer.

The second area I want to focus on is education. The disparities between north and south are shocking. Partly it is not simply because of poverty. Poverty is a phenomenon in itself, but it has to be related to housing, education and some of the other missions that are set out in the Bill. Some 1.2 million people are waiting for social housing. I think it was Shelter that pointed out that since 1993 we have lost 21,000 social houses every year—and we wonder why we have a problem. Some 120,000 children are living in temporary accommodation, yet we expect them to perform at school. We have schools as well as churches and other institutions having to feed children when they come to school because they are not able to be fed at home.

Look at the free school meals stats and discrepancies, and at the number of food banks. What will we offer through this Bill to articulate hope and create a vision for a generation of young people who have not really had it thus far? It needs more than technocratic solutions; it needs an articulation, a vision, that is more than economic. What about the social capital? Are food banks now priced in? We are now seeing in parts of the north, where I live, people who gave to food banks queuing up to receive from them. That social capital cannot be taken for granted—and I would extrapolate from that to the wider charitable sector.

I want to applaud a more holistic, long-term, hopeful proposal whereby the missions are not, in the end, in competition with each other. Reporting will be crucial.

Before I sit down, I want to signal that my right reverend friend the Bishop of Durham is in discussion with the DfE and, through it, the Department for Levelling Up, about tabling an amendment, which was lost with the withdrawal of the Schools Bill, on land clauses affecting church schools in relation to local authority provision of sites for academies. So, this has been a general run around the issues, with a specific one at the end.