Brain Injuries in Football

Debate between Stuart Andrew and Gavin Williamson

Wednesday 24th April 2024 Westminster Hall

[Sir Gavin Williamson]

Will my right hon. Friend also make representations to the FA and the EFL about the work being done on the brain health fund? On temporary concussion substitutions, the decision will be made not by the FA or the Scottish Football Association, but by the International Football Association Board, of which the largest component is FIFA. Will the Minister use his office and his position to make representations to FIFA and the International Football Association Board so that the voice of home associations is properly heard and action is taken to introduce temporary concussion substitutions?

[Stuart Andrew]

I thank my right hon. Friend for his intervention. I have had letters from former footballers expressing concern about the fund, and I wrote just yesterday to the PFA to seek assurances that the fund is working. I recognise that there is wider work to be done, and I will be more than happy to convene a meeting or roundtable with all the interested bodies and reflect the comments that right hon. and hon. Members have made today. I will, of course, include FIFA.

General Practice: Large Housing Developments

Debate between Stuart Andrew and Gavin Williamson

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.