Homelessness and Rough Sleeping

Andrea Leadsom Excerpts

Wednesday 18th December 2013 Westminster Hall

[Shabana Mahmood]

My hon. Friend makes a powerful point, and I absolutely agree. The lack of housing supply is the key problem, including in Birmingham. We are simply not building enough homes of all descriptions, and social and affordable housing has certainly not kept pace with demand.

That major issue has been compounded by the introduction and imposition of the bedroom tax. In Birmingham, a little more than 5,000 city council tenants are affected. As of yesterday, a little more than 2,000 or so of them were in arrears as a result of the bedroom tax, while the city had only five bedsits and 54 one-bedroom flats available for some of them to move into—that is not only from the city register, but includes the properties available from the registered providers as well.

Those numbers speak for themselves. The question that I have, which I cannot answer—perhaps the Minister can—is about where those people affected are supposed to downsize to once the five bedsits, the 54 one-bed flats and the tiny number of other suitable properties have gone. How will Birmingham as a city cope if the 2,000 or so in rent arrears as a result of the bedroom tax find themselves homeless? The city simply does not have the resources to meet that level of need or the surge in demand that will come as a result of those people being homeless.

[Andrea Leadsom (South Northamptonshire) (Con)]

I want to make one point—one genuinely non-partisan point. Given the problem that the hon. Lady is talking about—the lack of housing in her constituency—is it not the case that there is some logic to the end of the spare room subsidy, so as to enable families that are homeless or in hopelessly overcrowded conditions to be able to move into accommodation that meets their needs? Obviously, it is an issue for those who have spare bedrooms—whether one, two, three or in some cases four—but can she see that there is logic in enabling those people who are homeless, with many children and nowhere to go, to move into those flats, or does she not accept that at all?

[Shabana Mahmood]

The hon. Lady’s starting point would be logical were there somewhere for those people to move into. The reason why I cited the Birmingham figures of five bedsits and 54 one-bed flats is that, as of yesterday, that is what is available in my city—the second largest city in this country and the largest local authority in Europe—for waiting lists that number in the many tens of thousands. The problem is stark. Were there many hundreds or thousands of properties for people to downsize into, allowing homeless larger families to move into the larger properties, her position would be logical. I am afraid, however, that that is simply not the case in the area that I represent or in many instances up and down the country.

[Andrea Leadsom]

I am grateful to the hon. Lady for giving way again. When she says that 54 one-bed flats are available, does she meant that 54 are empty? With how many is a home swap possible, so that those who are homeless with multiple children could swap into homes with the space that they need? People in homes that are too big for them could swap with people who are hopelessly overcrowded. If people buy or sell in the private sector, they do not only move into empty homes, but buy from others who want to downsize or upsize.

[Shabana Mahmood]

The ability of people to swap depends on appropriate accommodation for the people who want to downsize or upsize to go into, and my point is that housing supply throughout my city is simply not enough for all kinds of homes. I spoke about the lack of affordable and social housing, but there is also a lack of housing for people to buy privately—not enough is being built anywhere in the city. The numbers simply have not kept up with demand. Swapping and other such solutions therefore will not deal with the large numbers presenting themselves in Birmingham. I am afraid that unless we could build thousands of homes overnight, my city will not be able to cope with the issues that it is facing, some but not all of which result in homelessness.

--- Later in debate ---

[Andrea Leadsom]

Does the hon. Lady agree that physical and mental health needs often go hand in hand and cannot be separated? For example, back-ache is strongly correlated with depression, and it is often the combination of the two that results in homelessness.

[Sarah Champion]

I completely agree with the points that the hon. Lady raises, and will speak about them, a little, later.

We know that homeless people use four times as many acute health services and eight times as many in-patient health services as the general population, at a cost of around £85.6 million a year. However, despite that, homeless people often find it difficult to access health services that can provide suitable treatment, because their complex needs may make them ineligible for traditional health and social care support. Some report facing discrimination when they do seek support.

Common health conditions for homeless people include mental health issues, foot conditions, dental problems, infections, sexual health issues and tuberculosis. One in 10 people diagnosed with TB has a history of homelessness. Lack of suitable washing facilities can aggravate those problems and increase the spread of infection. Not surprisingly, people sleeping rough often find that the cold and damp exacerbate their health problems and cause the onset of respiratory illness. Some rough sleepers even wake up covered in frost.

The links between homelessness and health are cyclical. Although many homeless people are struggling to access health care, more must be done at an early stage to encourage people at risk of homelessness to access public services. Mental health issues particularly are one of the key triggers that lead to homelessness. Up to 70% of homeless people suffer mental health issues and 14% suffer a personality disorder. In London, almost one fifth of rough sleepers have mental health needs combined with substance abuse. Perhaps the most depressing news of all is that rough sleepers are 35 times more likely to commit suicide than the general population.

I am extremely fearful that in Rotherham, the problem will be dramatically compounded, because our excellent NHS mental health foundation trust—Rotherham Doncaster and South Humber NHS Foundation Trust, or RDaSH—is facing a £7 million budget cut next year. Unfortunately, I believe it is inevitable that this funding crisis will lead to people not receiving the support they need, and consequently to increasing rough sleeping on our streets. Is it not time for the Government to tackle these problems head on? Is it not time to acknowledge that we must make it easier for homeless people to access health care, not harder?

Under this Government, the sad fact is that in London alone, almost 6,500 people were seen sleeping rough between 2012 and 2013, and the number is increasing, year on year. Under this Government’s watch, rough sleeping has increased nationally by 31% in the last two years. Shockingly, the average age at which a homeless person dies is now 47.

Money directed at homelessness prevention is sent to local authorities, but is not always ring-fenced. Often, it is not used effectively to stop people becoming homeless, or to encourage preventive health interventions. Homeless people experience significant regional health inequalities, which should be recognised, measured and addressed in local needs assessments. If health and wellbeing boards are to meet their duty to reduce health inequalities effectively, they must recognise, measure and address the health needs of vulnerable and excluded members of society, and that must include homeless people.

Some local authorities are including homeless people in joint strategic needs assessments and joint health and well-being strategies, but this group of vulnerable people is often not accounted for. The needs of the local homeless population should be reflected in joint health and well-being strategies, and in the commissioning of appropriate services. The emphasis on setting a small number of priorities across the wider community may mean that the specific needs of small, marginalised groups are overlooked.

The mobility of homeless people, who may move from borough to borough, should also be considered, and a pan-borough approach should be taken to commissioning specialist services when appropriate. Local strategies should reflect the needs of the most excluded, as well as setting goals for wider public health improvement.

Commissioners and providers should be monitored to ensure that they are reducing health inequalities, including between the homeless and the general populations. When it comes to signing up with a GP, homeless people are turned away because they do not have an address. There is a shortage of specialist drug and alcohol services, particularly dual diagnosis services for people with substance addiction and mental health problems. Many homeless people with learning disabilities find it hard to live in the community and to access specialist support.

People in Rotherham tell me about the problems that homeless people have in finding accommodation when discharged from hospital. That is not just a problem in Rotherham; it is a national problem. Too many people are discharged from hospital with nowhere to go. We need integrated health and social care provision that includes homeless people. That approach could help to address health inequalities and ensure that some of the most excluded members of society have a better experience of the health and social care system. They deserve that.

[Mr Adrian Sanders (Torbay) (LD)]

I congratulate the hon. Member for Birmingham, Ladywood (Shabana Mahmood) on securing this timely debate. We have heard about the growing extent of homelessness and the staggering number of people it affects. The problem reflects some serious structural problems in the housing sector and welfare system. We have also heard about the long-term problems that homelessness can cause. Many are profound, but are not easily quantifiable. However, they are cumulative because homelessness prevents people from finding or staying in work and has a cumulative impact on their health, sometimes provoking them to engage in criminal activity and so on.

Homelessness is part of a wider problem of social exclusion and it is obvious that the solution, especially for harder-to-reach cases, must be comprehensive. It is not just about finding a new home for someone to stay in and leaving them to get on with it. It takes an average of seven years for someone to get to the point of sleeping rough on the streets and it is unrealistic to expect that they can be turned round and brought back to independent life within a matter of months. Helping people in that situation is a long-term commitment.

A huge range of hostels and temporary accommodation schemes have been the bulwark of the response to homelessness, quite often for those who do not fit the priority needs assessments of local authorities, as well as those who do. Many are run by local charities and although they often have generous benefactors, they are reliant on public funding to stay solvent. The Government’s strategy from 2012 was accompanied by promises that funding for such organisations would be protected as much as possible, with more than £400 million being devolved to local authorities and voluntary groups. Unfortunately, that does not lead to steady investment on the ground. More than half of all homelessness services are seeing cuts in their funding, and that will become far worse when local authorities start to make cuts for 2014 onwards.

In my constituency, for example, the elected mayor is consulting on cutting £150,000 from the Leonard Stocks centre. If that goes through, it would make the whole project financially unviable and leave many dozens of vulnerable people every year with nowhere else to go. We urgently need a solution to stop local authorities cutting these services indefinitely. If the Government were to look at a ring fence or upgrading the statutory protections for homeless people, we could see a great improvement and not the impending social disaster that might occur in my constituency and in other places.

[Andrea Leadsom]

Does my hon. Friend agree that there is also a problem with the SWEP—the severe weather emergency protocol? At a minimum, it only requires local authorities to provide shelter when the temperature reaches zero for three nights in a row. There is a great temptation for local authorities to go to the minimum, which can of course be fatal for many rough sleepers, rather than raising the temperature requirement to a more humane level.

[Mr Sanders]

That is a very good point. I represent the English riviera, where the temperature does not always drop that far, and there are still problems, even at 3° C.

The history of Torbay’s provision for the roofless is somewhat unique. During Christmas in 1990, representatives of local churches came together to open south Devon’s first direct access hostel for homeless people, in an old warehouse in a backstreet in the centre of Torquay. With the support of Torbay council, which owned the property, it was converted to create a single male dormitory with 12 beds. Initially, there were just two paid members of staff.

The story of the project goes back to 1989 when three local church leaders—Reverend Peter Larkin of St Matthias church, Captain Jim McKnight, the Torquay Salvation Army commander, and the Reverend Mike Blunsum, chaplain at Brunel Manor—began praying about how the local Christian community could respond to a growing number of people sleeping on the streets. In the autumn of 1990, the Reverend Mike Blunsum persuaded the Woodlands House of Prayer Trust to back a homeless project in Torquay with money and resources. Separately, Leonard Stocks, a member of St John’s church in Torquay, was deeply moved one day when he saw a woman begging and holding a sign that read:

“I am homeless please help me.”

He raised the issue at the next meeting of the deanery synod. Leonard was put in contact with the Reverend Blunsum and his committee, which led to a meeting in October 1990 attended by representatives of 40 south Devon churches, together with 20 local agencies, looking for a community response to the homelessness crisis. Those agencies included the citizens advice bureau, Youth With A Mission, social services, the Women’s Royal Voluntary Service, Shelter and officers from Torbay council, notable among them the then head of estates, Peter Lucas, himself a committed Christian.

Funding from the Woodlands House of Prayer Trust and a considerable personal contribution from Leonard Stocks saw the hostel open—appropriately—on Christmas eve 1990. The original lease was for just three months, but such was the need that it has never been able to close. The Torbay Churches Homeless Trust decided to merge with the Langley House Trust in 2003 when it became clear that the project could benefit from the robust management systems and training provision that Langley provided. The bedrock of its support, however, remains the Christian community across south Devon.

It may be a long way from the inner cities, but Torbay’s social problems are as acute as anywhere. The Leonard Stocks centre does brilliant work. The hostel was rebuilt only three years ago at a cost of £2.5 million, and staff and volunteers work wonderfully together to get people back into stable accommodation and on the road back to independence. The story is unique, but the facility will be recognised by all hon. Members here, because it is typical of centres around the country. I hope that the Minister will address the suggestions I have made to ring-fence funding or strengthen statutory protections for the homeless, or is there some other remedy to ensure that adequate provision exists for those who find themselves roofless, not only at this time of the year, but at all times of the year?