National HIV Testing Week

Debate between Andrea Leadsom and Andy Slaughter

Thursday 8th February 2024 Commons Chamber

[The Parliamentary Under-Secretary of State for Health and Social Care (Dame Andrea Leadsom)]

I congratulate my right hon. Friend the Member for Dumfriesshire, Clydesdale and Tweeddale (David Mundell) and the hon. Member for Warrington North (Charlotte Nichols) on securing this important debate. My right hon. Friend has been called away to his constituency today, but I am grateful to both him and the hon. Lady for their strong advocacy for National HIV Testing Week.

I pay tribute to all the other Members who have contributed today: my hon. Friend the Member for Worthing West (Sir Peter Bottomley), the hon. Members for Hammersmith (Andy Slaughter), for Strangford (Jim Shannon), and for East Dunbartonshire (Amy Callaghan), and the shadow Minister, the hon. Member for Birmingham, Edgbaston (Preet Kaur Gill). It is clear that there is cross-party consensus on the need to challenge ourselves to meet our ambition of no new HIV transmissions by 2030, and I am sure that we can do that if we stick together on this subject. I listened carefully to all Members’ speeches, and I will try to answer all the questions that were asked.

Let me begin by saying how grateful I am to everyone who has taken part in in National HIV Testing Week, especially all those who have been tested in Portcullis House thanks to the work of the excellent Terrence Higgins Trust. I also commend the work of other charities, including the National AIDS Trust, Tackle HIV, LGBT Foundation, George House Trust and many others supporting families up and down the country—and I salute the work of the all-party parliamentary group on HIV and AIDS.

We should remember the way in which heroic NHS staff stepped up to care for people living and dying with HIV and AIDS in the 1980s, at a time when AIDS was a terrifying new disease that spared no one. It was to honour their legacy, and to complete the work that our NHS began 40 years ago, that this Government made a bold and ambitious commitment in 2019 to end new transmissions in England by 2030. To that end, we published the first, groundbreaking national HIV action plan just over two years ago. Testing is one of the plan’s central pillars, and I am proud to say that we have been making huge strides, setting an example to the rest of the world to follow. Last year the UK ranked first in the European combined sexual and reproductive health rights ranking atlas 2020 to 2023, in front of 43 other countries, and the UK Health Security Agency has confirmed that for the third time in a row, England achieved or exceeded the UN’s 95-95-95 targets. That means that 95% of people with HIV are being diagnosed, 98% of those diagnosed are being treated, and 98% of those receiving treatment are unable to pass on the condition.

However, while we have made excellent progress, we are not complacent, and we will not be satisfied until the number of transmissions is brought to zero. We have therefore put National HIV Testing Week at the heart of our efforts, year on year. We know that tailored and targeted campaigns are the most effective, so we have increased the number of tests and widened the scope of our campaign, ensuring that our messaging reflects and appeals to the different groups whom we are trying to reach. We are undertaking ever greater efforts to reach those who have been missed before and have become disengaged from the process. Last year we introduced the option of self-testing, with near-instant results at home, to give people more choice and more control over their testing, and this year we are partnering with local businesses to offer tests in places that regularly serve people from, for example, the black African community, who we know are less likely to want to go for a test.

These efforts have brought results. Since we launched the HIV action plan, we have sent out nearly 100,000 tests and received more than 300 reactive results, allowing us to immediately begin the process of getting vital treatment to those who need it. So far this year, the figures show that more than 4,000 self-sampling and self-testing kits have been ordered and nearly 500 results have been reported, nine of them reactive. Our campaign’s message is simple: “I test”—not “eye test”! I am pleased to tell the House that, like the hon. Member for East Dunbartonshire, I tested this week, so I can say from experience that testing is quick, easy, confidential and free. I engaged in a good bit of banter with my fellow Health Ministers as we undertook our testing together, so ours was not very confidential, but it was done through choice, and we were demonstrating how easy it is to do. Everyone should test. It takes two minutes, so I say: please do it.

Our most recent figures show that although new HIV diagnosis rates are steadily decreasing, they sadly remain disproportionately higher among gay men, bisexual men and other men who have sex with men, as well as heterosexual people from the black African community. Similarly, disparity can be found in testing: despite huge progress and record testing rates among gay men, lower levels of testing persist among black African and hetero- sexual groups.

NHS England has invested £20 million to deliver opt-out HIV testing in emergency departments in areas of extremely high HIV prevalence to ensure that people who need it receive the right treatment as early as possible. Anyone having blood taken in A&E in those centres has been automatically—with the potential to opt out—tested for blood-borne viruses, which means that people who would not have been reached via any other testing route have been diagnosed. This saves the NHS millions of pounds, relieves pressure on the service, and helps to address inequalities in testing. In under two years, the programme has already proved value for money by diagnosing more than 4,000 people with blood-borne viruses including HIV, hepatitis B and hepatitis C. The National Institute for Health and Care Research is investing an additional £20 million to find out how we might go further, faster, in tackling HIV rates in the additional 47 sites of high HIV prevalence across England.

[Andy Slaughter]

That may be a good initiative, but it is limited by time, geography, and the type of institution offering the test. Are the Government committed to going further, and spreading opt-out testing to other health facilities and other parts of the country?

--- Later in debate ---

[Dame Andrea Leadsom]

I completely agree. We would like to see this being done around the world. The UK is, I believe, the third biggest donor to the Global Fund to Fight AIDS, Tuberculosis and Malaria, which seeks to eradicate those diseases and to which we have donated £5.5 billion, so our interest is in eradicating those diseases throughout the world. Closer to home, the hon. Gentleman is absolutely right: that crucial part of the United Kingdom, Northern Ireland, should also be supported and helped to roll out this testing, and that will be possible now that the Northern Ireland Assembly has been re-established, which I am delighted about.

Of course, there is still much more to be done to smash the stigma attached to HIV testing and treatment. I pay particular tribute to Becky from Sheffield and Akhona from Leeds for coming forward recently and telling their stories to the BBC. They are setting an example for people up and down the country who should come forward for testing or treatment, and we are backing their efforts to spread awareness by funding HIV Prevention England’s HIV stigma symposium in March at the International Convention Centre in Birmingham. The event will bring together community experts, activists, healthcare professionals and affected people to discuss the impact of HIV stigma and look at effective stigma-reduction strategies. I am sure that it will generate promising stigma-reduction solutions, and I will listen carefully to its recommendations. I am pleased that HIV Prevention England is focusing its efforts on giving a platform to speakers from underserved areas.

Of course, HIV prevention goes beyond testing. The use of pre-exposure prophylaxis, commonly known as PrEP, is an important part of combination HIV prevention. It has been called a “miracle drug” that prevents HIV-negative people from acquiring the virus, and it is a vital tool in our battle to end new HIV transmissions by 2030. Oral PrEP has been routinely available in specialist sexual health services since 2020.

However, we recognise that certain groups have challenges in accessing the PrEP they need. That is why we have developed a PrEP road map with colleagues from Government, local authorities, professional bodies and the voluntary and community sectors, and it will be published on 15 February.

[Andy Slaughter]

At the moment, because it can be accessed only through sexual health clinics, the average wait to access PrEP is more than 12 weeks. Sexual health clinics have seen about a 30% real-terms funding cut over the last few years, so will the Minister either increase the resources available to clinics or increase the number of outlets, such as pharmacies, from which PrEP can be obtained? That is where the logjam is occurring.

[Dame Andrea Leadsom]

As I have just said, we have developed a PrEP road map precisely to increase access to PrEP, and its report will be published in a few days’ time. I encourage the hon. Gentleman to look at that report. I thank everyone who played their part in drafting the road map, working tirelessly towards our 2030 goal of zero new transmissions.

I also thank all our partners for supporting the promotion of HIV testing through National HIV Testing Week, our sexual health summer campaigns, the roll-out of PrEP throughout the country, the introduction of opt-out testing, the development of a PrEP access and equity road map; and so much else besides.

These results would not have been possible without Kevin Fenton, the Government’s chief adviser on HIV and chair of the HIV action plan implementation steering group. His bold leadership has brought together partners across the health landscape towards our shared goals, and I pay particular tribute to him.

So many of us have a part to play as we reach the endgame of ending new HIV transmissions in England by 2030. I reiterate my sincere thanks to all colleagues who have shared their stories, advice and experiences to support our efforts for so long. I hope that today’s debate will inspire thousands of people to do the right thing and take an HIV test.

Business of the House

Debate between Andrea Leadsom and Andy Slaughter

Thursday 28th March 2019 Commons Chamber

[Andy Slaughter (Hammersmith) (Lab)]

In a throwaway line during Health questions on Tuesday, the Health Secretary withdrew the Government’s threat to demolish Charing Cross Hospital after seven years. We have been partying in west London since then, but now the hangover has set in. May we have a debate on health service funding, so that the Government can explain how they intend to deal with the £600 million backlog of works at our three local hospitals, the £30 million-worth of cuts to our local NHS this year, and the extra £10 million that we are paying to subsidise the private Babylon GP at hand digital service promoted by the Health Secretary?

[Andrea Leadsom]

I should have thought that the hon. Gentleman would want to celebrate the fact that the NHS has now published its long-term plan, and the fact that a record level of Government funding behind it will enable the NHS to continue to deliver world-class care to patients at every stage of their lives. He is, as I understand it, celebrating the protection of his local hospital, and I am delighted to share in his pleasure, but at the same time he must appreciate that this Government have done more for the NHS than has been done at any time in its history, with the biggest-ever investment. Under this Government, the NHS is surviving and thriving.

Business of the House

Debate between Andrea Leadsom and Andy Slaughter

Thursday 14th March 2019 Commons Chamber

[Andrea Leadsom]

The hon. Lady will know that this Government are absolutely committed to the NHS being free at the point of delivery. That has always been the case. The NHS received its biggest-ever investment following the Government’s latest announcement of billions of pounds more finding. We have Health and Social Care questions on Tuesday 26 March, so she may like to raise the matter directly with Ministers then.

[Andy Slaughter (Hammersmith) (Lab)]

A week ago today, Ayub Hassan, who was 17 years old, lost his life after being brutally stabbed in the street in West Kensington. His death has traumatised his family and the community in White City in which he lived, and a 15-year-old boy has been charged with his murder. Tackling the scourge of knife crime across our country is both urgent and complex, and it will not be resolved by the Chancellor handing back a fraction of the money that has been taken from the police. When will the Government bring forward a comprehensive and adequate response to knife crime?

[Andrea Leadsom]

The death of any young person is tragic, and for it to happen through such horrendous and violent means is totally unacceptable. The hon. Gentleman will appreciate that my right hon. Friend the Chancellor provided an extra £100 million in his spring statement yesterday for urgent action to be taken by police and crime commissioners—a specific intervention to help the situation now. The Government have an enormous range of different interventions to try to tackle the bigger problem of young people getting into gang membership and a life of crime, including £970 million of extra investment in the policing system next year, the serious violence strategy, and the establishment of a serious violence taskforce. We are also bringing through the Offensive Weapons Bill to make it harder for young people to get into a life of a crime, and we are investing significant sums in local community initiatives to try to get young people away from the attraction of joining gangs and carrying knives. The Government are committed to tackling the problem at every level.

Business of the House

Debate between Andrea Leadsom and Andy Slaughter

Thursday 10th January 2019 Commons Chamber

[Andy Slaughter (Hammersmith) (Lab)]

On new year’s eve, 40 people were arrested at a flat in Fulham in my constituency, following a serious knife attack nearby. The police told me that the flat had been rented out on an Airbnb-style let and then used for a party that attracted people from a wide area. The Government deregulated Airbnb lets in London; may we have a debate on re-regulating them to stop properties in residential areas being turned into hotels and hostels and, increasingly, becoming the focus of antisocial and violent behaviour?

[Andrea Leadsom]

I was not aware of the incident raised by the hon. Gentleman, but it sounds extremely concerning. I encourage him, perhaps in the first instance, to seek an Adjournment debate so that he can describe the exact incident that took place and hear Ministers’ direct response.

Business of the House

Debate between Andrea Leadsom and Andy Slaughter

Monday 10th December 2018 Commons Chamber

[Andrea Leadsom]

I always listen very carefully in this place, and I will continue to do so. I simply do not agree with the hon. Gentleman. I think it is essential that we bring back a withdrawal agreement that Members can support.

[Andy Slaughter (Hammersmith) (Lab)]

The Government have, in the middle of the debate, pulled the most important business this House has debated for a very long time. That is extraordinary. More extraordinary is the fact that the Leader of the House has given no indication about when the debate will be resumed. “As soon as possible” is not good enough when the futures of millions of people in this country, particularly EU nationals, depend on it. If she will not give us a day or a week, will she give us a month when the debate will take place?

[Andrea Leadsom]

The hon. Gentleman will appreciate that the Government are under a statutory obligation to have the deal approved via a motion in this House. Without such approval, the Government would legally be unable to ratify the withdrawal agreement. In order to bring forward the legislation that would enable us to enter into that withdrawal agreement, we will need to make that as soon as possible, so he can rest assured that that will be the case.

Business of the House

Debate between Andrea Leadsom and Andy Slaughter

Thursday 18th October 2018 Commons Chamber

[Andrea Leadsom]

I join the hon. Lady in paying tribute to the Civil Nuclear Constabulary. Having been an energy Minister myself, I have met some officers so I know that they take high risks and have to be very carefully trained. It is important that we recognise the fact that people are living longer and that public sector workers are all working for longer periods. Some of these officers are redeployed into other areas as they reach the end of their working lives, but the hon. Lady may well wish to raise the matter directly with Ministers at the Department for Business, Energy and Industrial Strategy. If she wants to write to me, I can take it up with them on her behalf.

[Andy Slaughter (Hammersmith) (Lab)]

There are fresh reports in the press today about contamination of Pret a Manger products—in this case, seafood, which can be a serious allergen in vegetarian flatbread. These serious breaches of safety have killed people, including my constituent Natasha Ednan-Laperouse, but nothing is happening in Government. We have been told there is a review, but can we have a statement from the Secretary of State for Environment, Food and Rural Affairs about what is being reviewed, the terms of reference and when it will report, before more people die?

[Andrea Leadsom]

First, may I say how sorry everybody was to hear of the death of the hon. Gentleman’s constituent. It was a terribly tragic event, and we send our deepest sympathies to her family. He is right to raise the importance of the accuracy of food labelling. I believe a statement was made at the time, and we have just had DEFRA questions, at which I hope he was able to raise this directly with Ministers. If he wants to write to me, I can take it up with them on his behalf.

Business of the House

Debate between Andrea Leadsom and Andy Slaughter

Thursday 12th July 2018 Commons Chamber

[Andrea Leadsom]

The hon. Lady is absolutely right to raise the importance of sport, particularly this week. Hopefully, we will not just be sitting on our sofas watching it, but getting up and taking part in it. She is right that, in schools, sport, as well as an active lifestyle, is absolutely key, and I hope that she will be looking carefully and feeding into the Government’s obesity strategy as we come forward with the next phase.

[Andy Slaughter (Hammersmith) (Lab)]

GP at Hand, a partnership between GP surgeries and Babylon, a private company, is distorting the primary care system not only in my constituency, but across London, according to the British Medical Association, by using a loophole to sign up tens of thousands of mainly young and elderly people from across the region for online medical services, thus leaving other GPs to deal with more complex and expensive conditions. May we have a debate on private sector involvement in the NHS where this puts profit above patient care?

[Andrea Leadsom]

The hon. Gentleman raises what sounds like a very concerning case, and he is right to do so. I encourage him to seek an Adjournment debate so that he can raise his specific concerns directly with Health Ministers.

Business of the House

Debate between Andrea Leadsom and Andy Slaughter

Thursday 19th April 2018 Commons Chamber

[Andrea Leadsom]

I am not aware of that freedom of information request, but I encourage the hon. Gentleman to raise it at Defence questions—it is only on Monday, so it is not too long to wait—so he can raise it directly with the Secretary of State.

[Andy Slaughter (Hammersmith) (Lab)]

May we have a debate on the “really hostile environment” the Prime Minister has created for migrants to the UK? Almost half of my constituents were born outside the UK. Many face harassment by the Home Office, and 40% of my EU citizens report negative experiences following the Brexit vote. It is not only the Windrush generation but more recent migrants who are suffering victimisation and discrimination by this Government.

[Andrea Leadsom]

This country is incredibly welcoming to immigrants. We have one of the broadest ranges of people coming to this country from across the world to make their life here. This country is, in fact, very welcoming to immigrants. The Prime Minister herself has carried out the first ever race disparity audit to look at the areas where integration has been more difficult and to take action in those areas. I simply do not recognise what the hon. Gentleman is saying about the Government’s policy.

Business of the House

Debate between Andrea Leadsom and Andy Slaughter

Thursday 29th March 2018 Commons Chamber

[Andrea Leadsom]

The hon. Lady is right to raise that issue in the House and I hope that she was pleased, as many were, to hear that there would be new sentencing arrangements. There are Transport questions on 19 April, in the first week back after the recess, and I encourage her to seek an answer then.

[Andy Slaughter (Hammersmith) (Lab)]

As the Government have plenty of time and no legislation, may we have a full day’s debate in the Chamber on the response to the Grenfell Tower fire? This week we learned that 95 families from blocks around Grenfell are all still in emergency and temporary accommodation and that dangerous cladding has been removed from only seven of 160 social housing blocks around the country. That is an appalling record for which the Secretary of State for Housing, Communities and Local Government is responsible. He needs to come here and give an account of himself.

[Andrea Leadsom]

It is absolutely clear—this has been made clear in every single statement—that the Government are determined to do everything possible to support the survivors of that appalling tragedy and to ensure that they can carry on with their lives. My right hon. Friend the Secretary of State gave his last statement on 22 March, which was a regular update on progress in dealing with the Grenfell disaster. The hon. Gentleman will be aware that the rehousing process must be very sensitive to the needs and requirements of the families concerned; it cannot just be about ensuring that they are placed regardless of their needs. The Government are determined to provide every support that we possibly can.

Business of the House

Debate between Andrea Leadsom and Andy Slaughter

Thursday 25th January 2018 Commons Chamber

[Andrea Leadsom]

The hon. Lady raises an important constituency issue. If she wants to write to me about it, I will happily take up that specific case with the relevant Minister on her behalf. This is the sort of issue she should raise at the next Question Time opportunity.

[Andy Slaughter (Hammersmith) (Lab)]

I am still waiting for an answer to my question on what caused the Grenfell Tower fire, which I was told was imminent last autumn. Not for the first time, the question has outlasted the Minister of whom it was asked. Can we hear from Ministers in the Department for Business, Energy and Industrial Strategy about fire safety, especially that of domestic appliances? Last Sunday they announced a new Office for Product Safety and Standards, which appears to be just a new name for business as usual.

[Andrea Leadsom]

I say again that we continue to be appalled by what happened at Grenfell. The hon. Gentleman will be aware that we have been working since then to make sure that people living in high-rise buildings are safe by carrying out a series of checking and testing, which includes identifying ACM—aluminium composite material—cladding and larger-scale tests to establish how different combinations of cladding and insulation materials behave in a fire. The rules on fire safety are being reviewed, and he is right to raise the importance of this issue.

Business of the House

Debate between Andrea Leadsom and Andy Slaughter

Thursday 18th January 2018 Commons Chamber

[Andrea Leadsom]

I am very happy to pay tribute to Kettering General Hospital for those excellent results. We should all be proud of the Government’s target of better results for cancer patients overall.

[Andy Slaughter (Hammersmith) (Lab)]

I am delighted that, as the Leader of the House said, the Government will tomorrow support the private Member’s Bill promoted by my hon. Friend the Member for Westminster North (Ms Buck) on the fitness of housing for human habitation, especially as it represents a damascene conversion from their previous stance. Will the Government also support my private Member’s Bill on the extension of the Freedom of Information Act to private sector companies that undertake public sector contracts? Such an extension might have alerted us sooner to the chaos at Carillion that both the company and the Government kept to themselves for too long.

[Andrea Leadsom]

I am certainly happy to look into what the hon. Gentleman says. He will appreciate that private Members’ Bills are exactly that and that it is for the Member to seek support from right hon. and hon. Members from all parties. I wish him luck in doing that.

Business of the House

Debate between Andrea Leadsom and Andy Slaughter

Thursday 7th December 2017 Commons Chamber

[Andy Slaughter (Hammersmith) (Lab)]

When are we going to have a statement on the rights of EU nationals, particularly Irish citizens, many of whom have lived in this country for decades? Even if the Government cannot sort out anything else on EU withdrawal, please may we have a statement on this matter, which is causing anxiety to millions of people?

[Andrea Leadsom]

I am surprised to hear the hon. Gentleman seek that reassurance. The Prime Minister has made it very clear on numerous occasions, including in her Florence speech, that all EU citizens will be able to carry on living their lives as before. We have committed to incorporating our agreement on citizens’ rights fully into UK law.

Business of the House

Debate between Andrea Leadsom and Andy Slaughter

Thursday 7th September 2017 Commons Chamber

[Andrea Leadsom]

It is a very important point to make that it is horrible to see any abuse of individuals, particularly those with disabilities, and I absolutely encourage the hon. Gentleman to seek an Adjournment or Westminster Hall debate on that subject.

[Andy Slaughter (Hammersmith) (Lab)]

It was clear from this week’s statement on Grenfell that little progress is being made, especially on rehousing residents, so may we have weekly reports to the House until further notice, to concentrate Ministers’ minds on this issue?

[Andrea Leadsom]

I think that is really very unfair: Ministers have been very focused on trying to alleviate the suffering of those victims of Grenfell. The Secretary of State, the Prime Minister and others have come before this House many times to update. What they have not wanted to do is force residents into accommodation that those residents do not wish to take. The offers have been made, and there is a total focus on ensuring we do everything we can for those people.

Business of the House

Debate between Andrea Leadsom and Andy Slaughter

Thursday 22nd June 2017 Commons Chamber

[Andrea Leadsom]

I appreciate the hon. Gentleman’s concern on this point. I suggest that it would be a very good candidate for an Adjournment debate, at least in the first instance.

[Andy Slaughter (Hammersmith) (Lab)]

On the matter of tower block cladding raised by my hon. Friend the Member for Kingston upon Hull North (Diana Johnson), it is not just about flammability and the type of cladding, but how it is fitted, whether it has been compromised by later alterations, and whether it is compatible with the existing structures. This morning the Prime Minister was clearly struggling with that issue and who was going to enforce this and pay for it. May we have a full statement on those specific issues of fire safety, because nothing is more important now than the safety of the hundreds of thousands of people living in tower blocks?

[Andrea Leadsom]

Yes, I completely agree with the hon. Gentleman that nothing could be more important than getting to the bottom of this. I think he will agree that the Prime Minister has made it very clear that she is herself committed to absolutely getting to the bottom of all these questions. I cannot answer the specific points that he raises, but I can assure him that everything that could possibly be done is being done to understand whether it was a problem with the type of cladding or the way it had been fitted, and so on. The Prime Minister has also confirmed that all similar types of high-rise building are being inspected. I hope that the hon. Gentleman will appreciate that there is a lot of work going on. We all have thoughts on what more needs to be inspected, but the Prime Minister is personally committed to ensuring that we do everything possible to get to the bottom of this.

Air Quality Strategy

Debate between Andrea Leadsom and Andy Slaughter

Monday 24th April 2017 Commons Chamber

[Andrea Leadsom]

I hope that my right hon. Friend has an electric lawnmower to go with his electric buses. He will be aware that, in the autumn statement, the Chancellor announced £150 million to support low-emissions buses and taxis—including support for retrofitting buses and for boosting the UK retrofit industry—to ensure that wherever I go in the country, I will be able to breathe deeply and enjoy the non-fumes from new, low-emission vehicles. This is incredibly important and it is this Government who are taking action.

[Andy Slaughter (Hammersmith) (Lab)]

The Secretary of State might have met the Mayor of London, but it is he who is taking action on air quality while her Government sit on their hands. Does she agree with Sadiq Khan that this is the biggest environmental crisis of our time? If so, will the Government review one of their worst environmental decisions—to build a third runway at Heathrow?

[Andrea Leadsom]

The hon. Gentleman is exactly wrong to say that this Government have not taken action. I have given countless examples of how we are taking action. We have recently issued more than £3.5 million of grants to particular councils for particular projects. It is this Government who are taking action. As I have made clear, we have seen significant reductions in all five of the major pollutants in recent years. In answer to the hon. Gentleman’s point about the expansion of Heathrow, that will take place only provided that the air quality can be ensured—

[Andy Slaughter]

That is never going to happen.

[Andrea Leadsom]

Well, those plans have not yet come forward.

High-Speed Rail

Debate between Andrea Leadsom and Andy Slaughter

Thursday 31st March 2011 Westminster Hall

[Andrea Leadsom]

I agree with my hon. Friend that it is very unusual for us to disagree. The reality is that we all share the same goal: to regenerate our economy and to provide good value for money to the taxpayer. What we are arguing about is how we achieve that. Surely my hon. Friend would agree that HS2 is not the only possible means by which to achieve that regeneration. We have to look at what gives us the best value for money.

Up to 70% of the new jobs created by HS2 will benefit London, where Old Oak Common is believed to be the best location for regeneration. I am sure that many hon. Members across the House do not feel that regeneration benefits to London represent good value for money. In fact, research on capital expenditure in the wider economy suggests that the cost of creating one job in the first phase is about four times the cost of capital expenditure in the wider economy. Again, I urge the Department for Transport to consider whether the project will create jobs. Would it be better to spend the money elsewhere and get four times the number of jobs in the wider economy?

[Mr Andy Slaughter (Hammersmith) (Lab)]

The hon. Lady is falling into the trap into which she said she did not want to fall—the north-south divide. In the ward in my constituency where the interchange will be based, just over half the working-age population are currently in employment. Investment in employment is needed in large parts of London, and in the south as well as the north, and she should perhaps have regard to that.

[Andrea Leadsom]

I thank the hon. Gentleman for his comments. Of course, he is absolutely right, but one of the key advantages that is talked about by those who advocate HS2 is the regeneration potential for the north of the country, and the scheme’s contribution to rebalancing our economy between the north and the south. I am sure he will agree that while there are benefits to regeneration in some desperate parts of the south as well, HS2 will not provide the regeneration in the north that is claimed for it.