Austerity: Life Expectancy

Andrew Selous Excerpts

Wednesday 18th April 2018 Westminster Hall

[Andrew Selous (South West Bedfordshire) (Con)]

I pay tribute to the hon. Member for Sheffield, Heeley (Louise Haigh) for bringing this important matter before the House.

I will start with the economics, because the debate relates to austerity and life expectancy. Government Members would probably talk about living within our means and would put to the hon. Lady the argument that the consequences for the poor and the vulnerable of a country continuing to live beyond its means are very grave. Economic history tells us that when countries lose control of their finances, it is not the well-to-do or the comfortable who suffer, but the poor and the vulnerable. That needs to be put very firmly on the record.

It is also worth noting that the Commonwealth Fund, which is an independent body, last year pointed out that our NHS was the best health system of the 11 different health systems it looked at. If we look at our outcomes on strokes, heart attacks and cancer, we see that they are getting better—there are 7,000 people alive today who would not be alive had we not seen that improvement in cancer outcomes.

Looking at the data across Europe, we see that what is happening in the UK is part of a trend, because life expectancy is also falling in Italy, Spain, France and Germany. Some of those countries spend quite a lot more on health than we do. France and Germany spend one percentage point of GDP more on health than we do, yet they have also seen that downward trend.

[Dr Philippa Whitford (Central Ayrshire) (SNP)]

Will the hon. Gentleman give way?

[Andrew Selous]

I will in a moment. There has been no austerity in Germany, because the Germans live within their means and run a big budget surplus. They have a trade surplus with China. However, life expectancy is falling in Germany as well. We need to look at these wider factors and at the European context. I will now of course give way, with great pleasure, to my former colleague on the Health Committee.

[Dr Whitford]

Does the hon. Gentleman also recognise from the data that there is not a similar fall in life expectancy in the Scandinavian countries and that it is wrong to look narrowly at health services, because the biggest driver in relation to life expectancy is poverty?

[Andrew Selous]

I will come on to those very important public health issues and what we need to do about them, because I care passionately about them, as probably everyone in the Chamber does. As the hon. Lady is from Scotland, it is also worth looking at what is happening there, because Scotland offers free adult social care and spends a higher amount on healthcare per head than England, yet still has a lower life expectancy than England. We need to get those issues firmly—

[Chris Ruane (Vale of Clwyd) (Lab)]

Will the hon. Gentleman give way?

[Andrew Selous]

If the hon. Gentleman will forgive me, I am going to make a bit of progress, because I am mindful of your admonition, Mr Paisley, not to take too long and I want all the Opposition Members to have their say as well.

What do we need to do about this situation? We have 25% more nurses coming into the system—that training has started—and 25% more doctors coming into the system. We will get the social care Green Paper in July; we cannot get it a second too soon. I for one, as a Conservative Member on the Government side of the House, put up my hand: I want to see increased spending on health and social care, probably through a hypothecated tax. I think that is necessary. If we want quality, we have to pay for it.

We also need to consider issues such as obesity, exercise, air quality and housing quality. If we look at the obesity epidemic in our country, we see that it is now the poor who are much more obese than other social groups, and we know what a massive impact obesity has on health through diabetes and so on. We have to do better there. Why are only 2% of journeys in London made by bicycle? In Amsterdam, it is 30%. The children there cycle, there is much less childhood obesity, and that feeds into better health outcomes and better life expectancy. I chaired the Health Committee’s Sub-Committee that looked into air quality. We need to do a lot better on air quality, and we need there to be good- quality housing.

I salute the intentions of the hon. Member for Sheffield, Heeley. She is right to bring this issue before the House. But I would tell her to think of the broader economics and to look at the European comparisons and those important drivers of public health as well.