Baroness Hayman of Ullock Portrait Baroness Hayman of Ullock (Lab)
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My Lords, this group is made up of two of my amendments, Amendments 213A and 312L. The first is a probing amendment, designed to ensure that local planning authorities must consider what facilities are needed to provide the necessary health and social care facilities for their area, including for those with a terminal illness. My second amendment builds on this to ensure that local planning authorities must regularly survey the health and social care requirements for their area when considering any future development requirements.

We know that an ageing population is increasing the demand for specialist health and care services within local communities. We also know that demand for palliative and end-of-life care is rising rapidly as our population ages. In the next 25 years, the number of people aged 85 years and over in the UK will almost double. We heard some figures around the need for housing for the elderly in previous debates, so this issue covers various aspects of how we plan for the future. In areas such as mine, in Cumbria, where we have what is known as a super-ageing population, there are even more stresses on local authorities and services to provide.

Because of this ageing population, by 2045 there will be over 136,000 additional deaths per year in the UK, compared with projections for 2023. So the demand for palliative care and end-of-life services will increase, particularly due to the larger numbers of people living longer with multiple and complex health conditions. It is absolutely critical that every person at the end of their life receives the care and support they need so that they can live the end of their life in dignity.

Marie Curie has provided some very helpful information, and I thank it for its briefing on this matter. It has estimated that, if palliative care capacity does not increase in line with projected increases in mortality, as many as an additional 14,000 people may die each year without palliative care by 2030, and as many as 86,000 additional people may be in the same position by 2040. In contrast, if capacity in the palliative care system grows to reflect this ageing population, as many as 77,000 more people every year could receive the specialist palliative care they need at the end of their lives. It makes a huge difference to how people can get the support and dignity that they need, as well as support for families in that difficult time.

We know that access to medicines out of hours can be complicated and time-consuming. For example, when Marie Curie surveyed areas in its report on better out-of-hours care, it found that only 25% of areas had a pharmacy open throughout the night that was able to dispense palliative medicines, and 68% of areas had only partial availability of healthcare professionals who were able to administer palliative medicines at night. More facilities within local communities could also relive pressure on the acute sector. Reducing unplanned admissions would reduce pressure on NHS hospitals—and we know how incredibly important that is at the moment with the extra pressures that the NHS is feeling. We know that there are around 5.5 million bed days occupied by people in the last year of life, just in England. The total cost of those admissions to the NHS is more than £1.2 billion. There are huge opportunities to improve life for people and end-of-life care, as well as to support our NHS in the work that it does.

To look at the importance of reducing health disparities for end-of-life care, the introduction of the Health and Care Act 2022 created the first ever duty for the NHS to commission palliative care services in every part of England through integrated care boards. That is very welcome—we know how important they are to local communities and families. However, we need to ensure that local planning authorities identify and allocate land and sites to help health commissioners to deliver the joined-up health and care services that we need within local community settings. By 2030, one in five people in the UK will be aged over 65 and the number of people receiving palliative care services is projected to increase from 47% of all deaths to 66% over the next decade. That is almost a 20% increase.

At the same time, the nature of care need is also changing, with an increasing proportion of people dying at home or in a care home. This will again lead to growing pressure on primary care, social care and the local community. Too many people already miss out on the care and support they need towards the end of their life, particularly those from disadvantaged groups. The most recent estimate suggests that in England, up to 25%—a quarter—of those who need palliative care are not receiving it. Out-of-hours emergency department attendance increases in frequency as death approaches. It is between five and eight times higher in the month before death than at 12 months before death. It is also more common among people living in the most socioeconomically deprived areas.

Marie Curie and others have carried out research that indicates that certain groups face particular barriers in access to palliative care, including people who are living in poverty, living alone or living with dementia, as well as people with learning difficulties, those who are homeless, those who are in prison, those from minoritised ethnic groups and LGBTQ+ people. There is much to do in this area. I know it is quite a specific area to put into the Bill, but I hope that by putting these amendments forward we can have a proper debate on something that is very important to our society. I beg to move.

Baroness Pinnock Portrait Baroness Pinnock (LD)
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My Lords, the noble Baroness, Lady Hayman of Ullock, has raised a very important issue about end-of-life care and how the planning system can be encouraged to prepare for the needs that will arise in the not-too-distant future. It is an argument that we on these Benches absolutely support; I will just expand it ever so slightly by saying that whenever there is a big allocation for a housing site, local residents immediately say there will be a huge pressure on primary healthcare—GP services. Although the community infrastructure levy enables planning authorities to try to extract some funding from the levy for improvements to primary healthcare services, it is often not that possible when there are so many other big demands placed on the levy—highways infrastructure, education, outdoor play space and so on.

Often, certainly in my part of the country, where house prices and land values are lower, the levy is therefore also lower and is unable to support the development of essential provision for primary healthcare. It is an area that I guess we may want to explore when we get to discussion about the replacement of the community infrastructure levy. I thought I would raise it now, in this context, because whichever of the Front Bench team is responding may be able to give me an answer. With that, I clearly support the amendments.

Earl Howe Portrait Earl Howe (Con)
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My Lords, the two amendments in this group, Amendments 213A and 312I, tabled by the noble Baroness, Lady Hayman of Ullock, look to ensure, as she explained, that local planning authorities should consider the health and social care facilities needed for their area when considering future development. I am sure that we can agree that it is important to ensure that we have the right health and social care facilities in place where they are needed: that is why this is already a consideration as part of planning policy, guidance and legislation.

The National Planning Policy Framework is clear that when setting strategic policies, local planning authorities should set out an overall strategy for the pattern, scale and design quality of places, and make sufficient provision for community facilities, including for health infrastructure. The Government have set out in planning guidance how the need for health facilities, as well as other health and well-being impacts, can be considered as part of the plan-making and decision-making process. Plan-making bodies will need to discuss their emerging strategy for development at an early stage with directors of public health, NHS England, local health and well-being boards, and sustainability and transformation partnerships/integrated care systems, depending on the local context and the implications of development on health and care infrastructure. The National Planning Policy Framework must, as a matter of law, be given regard to in preparing the development plan, and is a material consideration in planning decisions.

We have also set out, in the consultation on reforms to national planning policy, that we are intending to undertake a wider review of the NPPF to support the programme of changes to the planning system, and, as part of this, we will consider updates needed to reflect the importance of better environmental and health outcomes. In addition, as part of the new infrastructure levy system, local authorities will be required to prepare an infrastructure delivery strategy. This will set out the local planning authority’s priorities for spending levy proceeds.

Section 204Q(11) requires levy regulations to determine the consultation process and procedures that must be followed when preparing an infrastructure delivery strategy. This can include which bodies must be consulted in order for charging authorities to determine their infrastructure priorities for spending the levy. Such bodies could include integrated care boards to ensure that health infrastructure is considered in the preparation of the infrastructure delivery strategy. We can also make provision that integrated care boards must assist charging authorities with the preparation of an infrastructure delivery strategy. That is Clause 93.

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Baroness Bloomfield of Hinton Waldrist Portrait Baroness Bloomfield of Hinton Waldrist (Con)
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My Lords, this group is intended to make minor, technical and consequential amendments to the reforms in the Bill connected to plan making.

Amendment 216A is a minor and technical amendment to Schedule 7. It clarifies an ambiguity in relation to new Section 15CA, to be inserted into the Planning and Compulsory Purchase Act 2004 by Schedule 7 to the Bill. The amendment, which will insert new subsection (3A) into new Section 15CA, clarifies that local planning authorities may be made liable for the costs associated with observations or advice delivered by a person appointed by the Secretary of State under new Section 15CA(3), which in practice will be in relation to the proposed local gateways.

Noble Lords will note that the intention was always that, in relation to remuneration and allowances payable under new Section 15LE(2)(j) in Schedule 7, it should be possible for local planning authorities to be made liable for these costs. This amendment simply ensures clarity as to where liability for remuneration or allowances under new subsection (2)(j) may fall. The position following this amendment will broadly mirror arrangements for other relevant appointments, for example in relation to independent examination of plans and local plan commissioners appointed by the Secretary of State.

Amendments 242A, 242B, 242C, 242D, 242E, 242F, 242G and 242H set out consequential amendments required to various pieces of legislation in connection with our reforms to plan making. Through the reforms to Part 2 of the Planning and Compulsory Purchase Act 2004, as introduced by Clause 90 and Schedule 7 to the Bill, the concepts of “local development document” and “development plan document” will be replaced by

“local plan, minerals and waste plan or supplementary plan”.

Various consequential amendments have been tabled to ensure that these changes to terminology are carried across to other legislation.

Schedule 8 already sets out minor and consequential amendments of this kind. These further changes will be inserted into Schedule 8 and amend various pieces of legislation to ensure that other key legislative provisions would continue to have effect in light of our reforms. These include, for instance, the Local Government Act 1972, the Town and Country Planning Act 1990, the Greater London Authority Act 1999, the Commons Act 2006, the Planning and Energy Act 2008 and the Marine and Coastal Access Act 2009. I beg to move.

Baroness Pinnock Portrait Baroness Pinnock (LD)
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I have a query, and I congratulate the noble Baroness on so carefully explaining the long list of amendments. On the first amendment, Amendment 216A, is that a new requirement for local planning authorities? If so, then surely it should fall under the new burdens agreement between the Government and local authorities and should therefore be funded by the Government.

Baroness Bloomfield of Hinton Waldrist Portrait Baroness Bloomfield of Hinton Waldrist (Con)
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I am told that if it was a new burden, it would be. We do not know whether it is going to be a new burden, but if it were to be a new burden, it would be.

Baroness Pinnock Portrait Baroness Pinnock (LD)
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And if it was not a new burden, it would not be?

Baroness Pinnock Portrait Baroness Pinnock (LD)
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I would be grateful if the Minister could write and let me know.

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Baroness Bennett of Manor Castle Portrait Baroness Bennett of Manor Castle (GP)
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My Lords, I rise to offer Green support for all these amendments. On the amendments in the name of the noble Lord, Lord Holmes, it is worth reflecting that if you design a space, a community or a building that is accessible and welcoming to everybody, that will be a really good building for any person to enjoy. This is the same principle that applies to accessible public transport and many other areas.

I mostly want to speak to Amendment 222 in the name of the noble Lord, Lord Lansley. I commend him both on tabling this amendment and on his excellent introduction to it. He was perhaps reading the mind of the Committee on Climate Change, because he must have tabled this amendment before its report about three weeks ago, which really stressed the nation’s utter failure to prepare for the climate reality that is now already locked in—what is now known in shorthand as adaptation. Another Member of your Lordships’ House, the noble Baroness, Lady Brown, said:

“This has been a lost decade in preparing for and adapting to the known risks that we face from climate change”.


It is very clear that what we should be doing now is making sure that we design, build and deliver buildings, infrastructure and communities that are actually fit for—as the noble Lord said—the next century. To take a practical example of this, the APPG on Wetlands has done a great deal of work and spread the word about how crucial wetlands are. We think about all the issues the Government keep facing all the time on sewage and what is spilling into our rivers and oceans. Sustainable urban drainage systems and just the smallest-scale wetlands—something that I have seen NGOs presenting with—can be a way of enriching biodiversity and addressing the kind of issues that this amendment does. They also create a much more pleasant environment for people and do something to tackle all the issues we have with water distribution in our country.

It is not just the Committee on Climate Change. Yesterday your Lordships’ House gave strong support for the amendment to the Energy Bill saying that we absolutely have to deal with retrofitting—with the adaptation that is necessary for existing homes. That very much addresses this amendment as well.

I will offer one constructive suggestion to the noble Lord, Lord Lansley, and something to think about. We have now got to the stage where pretty much everyone, including the Government, is talking about the climate emergency and about biodiversity in nature. These are just two of the very big issues we face in terms of the planetary boundaries. A year or so back, the Stockholm institute concluded that we have exceeded the planetary boundary for novel entities, which is shorthand for pesticides, plastics and pharmaceuticals. I suggest that the next step—which everyone will be talking about in a few years, but we can get ahead of the curve now—is to say that we need design codes that ensure we are living within all the planetary boundaries, which includes things such as geochemical flows and protecting fresh water: a whole range of issues that come under the planetary boundaries model. If we are indeed to be able to survive and thrive on this poor, battered planet, we have to design to live within those planetary boundaries.

Baroness Pinnock Portrait Baroness Pinnock (LD)
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My Lords, the noble Lord, Lord Holmes, is quite right to raise the issue of accessible and inclusive design. Everyone benefits where design is accessible and inclusive for everyone, so all planners and all local plan strategies should bear that in mind as a prior consideration. The noble Lord has our complete support.

We must say two things to the Government that the noble Lord, Lord Lansley, has said several times today. We need the content of both the National Planning Policy Framework and the national development management plan before we get to Report, otherwise we will have to include in the Bill content that may later appear in either of those two important plans. We cannot operate in this vacuum of lack of knowledge and information about the content of two absolutely fundamental building blocks of strategic planning. We need to keep raising that—I think it was also raised today by the noble Baroness, Lady Taylor of Stevenage—and I hope the Minister has heard the pleas from across the Committee.

Baroness Taylor of Stevenage Portrait Baroness Taylor of Stevenage (Lab)
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My Lords, I thank the noble Lord, Lord Holmes of Richmond, not just for his amendment but for his continued work to ensure that we keep issues of inclusivity at the forefront when considering all aspects of the Bill, particularly planning. Levelling up must relate not just to tackling inequalities between the regions and places in the UK but to ensuring that no group is excluded from opportunities that are open to the rest of us. That is why the amendments in this group are so important.

We absolutely support the principle behind the noble Lord’s Amendment 217 and will definitely support the consideration of observations and advice relating to inclusive design as local authorities go through their plan-making process. But for the sake of practicality, if this amendment is accepted, there may be a need for further guidance about whether local authorities could be exempted on individual developments if they are able to demonstrate adequate reasons for that. I certainly do not suggest that they should be able to do so on many grounds—they would have to be very exceptional circumstances—but if that was not included, there may be examples, such as where heritage assets are involved in the development or something like that, where there would need to be some consideration of other factors. But it is a very good amendment, as is Amendment 302, which is an unequivocal statement, which we absolutely support, to ensure that inclusive design is enshrined in the Bill.

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If Ministers are so impressed with that that they now insist that all those voluntary decisions have to be compulsory, they are putting another inhibition on the required expansion of neighbourhood plans, and they will rapidly push communities back on the defensive. We shall get back to where we were, where the developer proposes and the community opposes, and the whole process will get logjammed again. I believe Ministers should look again at both these provisions, or they may find that the neighbourhood plan goose stops laying the golden eggs of increased housing provision.
Baroness Pinnock Portrait Baroness Pinnock (LD)
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My Lords, my noble friend Lord Stunell is the expert on neighbourhood planning, and there is nothing I can add to what he has just expounded. I also agree with what the noble Baroness, Lady Hayman of Ullock, said. In particular, my noble friend raised important questions about the statement by the Secretary of State last week about future planning proposals that will affect this Bill.

Finally, my Amendment 227 is just an extension of Amendment 231 in the name of the noble Baroness, Lady Hayman of Ullock, about development plans within national parks and areas of outstanding natural beauty. The amendment in my name would enable neighbourhood development plans to limit housing development in those vital areas of the country entirely to affordable housing—and affordable housing in perpetuity—so that there is a stream and supply of new housing in those areas that is appropriate, relevant and affordable, if “affordable” is the right definition. In this case, it means affordable for local people who live and work in those areas; evidence of that has already been given by the noble Baroness, Lady Hayman of Ullock.

Baroness Scott of Bybrook Portrait Baroness Scott of Bybrook (Con)
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My Lords, neighbourhood planning has been a great success story. I went into it with my council, probably at the same time as the noble Lord, Lord Stunell, and it was difficult to begin with, because it was very new and communities did not understand it. What I think is good about neighbourhood planning now is that all that groundwork has been done by many councils across the country, working with many communities. Therefore, for new councils and new communities coming on, I think it is going to be a lot easier as we move forward.

I thank noble Lords, particularly the noble Lord, Lord Stunell, who is obviously a guru on neighbourhood planning, for their support. As I say, I am also fully in favour of it, as can be seen by what has happened in Wiltshire. It has been a great success story; it has given many communities a much greater role in shaping development in their local areas and ensuring they meet their needs.

The Bill retains the existing framework of powers for neighbourhood planning while at the same time providing more clarity on the scope of neighbourhood plans alongside other types of development plan. However, we recognise that the take-up of neighbourhood planning is low in some parts of the country, and we would like to see more communities getting involved. This is why the Bill introduces neighbourhood priorities statements. These are a new tool, and they will provide a simpler and more accessible way for communities to participate in neighbourhood planning.

On Amendment 225 in the name of the noble Baroness, Lady Hayman of Ullock, perhaps it would be helpful if I set out some detail about the intended role of neighbourhood priorities statements in the wider system. A neighbourhood priorities statement can be prepared by neighbourhood planning groups and can be used to set out the community’s priorities and preferences for its local area. The provisions in the Bill allow communities to cover a range of issues in their statements, including in relation to the use and development of land, housing, the environment, public spaces and local facilities.

Neighbourhood priorities statements will provide a formal input into the local plan. Under new Section 15CA of the Planning and Compulsory Purchase Act 2004, inserted by Schedule 7 to this Bill, local planning authorities will be required to “have regard” to them when they are preparing their local plans. This will be tested at examination. While some communities will use them solely to feed into the local plan process, we also expect that they will operate as a preliminary stage to preparing a full neighbourhood plan or a neighbourhood design code. In these ways, neighbourhood priorities statements will feed into the planning process. Furthermore, they may also act as a springboard for other community initiatives outside the remit of the planning system.

Amendments 227, 229 to 232 and 234 deal in different ways with the scope of neighbourhood plans. On Amendments 227 and 231 in the names of the noble Baronesses, Lady Pinnock and Lady Hayman of Ullock, we acknowledge that delivery of affordable housing within national parks and areas of outstanding natural beauty can be a challenge and that neighbourhood plans can play an important role in supporting provision. However, I do not agree that these amendments are necessary. Clause 91 specifies what matters communities can choose to address within their neighbourhood development plans. It does not prevent communities including policies relating to the provision of affordable housing in the plan area. All policies in neighbourhood plans, however, must meet the statutory tests, known as the basic conditions, before they can be adopted, including that they must have regard to national policy.

I draw the Committee’s attention to specific measures we have taken to address this issue. Paragraph 78 of the National Planning Policy Framework sets out a rural exception sites policy. This allows for affordable housing to be delivered on sites that would not otherwise be developed in order to meet specific local need for affordable housing, the majority of which will be required to remain permanently available to those with a local connection. In 2021 the Government published planning practice guidance to further help bring forward more of these sites in future.

Furthermore, I point to our decision to allow local authorities and neighbourhood planning groups in designated rural areas to set and support policies to require affordable housing from a lower development threshold. The threshold can be five units or fewer, compared with the threshold of 10 units in other areas. We will consult on how the small sites threshold should work in rural areas under the infrastructure levy.

I turn to Amendment 229 in the name of the noble Baroness, Lady Hayman of Ullock. Under the reformed planning system, it will continue to be the role of the local planning authority to set a housing requirement number for neighbourhood plan areas as part of its overall development strategy. As under the current system, where neighbourhood planning groups have decided to make provision for housing in their plan, the housing requirement figure and its origin would be expected to be set out in the neighbourhood plan as a basis for their housing policies and any allocations that they wish to make. The allocation of housing has not changed; the neighbourhood takes the planning housing requirement from the local plan. As the noble Lord, Lord Stunell, has said, across the country we have seen neighbourhoods adding to that number rather than taking away from it.

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Baroness Hayman of Ullock Portrait Baroness Hayman of Ullock (Lab)
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My Lords, as I just said when I asked for that clarification, this is a really interesting amendment. One reason I am particularly interested in it is that, not only before being elected to the other place was I a local councillor for some time, but my job was working on major infrastructure development—in my case, particularly in the energy and water industries. So I see this from both sides. There are a number of issues around investment intention and delivery, how developers work with local authorities, how they work with the regulator and how, often, it can be not as straightforward as you would expect to deliver a major infrastructure project in industries such as electricity and water, for example.

One of the reasons I asked about the role of the regulator and how that would work is that an issue we found when developing new projects—for the national grid, for example—was that if you are going to spend a lot of money on large investment projects, you need it to be signed off by the regulator, which needs to agree the need case for that particular investment. The problem is that the need case can change. A project that I was working on stopped and started over and over again for about 10 years because the national grid would apply to the regulator, Ofgem, which would say, “Yes, you need X amount of supply, go ahead and build that pipeline, get your substation sorted”, and so on. We would do all the community consultation and work with the local authority, then 12 months later the national grid would put its financials and the need case to the regulator, which would say, “Well, now this has happened, you don’t need it any more”, and everything would be put on ice.

One of the issues around planning for major infrastructure is how you stop the huge waste of money with all the stopping and starting of projects. I know that this amendment does not particularly look at that, and I know that we will come to NSIPs later in the discussion, but this amendment gives us an opportunity to start considering how we make the development of infrastructure much more efficient and how we make developers, local authorities and their investment intentions work together in a much more constructive fashion during the planning phase.

I welcome the fact that this amendment has been tabled, because these areas are not discussed enough unless you have been involved in this and seen the tripping points and how money is wasted. We talk a lot about how, if a utility provider has to spend money to do something, the money goes on bills, but if things were dealt with more efficiently in the first place, including by the regulator and in the relationship with local authorities, maybe we would save money instead.

Baroness Pinnock Portrait Baroness Pinnock (LD)
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My Lords, this excellent amendment, probing how we link national planning, regional strategic planning and local planning by including planning by private companies whose role is regulated by government, poses a very interesting question. I will give a couple of practical examples.

In my area on the M62 corridor, National Highways —or Highways England, another of the forms it has taken over the years—has a plan to create a link road from the M62 to the M606. To my knowledge, that has been in the local plan for 25 years. It has prevented the development of a brownfield site because of the land that it would take and the consequences that followed from that.

It was in the latest five-year plan from National Highways for its infrastructure, and all of a sudden, having done some costings—I think that was at the heart of it—it suddenly withdrew its intention, within the five-year plan and no further, to create or even begin to plan for that important link road, which, I have to say, has very significant consequences for the whole area. That is because its purpose was to take traffic off what I think is the most congested motorway roundabout in the country, the Chain Bar roundabout at junction 26 of the M62 in West Yorkshire.