Rural Phone and Broadband Connectivity

Debate between Bill Wiggin and Jesse Norman

Tuesday 3rd February 2015 Commons Chamber

[Jesse Norman]

There is many a slip between cup and installation of rural cabinet. I know that the Minister will have those boxes firmly in his mind when he responds.

[Bill Wiggin (North Herefordshire) (Con)]

One of the saddest stories I have heard from my constituents in Fownhope is that on Monday mornings they get texts from their children’s schools telling them what matches they should have turned up to on the previous Saturday. It is the failure to provide broadband and a mobile phone signal that is causing the greatest difficulties in my constituency. I hope the Minister will keep the pressure on BT. It is delaying the connections that would enable the use of other types of telephone signal in the absence of sufficient broadband width on which companies could base their rural solutions.

Phone and Broadband Coverage (Herefordshire)

Debate between Bill Wiggin and Jesse Norman

Tuesday 6th January 2015 Westminster Hall

[Jesse Norman]

I thank my hon. Friend for those remarks, with which I concur. I would go further and suggest to colleagues that the ability to communicate is a fundamental freedom, protected in law, which underlies the very basis of human well-being and prosperity. In this digital age, people who are prevented from being able to use a phone or personal computer are in effect being stifled or gagged. They must be allowed the ability to send and receive information without impediment. In Herefordshire, it is not a matter of money; the system just is not available at any price, or at least at any price short of a satellite uplink.

[Bill Wiggin (North Herefordshire) (Con)]

My hon. Friend is making an excellent point. The situation is every bit as bad as he says, because if we cannot get proper broadband, we cannot get the boost to the mobile phone signal, either, so we are caught in a forked stick.

[Jesse Norman]

I absolutely concur with that, too. The point is that the Government need to take this seriously, not only as a matter of policy but as a matter of basic humanity and responsiveness to deep social needs.

Let me summarise the situation in Herefordshire. I will start with the mobile side. We have the fourth lowest overall population density in England and the greatest proportion of its population living in “very sparse” areas of any local authority in England. About 5% of Herefordshire by geographic area has no mobile phone coverage at all. As for partial not spots, according to Ofcom’s UK mobile services data for the year before last, nearly 40% of Herefordshire’s geographical area can receive a signal only from one or two operators. That is the highest incidence of partial not spots in England.

That directly damages public services. I mentioned Welsh Water. Even the Royal National College for the Blind, based in Hereford city, has said that its staff struggle to get a mobile signal when assisting their blind and partially sighted students. Everyone in this Chamber would agree that that is absolutely unacceptable.

Non-league Football

Debate between Bill Wiggin and Jesse Norman

Thursday 4th September 2014 Commons Chamber

[Jesse Norman]

I thank the hon. Gentleman for that intervention. He makes a proposal that has been scouted before but needs to be examined more closely. There is a tie-in to a wider question: should there be a licensing regime for clubs? That is worth exploring.

[Bill Wiggin (North Herefordshire) (Con)]

My hon. Friend is doing a fantastic job in laying out this sad story of mismanagement. Does he agree that the FA’s failure lets down not just football but the people we all represent, the people who go to watch football every week, the people who really care? It is they who have been most bitterly let down. Some of them work for the club and will not receive the money they are owed.

[Jesse Norman]

As my hon. Friend knows, it is likely that many of the creditors, including football creditors, at Hereford United will never be paid. He raises a serious issue. I am not by any means critical of the FA as such; I think that many of the things it does are good. There is a specific issue in relation to the owners and directors test that I want to focus on. Serious concerns exist in that regard.

Cross-border Health Care (England and Wales)

Debate between Bill Wiggin and Jesse Norman

Tuesday 25th June 2013 Commons Chamber

[Jesse Norman]

I am grateful to the hon. Gentleman for that intervention. There is co-operation at the moment between England and Wales, but I think that it would absolutely benefit from further examination of the situation he describes between Northern Ireland and Eire.

The fact that the Welsh Assembly Government Minister for Health and Social Services does not believe that choice is the basis of the health system in Wales means that my constituents do not have the choice of health care, hospitals or consultants that is their proper legal right.

Secondly, the Welsh NHS’s performance in meeting its own waiting time targets continues to deteriorate. In England the waiting time target is 18 weeks, but in Wales it is 26 weeks, and that is regularly missed. Some patients are not even treated within 36 weeks. For example, some 4% of patients are not treated within 36 weeks at Cardiff and Vale hospital, according to recent Welsh Government statistics for April this year.

Thirdly, the current set-up is giving rise to serious clinical concerns. Earlier this year, in evidence to the Silk commission on devolution in Wales, the Royal College of Surgeons, the British Medical Association and the Royal College of Nursing made the following submission:

“The Panel... acknowledged that increasing policy divergence between health services in Wales and England was a challenge, especially in regards to cross-border services. The Panel added that there was a need to strengthen commissioning arrangements to improve current delays for processing individual cases... It was also agreed that it made sense for some specialist facilities to be shared by both England and Wales; and to work together to deliver economies of scale and efficiency savings, including cross border sharing of procurement and use of high-tech equipment.”

However, as I have mentioned, that ban on hospital access for those patients is not merely grossly unfair to them but places further financial pressure on Hereford hospital.

[Bill Wiggin (North Herefordshire) (Con)]

My hon. Friend and neighbour is making an important and powerful speech and should be congratulated on securing the debate. Does he agree that when one has a national border next to one’s county, it should be treated like a coastline, because it is not the Minister’s responsibility to control the health service in Wales? But if we do not have proper funding we will suffer as a result of not only our rurality but our sparsity, and once again people living in the marches will be at a disadvantage. We have the Barnett formula, but should we not have something similar for people on the Welsh border?

[Jesse Norman]

I am grateful to my hon. Friend and neighbour for that kind intervention. I share his view that the situation needs to be addressed, and it needs to be addressed in the spirit of amity and co-operation between the two sides.

In 2009-10 I commissioned an independent study of the funding of public services in Herefordshire relative to other suitable comparators across the country. I was only a parliamentary candidate at the time and such a study had never before been undertaken, but it seemed obvious to me that Herefordshire suffered from a serious shortfall in public funding and I was determined to get to the bottom of the matter. The results were astounding—even frightening. The study found that Herefordshire had been underfunded by no less than £175 million over the previous five years across all public services. In health care, the underfunding was £44 million, or roughly £9 million a year. It is no coincidence, I suggest, that Hereford hospital is currently running a deficit of almost exactly that amount. It is that deficit that is being worsened by the denial of choice to cross-border patients in my constituency and elsewhere.

Why did that funding shortfall occur? The reason is that the NHS funding formula is systematically skewed against areas that are highly rural and have a large population of older people, and systematically favours urban areas with younger populations. The formula does not recognise the relatively high cost of delivering services in sparsely populated areas, as my hon. Friend the Member for North Herefordshire (Bill Wiggin) indicated, and it does not adequately recognise the special costs imposed by caring for older people—particularly the over-85s, the very oldest in our society. Research by Professor Sheena Asthana at the university of Plymouth indicates that the areas of greatest health care need are those with the highest proportion of over-75s. However, the current funding formula is focused on deprivation rather than on need for health care. That means that less funding is available to treat older people with chronic diseases.

Nationally, 17% of people are aged 65 or over. In Herefordshire, the figure is already 22% and pensioners will make up a third of the population by 2030. In 2010-11, Herefordshire had the highest proportion of over-75s in the west midlands, and the most patients per 100,000 on the cancer register.  It also had the lowest cancer spend per cancer patient per year—a little over £5,000—and was in the lower half of the per capita allocations.

By contrast, the Heart of Birmingham PCT had the lowest proportion of over-75s in the region, and the fewest patients per 100,000 on the cancer register.  However, the spend per cancer patient per year there was not £5,000 but more than £10,000—nearly double that in Herefordshire. Thus the effect of the funding formula is that Heart of Birmingham has twice as much funding per cancer patient as Herefordshire, for a much lower incidence of cancer. That is not merely unfair; it is a monstrous injustice.

I conclude by asking the Minister three questions. First, will her Department amend the cross-border protocol and reintroduce patient choice for English residents registered with GPs in Wales? Secondly, will she acknowledge the strain that the protocol places on hospitals such as Hereford hospital? Thirdly, will she press her Department to make the case to NHS England for a fairer funding settlement, which will give older people—not merely in Herefordshire, but up and down the land—the funding for cancer and for other health care that they so richly deserve?

Local Government Finance (Herefordshire)

Debate between Bill Wiggin and Jesse Norman

Tuesday 26th February 2013 Commons Chamber

[Bill Wiggin (North Herefordshire) (Con)]

As the House will know, the Government are set to provide approximately £72 billion of grants to local authorities in England for 2013-14. Despite the enormity of that figure, there is no disputing that overall spending must be reduced. However, even though the cake is smaller—indeed, precisely because the cake is smaller—we must ensure that rural areas such as Herefordshire receive their fair share of funding. For far too long, the historical balance has been tipped against them.

Herefordshire is the fourth most sparsely populated county in England. It is made up of five market towns, villages, remote farms and hamlets, as well as Hereford city in the centre. At 42,500, the number of elderly residents in Herefordshire as a proportion of the population is well above the national average. Just over a fifth of Herefordshire’s population, 22%, is aged 65 and over, compared with just 17% in England and Wales as a whole. Rural sparsity is an expensive challenge for a small county. Costs for transport, social care, schools, ambulances and health services are all pushed up. Yet Herefordshire is not and has not been a well resourced council. The 2012-13 budget figures show that formula grant funding per capita is £311, which is 13% below the national average of £358.

What can we do? The council has just voted to raise council tax by 1.9%, because it feels that with only 1% being given by the Government, if it freezes the council tax it will fall further and further behind over time. I support a freeze in council tax, and I do not agree with increasing it, as that will have a real impact on already stretched household budgets, especially for the retired and those living on pensions. Councillors have made efficiency savings of £21 million since 2011, and a further £9.1 million of savings are due to be delivered this year, and once the fat has been trimmed the pickings are lean. Factor in a below-average level of council tax, alongside a relatively low base, and it is clear that Herefordshire is running out of options. That is a state of affairs with which many of my colleagues representing rural areas will be depressingly familiar.

We know from research that urban authorities receive far greater levels of financial assistance under the current system. Recently, the Government have taken some positive steps towards redressing the balance. Technical adjustments mean that the formula will do a better job of reflecting the additional cost of providing services in rural areas.

[Jesse Norman (Hereford and South Herefordshire) (Con)]

I congratulate my hon. Friend on securing the debate. As the other MP for the glorious county of Herefordshire, may I add my voice to his on the issue of underfunding and draw his attention and that of the House to a study that I commissioned in March 2010? It showed that the cumulative underfunding for Herefordshire in the period from 2005 to 2010, compared with comparable authorities, was £174 million over five years, or roughly £35 million a year, including a shortfall of £85 million in support for Herefordshire council. I commend my hon. Friend for drawing wider attention to the issue of gross underfunding and the important challenge that faces the country and the Government.

[Bill Wiggin]

My hon. Friend and neighbour—it says in the Bible, “Love thy neighbour”, and he is an easy man to love and I know his constituents love him deeply—is absolutely right to be concerned. There is some good news, because on 4 February my hon. Friend the Minister announced that 95 authorities would receive a transitional efficiency support for services in sparse areas grant, of which £531,374 would go to Herefordshire. That and the technical adjustments that I mentioned are excellent news and speak of the coalition’s determination to bring about real change, and let us never forget Labour’s pledge to deliver £52 billion of local government cuts.

There is still work to be done. First, the efficiency support for services in sparse areas funding has been provided for 2013-14 only. A one-off grant cannot be budgeted for in rising to the challenges that rural authorities face when delivering services in geographically sprawling areas. Those are permanent challenges that can, and will, never be completely overcome. It is time to give serious thought to our long-term future.

Secondly, the counterintuitive damping mechanism is undoing much of the Government’s good work to date. There is undoubtedly common sense in promoting stability and protecting councils from violent change. However, there is no logic in freezing the system completely for six years, which benefits only a select few London commuter belt authorities with high house prices. The Government should look again at that time scale.

Under the summer consultation figures, Herefordshire should have benefited from an extra £6 million per annum. No less than 74% of that, or £4.4 million, was subsequently lost through damping. Across the country as a whole, that figure rises to at least £60 million. That is a huge amount. Quite simply, the mechanism is preventing money from being allocated where it is needed. Expectations were raised and sadly dashed. Herefordshire council specifically requested that the Government’s adjustments for sparsity be reflected in cash terms and excluded from the damping or smoothing effect, yet that has not happened. We now face a situation where the rural penalty has been reduced at best by one or two points from 50%, when it really needs to be down to 40%.

It is true that the changes to business rates from 1 April will mean that local authorities can keep 50% of business rate growth. That is designed to increase local employment and income by attracting new businesses to an area. However, while useful, it may be an incentive that urban authorities, with their existing infrastructure, may be better placed to benefit from than rural areas such as mine. I ask Ministers to look again at Herefordshire council’s suggestion. Alternatively, damping could be unwound or the special grant continued until the sums truly add up.

Rural communities have been chronically underfunded for more than a decade. My constituents have faced further blows from rising fuel costs, energy bills and, as has been recently in the news, turbulence for beef farmers. Approximately a fifth of households in Herefordshire live in poverty. The gap between the most and least deprived areas is widening, and there are many deprived areas in the constituency of my hon. Friend the Member for Hereford and South Herefordshire (Jesse Norman) as well. The Government have recognised this need and have risen to the challenge only to be dampened down. I ask my hon. Friend the Minister to look at this again. If he cannot un-dampen or de-dampen in the immediate short term, then can he try looking at the longer term so that councils can budget wisely rather than raise council tax?

In short, I criticise the council for seeking to tax constituents further, but I congratulate it on the savings it has made so far. Our Government have made a mistake by allowing damping to undo their good intentions, and with the long periods of time that these budgets cover, I congratulate and thank my hon. Friend for what he has done to try to help—£531,374 is most welcome. We all know that budgets must shrink and I am not calling for more spending, only a fairer allocation.