Austerity: Life Expectancy

Chris Ruane Excerpts

Wednesday 18th April 2018 Westminster Hall

[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.

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

I congratulate my hon. Friend the Member for Sheffield, Heeley (Louise Haigh) on securing the debate. The issue of stalling life expectancy, and indeed of falling life expectancy in some areas, is very serious. The hon. Member for South West Bedfordshire (Andrew Selous) talked about living within our means, but people in my constituency are dying early without their means.

We must reach out across the party political divide on this issue, because the constituencies affected are in poorer areas of the country, as has been mentioned, but they are not anomalies; many different parts of the country are affected. I will give an example. Life expectancy for females at age 65-plus has fallen over the past five years by 0.8 years in Stevenage and by 0.6 years in Cheltenham. Life expectancy for males at birth has fallen in my county of Denbighshire by 0.6 years and by 0.9 years in Bromsgrove. This issue affects a great many of our constituents, across the political divide and across the country. There must be the political will for us to understand the root causes of what has resulted in this debate.

[Peter Kyle (Hove) (Lab)]

Does my hon. Friend agree that what is responsible for this situation is not just the restraint in spending, but the way in which spending restraint and austerity have played out on the frontline? The issue is the withdrawal of mental health services for people living at home. It is the teaching assistants who have all but been removed. In particular, it is the impact on services that help people to stay at home and manage conditions and the cuts to frontline policing that have led to the evisceration of not just life chances, but life expectancy itself.

[Chris Ruane]

I agree. All those issues are part of the mix as to why we are seeing a decrease in life expectancy. It is a complex issue that needs further inquiry.

[Nick Smith (Blaenau Gwent) (Lab)]

Will my hon. Friend give way?

[Chris Ruane]

I am afraid that I must move on, because I have been getting eyes from the Chair and I do not want to upset Mr Paisley.

The Government have said that the situation is a blip because of flu or the cold weather. The Department of Health has seemed to downplay fears about life expectancy, pointing out that smoking rates have gone down and cancer rates have gone down, but that is all the more reason to be worried. If those indicators are going down and life expectancy is going down, what is causing that? Those are good indicators, but there are some bad outcomes for certain people in certain areas.

A report by Professor Martin McKee, whom I had the pleasure of meeting yesterday, notes that the most recent period

“has seen one of the greatest slowdowns in the rate of improvement”

in life expectancy

“for both sexes since the 1890s”.

The relative data on life expectancy today is comparable to a time before workers’ rights, advancements in medicine and technology, and the welfare state. That slowdown, as reported by the Office for National Statistics last July, shows that the increases in the previous period, before 2010, meant that for every five years that a woman was living, she could expect to live one year extra. Now it is the case that for every 10 years that a woman is living, she can expect to live one year extra. The rate has been halved.

Let me add to those figures some of my own, which I received through parliamentary questions that I tabled in January. Between 2009-11 and 2014-16, 19.8% and 20.3% of local authorities reported a decline for females at birth and at 65-plus respectively. There are certain areas of the country, certain demographics and certain genders—women—who are feeling this the most. That is no surprise, because 80% of the austerity cuts made since 2010 have fallen on the shoulders of women. The link between life expectancy and cuts to social care budgets has already been highlighted.

The hon. Member for South West Bedfordshire mentioned Scotland. I do not want to stick up for the Scots: they can do a good job themselves, especially the hon. Member for Central Ayrshire (Dr Whitford), with her medical background. However, there are national and regional variations within the United Kingdom. If we look at local authorities in England, we see that 22% of them have seen a decrease in life expectancy.

[Ian Paisley (in the Chair)]

Order. Could the hon. Gentleman draw his remarks to a conclusion?

[Chris Ruane]

In Wales and Northern Ireland the figure is 18%. In Scotland it is only 6.2%. In the north-east of England, 27% of local authorities have seen a decrease in life expectancy. There are regional differences. What we can draw from that is that where there has been devolution and kinder, gentler Administrations, there has been a less sharp decline.

Hope is a powerful motivator in the way we make decisions. Messages of hope won historic victories for my party in 1945 and 1997 and denied the current Government their majority last year. What the Conservatives proposed at the last election, after seven years of austerity, was another 10 years of austerity. There is learned helplessness out there. People are sick and tired, and they are dying because there is no hope. They have lost income—£2,000 for most people and £5,000 for teachers. Austerity is biting, not just in medicine but in social care, and affecting mental health and physical health. In the short time I have left, Mr Paisley, it is worth noting—

[Ian Paisley (in the Chair)]

Very little time.

[Chris Ruane]

There is very little time, so I will draw my comments to a close by saying that Professor Martin McKee and other academics, from Oxford and other universities, want the Health Committee to have an inquiry on this issue. It is complex. I have mentioned some of the causes, and other MPs, from both sides of the Chamber, have mentioned some of the other causes of the decline in life expectancy. It is a complex mix of issues and deserves an inquiry by the Health Committee.