National Health Service (Amended Duties and Powers) Bill

Debate between Clive Efford and Andy Slaughter

Friday 21st November 2014 Commons Chamber

[Clive Efford]

Absolutely essential. The question for the House is whether that policy issue should be decided by Parliament or the courts. Clause 14 is either unnecessary or essential, depending which set of lawyers ends up being proved correct. We say it should be a decision for Parliament, not the courts. Clause 14 puts the matter beyond doubt.

The public must decide whom they trust with the NHS. Do they believe the Tories who say they will protect it? After all, the Tories said there would be no top-down reorganisation, they said there would be no closure of A and E departments, and they said there would be no closure of maternity units except where local people agreed.

[Mr Andy Slaughter (Hammersmith) (Lab)]

I am grateful to my hon. Friend for allowing me to intervene, in addition to my main function today, which is to provide a cordon sanitaire. [Laughter.] I am very pleased that my name appears on the Bill as one of its supporters because nowhere is it more apparent than in west London what the Tories mean for the NHS. Two A and E departments closed, and within weeks up to a third of patients were not seen within four hours at A and E. Does my hon. Friend agree that unless we get rid of all this Tory legislation, the NHS will not survive?

[Clive Efford]

My hon. Friend is right. Before the election the Tories said that they would seek the agreement of local people in decision making, but in south-east London in 2007 my local health managers published a document called “A Picture of Health”. It was drawn up by doctors, nurses and midwives. They held a conference and reviewed all our services. They came to politicians like me and said, “We want you to behave sensibly. This is about improving the quality of care for patients, but at A and E it is also about saving lives.” Just before a general election, it is quite a thing for people to say, “We’re going to close one of your A and Es.” I differed with the health managers over which A and E should close, but when clinicians come and say, “We can save lives and improve quality of care,” we have to listen.

That is what the Government said they would do. What happened? The then shadow Secretary of State for Health, the right hon. Member for South Cambridgeshire (Mr Lansley), came to the A and E proposed for closure in “A Picture of Health”, marched around the area and told local people, “We’re not going to close your A and E.” What happened then? The Tories got into Government and closed the A and E. In London they put nine out of 31 A and E departments under threat, then they attempted to force the closure of Lewisham A and E. When they were beaten off by local people, they took powers to themselves to close it over the heads of local people.

Now, my constituents who get in an ambulance are handed a leaflet that says, “If you come from SE9 or SE3, you can’t go to the local A and E at the Queen Elizabeth.” Where do they have to go? You guessed it: Lewisham. But Lewisham A and E would not have been there if the Government had had their way. On top of that, the Care Quality Commission has condemned A and Es in our area because of lack of resources and lack of capacity. At the same time the CQC commended the staff for their dedication in keeping the service running, yet the Government would have closed Lewisham A and E. So, what of their pre-election commitment not to do anything over the heads of local people or local health managers?

Do we believe the Tories when they say the NHS is safe in their hands? [Hon. Members: “No.”] To defend the NHS, one has to believe in the founding values that led to its creation. Our NHS treats everyone equally—from each according to their means, to each according to their needs. Are these the values of the party that gave us the poll tax or the bedroom tax, or the party that plunges thousands of disabled people into poverty by denying them benefits and forcing them through an unending cycle of appeals to get what they are entitled to?

Throughout history working-class people have had to fight to assert the undeniable truth that all men and women are created equal. From the very first poll tax rebellions, John Ball asked:

“When Adam delved and Eve span, who was then the gentleman?”

He educated common people that they were all created equal. It is a theme that working-class people have been forced to return to throughout the centuries, whether through Christianity or a political fight for social justice from the Levellers to the Diggers, from Thomas Paine and the Chartists to the trade union movement today. These are the people who fought for the values that created the national health service. There is nothing in our society today that embodies those values more than our national health service. It is these values that cannot be defended by a party that talks about fairness while it justifies the bedroom tax and measures people’s worth. That is not what our NHS does.

This Bill will not solve all the problems in our national health service—it will take a Labour Government to rescue it from a crisis—but it is an essential step in rebuilding our national health service.

Mr Speaker, I do not beg to move that this Bill be read; I demand it be read, on behalf of NHS patients, on behalf of the staff—the nurses, the doctors, the support staff, the carers, the volunteers. On behalf of everyone who holds our national health service dear, I move that this Bill be read a Second time.

Earls Court Exhibition Centre

Debate between Clive Efford and Andy Slaughter

Tuesday 21st January 2014 Westminster Hall

[Mr Andy Slaughter (Hammersmith) (Lab)]

It is a great pleasure to be here under your chairmanship, Mr Crausby, to tell what I hope is an uplifting story about one of the finest cultural institutions in this country, although I am afraid that it has a rather sad twist, which leads to my being here.

I am delighted to see the right hon. and learned Member for Kensington (Sir Malcolm Rifkind) in the Chamber. The better known part of the exhibition centre is in his constituency and I know that he has a strong interest in this matter. I am also delighted to see my hon. Friend the Member for Bishop Auckland (Helen Goodman), the shadow Culture Minister here, which reminds us that this is not just a local or a London issue, but a national issue as well. I look forward to the Minister’s response, because he is not only a great patron of the arts, but a local resident himself and no doubt a user of the exhibition centre. I hope that we will be joined by other hon. Members.

I acknowledge the people from the Earls Court Area Action Group, who are here in substantial numbers in the Public Gallery. They helped me prepare for this debate and, more importantly, they have been stalwart in the defence and promotion of the exhibition centre, since we learned that it was under threat. I thank them for their incredible efforts. I am wearing the badge today, but not the T-shirt. I hope that they will find this debate rewarding.

In providing a brief background to the importance of Earls Court, I could not do better, although I could try, than simply to read the introduction—the long description—on its own website. So I shall read from it for two minutes.

“Earls Court One opened for business in 1937 with the Chocolate and Confectionery Exhibition, and was joined in 1991 by Earls Court Two which still boasts Europe’s biggest unsupported roof span. Earls Court One and Two together have a total 60,000 square metres of event space and add to these facilities the purpose-built conference centre and the Museum Hall party space can boast a venue and a space for every event.

Over the years, the venues have welcomed visitors to shows such as the London Boat Show, the British Motor Show, the Ideal Home Show, the London Book Fair, the Great British Beer Festival and the Good Food Show”,

to which we might add the royal tournament.

“The halls have resounded to performances by world-famous artists such as Madonna, Pink Floyd, Iron Maiden, George Michael, Elton John, Kylie, Rod Stewart, Queen and the Rolling Stones.”

It has

“hosted the BRIT Awards, and sporting events such as boxing and wrestling contests, and some of the country’s largest companies have held conferences, training sessions and…staff parties in”

the venues.

“As the ultimate accolade, Earls Court was selected to be a London 2012 Olympic venue—chosen, according to Lord Coe…for its west London location and excellent transport links.

All of this puts Earls Court at the heart of the communities in which they operate, as the 1.5 million visitors, 15,000 exhibiting companies and 300 events that we cater for every year have a sizeable economic impact—in terms of jobs and expenditure.

A study carried out on behalf of Earls Court and sister venue Olympia London, showed that the two venues together supported £258m of expenditure in their boroughs and over £1.25bn in the London region, and accounted for…over 1,000 jobs in the boroughs and around 12,500 in London.”

The study...showed that one in two Londoners visits the venues every year.”

One could go on and mention the history, even before the centres were built.

[Clive Efford (Eltham) (Lab)]

I have listened to my hon. Friend listing the events. Does he think that it is tragic that we are going to lose this important venue, which was so central to our successful bid to win and host a successful Olympic games and Paralympics in 2012, and that losing it in this way will close off the opportunity for London to host such major sporting events in future?

[Mr Slaughter]

I thank my hon. Friend, the shadow Sports Minister, for his intervention and I am delighted that he has drawn attention to the centre’s importance as a sporting venue.

It is the largest exhibition space in central London and is clearly a versatile space. It has a swimming pool 60 metres by 30 metres available inside it. In its time it has hosted ski runs 100 feet long. It was used in both world wars.

During the construction of Earls Court Two, the new part of the exhibition centre in my constituency, residents put up with some years of pile-driving—I was first a councillor there in the late 1980s—but they knew that a venue was being provided that could rival any other in the United Kingdom and internationally. Its expansion, only 20 years ago, provided jobs for the local community and an unrivalled conference venue. It has hosted operas, rock concerts and the Olympics; it is a venue that cannot be replaced.

I say all that because we are here to praise Earls Court, but we are also here because others wish to bury it. That includes Earls Court’s current owners Capital & Counties, the London borough of Hammersmith and Fulham and Transport for London, which between them own the Earls Court opportunity area—one might call them partners in crime. They are abetted by the planning authorities, which conveniently are also the owners of those bodies in two out of three cases: the Mayor of London and the London borough of Hammersmith and Fulham. They are joined, I am afraid, by the royal borough of Kensington and Chelsea and the Secretary of State for Communities and Local Government in sounding the death knell for the exhibition centre by granting consent to the master plan for the development of the 80-acre site, which will lead not only to the demolition of the exhibition centre but the demolition of 760 high-quality, affordable homes on the West Kensington and Gibbs Green estates and the loss of 550 skilled jobs and a major manufacturing site for Transport for London at the Lillie Bridge depot. Each of those deserves a debate in its own right, and indeed I have previously raised them in the House. They are part of a much bigger plan to destroy Earls Court.

Fixed Odds Betting Terminals

Debate between Clive Efford and Andy Slaughter

Wednesday 8th January 2014 Commons Chamber

[Clive Efford]

We could have a debate about that question itself, because there are many forms of gambling that lead people to become addicts, especially given the rise in online gambling, which has grown into a £2 billion industry over the past few years. It is therefore difficult to extrapolate who is responsible. However, we should do the appropriate research into the impact of FOBTs on problem gambling.

[Mr Andy Slaughter (Hammersmith) (Lab)]

I understand why Government Back Benchers want to deviate from the subject, given that it is about deprivation and targeting poorer communities. There are 136 such machines in my constituency, which is double the number in its prosperous neighbouring constituencies. This is the betting industry targeting the poor.

[Clive Efford]

I certainly think that the machines are an example of Cameron’s Britain, where there is one rule for our constituents and another for the big businesses that run the betting shops.

Accident and Emergency

Debate between Clive Efford and Andy Slaughter

Wednesday 18th December 2013 Commons Chamber

[Mr Andy Slaughter (Hammersmith) (Lab)]

That is a familiar story to all of us. There are four A and Es closing in west London and two major hospitals are changing. Charing Cross hospital will no longer be a major teaching hospital and half the site is being sold off. In its place, there will be a local hospital that provides primary care services. The Tories said that those hospitals were closing under Labour when they were not. They are now going back on their promises. In many cases, direct promises were given on site before the last election.

[Clive Efford]

There is example after example of broken promises. The Conservatives accused people of planning to close hospitals when there was no plan to do so, and then came in and did it themselves.

We have a curious situation. The Secretary of State has been saying, “Crisis? What crisis?” Today, he read out a quote saying that the crisis is behind us. That is a little confusing. Of course, the crisis that he was talking about was a summer crisis. He did not mention that. He presided over a summer crisis. That is pretty unique. I do not think that even Virginia Bottomley achieved a summer crisis, but I could be wrong.

The crisis is of the Government’s own making. The Secretary of State talked about the need for services away from the hospital to protect A and E from being overwhelmed. However, one of the first things that they did was to do away with the 24-hour promise of a visit to the GP. They then introduced 111, which had algorithms and questions that all ended with the advice, “Go to your A and E.” There are now 850 fewer surgeries opening at evenings and weekends, and a quarter of walk-in centres have closed. Talk about reinventing the wheel—the Government are now saying that those are the sorts of things that we need to do. The crisis in A and E is of the Government’s making. It is their decisions that have created the situation.

To return to south-east London, the Secretary of State appointed the trust special administrator to oversee the merger of Lewisham and Queen Elizabeth hospitals. The local authority took on that decision because the powers that the Government took were not within their remit. The Government were challenged in the court and defeated. The Government are now moving the goalposts. Having said before the last general election that there would be no top-down reconfiguration and that they would not enforce closures if the local community did not agree with them, they are taking powers to impose closures on local communities.

In the minute that I have left, I want to say to the Minister that there has been a series of broken promises. It is fitting that a Liberal Democrat is summing up a debate on broken promises on the NHS.

Social Housing in London

Debate between Clive Efford and Andy Slaughter

Thursday 5th May 2011 Commons Chamber

[Clive Efford]

I agree. Buy to let has not been the success that some thought it would be in providing rented accommodation and encouraging people to enter the private rented market; that idea has been consigned to the history books. I hope that we do not go back down that route again.

We need to deal with the problem of the supply of social rented accommodation. I point out to the Minister, before he attacks the previous Mayor of London’s record, that thanks to the last Government’s subsidy, the number of affordable house-building starts in 2009-10 was 16,000. Last year that was down to just over 2,000. This year, 2011-12, the figure is 2,000. From 2012-13 it is zero. I do not know how the Minister will explain at the Dispatch Box how the Mayor of London will hit his 50,000 homes target without building a single home in 2012-13 or 2013-14—unless, that is, the Mayor moves a whole host of Bob Crows. [Interruption.] The shadow Minister, my hon. Friend the Member for Westminster North (Ms Buck), is waving an informative graph at me; coincidentally, I happen to have a copy. It is from the Homes and Communities Agency, and she will no doubt refer to it in her speech. It officially confirms the figures that I gave; they come not from a Labour party press release, but from the Homes and Communities Agency. Boris has clearly failed in his objective and his promise to provide affordable housing for people in London.

Another policy that we must confront is the one that Boris described as “Kosovo-style social cleansing” when it was announced. I have never agreed with him more—but unfortunately, the following week he went on to say:

“My consistent position has been that the government is absolutely right to reform the housing benefit system which has become completely unsustainable. I do not agree with the wild accusations from defenders of the current system that reform will lead to social cleansing.”

Boris says one thing in front of a microphone when the policy is first announced, but he secretly makes those comments at a later date. When the matter is in the media and it is discussed on the 6 o’clock news he appears to stand up to the Government, but after he has been sat on by the Minister and everyone else, he sneaks out a press release a week later saying that he absolutely agrees with their policy—a policy that will result in people on low incomes being moved from large areas of inner London to places outside London where private sector rents are lower.

There have been huge clearances of estates, to which my hon. Friend the Member for Hammersmith (Mr Slaughter) will doubtless refer, as perfectly good council housing, in which millions of pounds has been invested under the decent homes programme, will be knocked down to make way for private luxury developments. The Conservatives just do not get it when it comes to housing. Surprisingly, the Liberal Democrats do not get it either. My hon. Friend the Member for Hayes and Harlington (John McDonnell) made a point about how essential it is that people on low incomes should be able to live in mixed communities across the capital. During the earlier spell of cold weather, my local authority kept the roads clear so that people could get to work. I am sure that that was true, too, of Hammersmith and Fulham, Kensington and Chelsea and other areas.

There is affordable housing in those areas for people who do all sorts of jobs in the local economy, from driving refuse lorries to sweeping the roads and pushing trolleys in local hospitals or even cleaning floors in posh houses in the leafier parts of central London, but those people will have nowhere to live in those communities if the Government continue to pursue their policies. Those people will not be there to do jobs such as stacking shelves in supermarkets. They are an essential part of our local economy, but they will disappear from many of our communities. The biggest effect on the Tories will perhaps be that their cleaning costs will go up, because of the shortage of cleaners, pushing up the hourly rate.

During the crisis in the freezing cold weather, many of us could get to work only because fairly low-paid people in local authorities across the capital got into work early in the morning, driving gritting lorries, clearing roads and so on, so that buses could run and other people could keep the economy moving. Those people are an essential part of our economy. I suspect that they will not qualify, even if they can afford it, for key worker schemes, to buy properties in those areas. They will be forced out by higher rents and the lack of housing benefit designed to support part-time workers who provide essential jobs such as child minding and caring and other roles. Under the policy, they just will not be there.

Social housing is not just a benefit that is means-tested and provided by a welfare cheque. It is an essential part of our communities and economy. To get rid of it in large parts of the capital is a hugely retrograde step that we will all come to regret. Social housing is also essential not just for people on low incomes, but for those who aspire to buy their own homes. We know now that the house lending market has changed—probably for ever, but certainly for a long time. It will no longer be possible to gamble on the future value of a house to borrow 100% of its cost on the understanding that we know that it will be worth more in the future; 100% mortgages are a thing of the past. Any bank or building society will make it clear that no one is lending 100% mortgages any more, and they do not foresee that happening. That means that people will have to be savers for a long time before they can become home buyers. Even people in social housing who aspire to buy their own home will have to save for a long time.

In a study published in October 2010, the Home Builders Federation came to the conclusion that

“In London, first time buyers aged between 22 and 29 cannot pay their rent and save for a deposit—this would cost 10% more than their net monthly income.”

It goes on to state:

“The average deposit across the UK is 230% that of average salaries—almost 300% in London.”

Even if people wanted to become home owners, if they are forced into the private rented sector they can never save enough money to do so. That tells us that affordable rented accommodation is not just about people on benefits or on low incomes, people who lack aspiration or are in a crisis in their lives, but is essential to the future of the housing market, particularly in London where deposits will be high. If we do not provide affordable housing at levels at which people who may aspire to become future home owners can reasonably be expected to save at a decent rate, we are undermining the future of our own housing market. To have a home construction industry in the future, we will be relying on developers of schemes, such as mine in Kidbrooke, where they sell to people not from the local community, not even from the UK, but to business people from abroad. That cannot be right. That is not right for the future of our city, and we should not encourage it.

My final point concerns the social management of council rents and registered social landlord rents in order to create mixed communities. As my hon. Friend the Member for Ealing North (Stephen Pound) said, we have debated that for many years and it has never worked. When I grew up in rented accommodation in Southwark, surrounded by friends who all lived in rented accommodation, we had mixed communities. In those days, under a Labour Government, unemployment was not prevalent. Under the most recent Labour Government we increased employment enormously, and that is the policy that we need to return to, rather than the huge cuts that we see from this coalition Government.

The idea that we cannot create mixed communities because we have social rented properties is something that we should put behind us and never return to. It is not a matter of the tenure, but the people who live there. If we provide employment, we provide mixed communities, whether Bob Crow lives there, the local GP or shop owner, or someone experiencing a temporary period of unemployment. We need a Government who are prepared to stand by people and help to create jobs in those communities and invest in them in order to ensure that we do have mixed communities. They will not be created by flexible rents and social engineering.

[Mr Slaughter]

My hon. Friend has made an important point. I do not believe that the Government now believe their own rhetoric on mixed communities. The estates that Conservative councils are demolishing are mixed communities; mixed communities are made up of rented, owned, freehold and leasehold properties, with mixed income levels. Those estates are being replaced not with mixed communities, but with exactly what my hon. Friend described—ghettoes of the rich. They are properties that are advertised abroad or go for prices far above what ordinary families can afford. That is the future for housing in London. “Mixed communities”—

[Mr Slaughter]

“Mixed communities” is now a euphemism for building the poor out of London.

[Clive Efford]

I could not agree more with my hon. Friend.

It is a fool’s paradise to suggest that we can continue with the policies of the last 20 years or more and just build social housing as a fag end of private sector development. We need to make local authority land available for development, build social housing and create mixed communities by encouraging employment within communities, without messing around with flexible, temporary or probationary tenancies.

That is the way forward for housing in London; it is essential for future generations, whether they aspire to be homeowners or not. Affordable rented accommodation, even in communities where property values are extremely high, are absolutely essential if we are to have a thriving economy and thriving communities in those areas. We need to return to that situation, and I hope that the Government will reconsider their policies on the cuts in housing investment under the Mayor and the cuts to support to new council housing building programmes. I hope that we can start to build the houses that future generations need.

--- Later in debate ---

[Mr Slaughter]

Absolutely. Those areas presented a win-win situation. They maintained buildings that we now value, which some politicians and planners in the ’60s and ’70s did not value, and they also provided good-quality homes in which people could live and bring up their families while enjoying the facilities that most of us take for granted today.

[Clive Efford]

Has my hon. Friend read a book by Professor Peter Hennessy, who is now in the House of Lords? One of the points that he makes in the book is that the soldiers who liberated France after the invasion of Europe found themselves liberating people who were living in better conditions than those of their families back in England. The title of the book is “Never Again”. When those soldiers came back, one of the driving issues in the subsequent election was housing. That led to the era of building the communities and housing to which my hon. Friend has just referred. We have lost that sense of mission, but we need to get it back.

[Mr Slaughter]

I have not read that particular book, but my hon. Friend is absolutely right to make that point. In my constituency, we have what used to be called “homes for heroes” estates that were built after the first world war. There are also 1930s garden estates, such as the Wormholt estate in Shepherd’s Bush. Those are fantastic examples of social housing, but the Tory politicians always seem to overlook them when they are decrying social housing and social housing communities.

Getting back to the subject of housing associations, I am going to read from the “Our history” page on the Notting Hill housing association website. Talking about how the association was set up, it says:

“In 1962…our founder Bruce Kenrick…came to live in Notting Hill in West London. He was shocked by social and financial inequalities experienced by poor and immigrant communities in West London. He later wrote:

‘What struck me painfully was the extent to which people’s problems stemmed from housing conditions. Marriages broke up because one or other partner could no longer stand the strain of living in one room with a stove and sink squeezed into one corner.’

In December 1963 Bruce Kenrick, together with a group of equally committed individuals, formed a new, proactive type of voluntary housing organisation. Notting Hill Housing Trust was born. Within our first year, we had bought five houses and housed 57 people. Within five years, we had become a large presence in west London, housing nearly 1,000 people.”

I shall refer to the Notting Hill housing association later in my speech, in a less flattering light. In those days, however, people aspired to build decent housing for the working poor, and indeed for the ordinary citizens of London.

Twenty-five years ago—I think it was 25 years ago this week that I was first elected as a councillor in the London borough of Hammersmith—we had what we then thought was a housing crisis. Now, however, I think we would be quite grateful for the conditions that obtained then. It was a difficult time. Right to buy under the Thatcher Governments had depleted some of the best social housing stock, and problems of disrepair were growing yearly because of the neglect by Tory Governments and Tory councils of the council housing stock, which was already becoming a feature of the division between the political parties on this issue. Overcrowding was increasingly becoming an issue, too. Even in the mid-80s, however, it was possible to have hard-to-let properties; there was not the same degree of pressure or the same level of market rents or prices that forced people to live in ever-more overcrowded housing.

I have glossed over the period of the Labour Government because it has already been dealt with. I will say, however, that I think it was a mixed record. Decent homes was a good programme, but I am not sure that the voice of London was heard strongly enough in those times. Decent homes became so much of a priority that housing supply, which is such a big issue for us today, did not get a fair crack of the whip. I recall that during some of the years when I was running a local authority, we tried by hook and by crook to build as many socially rented and intermediate homes as we could—and we succeeded as best we could—but housing supply remained a failure overall. I regret that. I believe that the last Prime Minister got it and I believe that the present Leader of the Opposition certainly gets it. Prime Minister Blair, however, did not get it when it came to the importance of housing, not just as a public service but as an important part of the country’s economy.

With that brief history, we come to today. Other Members have mentioned the statistics, which are important. The housing waiting list in Hammersmith and Fulham is the highest I think it has ever been, with 9,361 households—more than 12%—on it, even though it is one of the smallest boroughs in London. Those figures are often manipulated. Over the recess, I spent some days on the public inquiry into the new core strategy —this is how I spend my leisure time—and found the council claiming that there were only 3,000 on the waiting list, which is only a third of the official figures according to the House of Commons Library.

As I look down this list, I notice that the famous Tory boroughs of Kensington and Chelsea, Wandsworth and Westminster appear to have low numbers on their waiting lists—just 4% and 7% of their populations. That is half or even a quarter of the figures for some of the Labour boroughs. It is not because there is no housing stress in those boroughs—on the contrary, there is; they have a worse record on the supply of affordable housing than most Labour boroughs. It is because the lists are manipulated in a most unseemly way. People are discouraged in every way from going on the lists.