David Burrowes
Main Page: David Burrowes (Conservative - Enfield, Southgate)(7 years, 8 months ago)
Public Bill CommitteesThe hon. Gentleman and I have not had the pleasure of serving on the same Committee before, so he will not recognise that I am pulling my punches considerably and have engaged consensus mode for the duration. The Bill’s promoter recognises that because we have been in this position many times before. Yes, my points are party political to the extent that his Government have got so much wrong in the provision of housing supply, particularly for people who need social housing and genuinely affordable housing. That must be addressed, but I have tried to put that in non-party political terms as a fact.
I have gone through, in a short period, a long list of issues that I believe are compounding the housing crisis at the bottom end. I am not sure whether the Minister is in a position to get up and gainsay that—he might have some other points to make in a sparring way. The hon. Member for Mid Dorset and North Poole is correct that there is not a great deal of point in getting into a long tennis match in Committee, but I want to put on record that we cannot pass the Bill with our eyes closed and say, “Once it exists as statute, everything will be resolved.”
I appreciate that the hon. Gentleman is seeking to restrain himself to consensus mode as far as possible, and that he wants to avoid going into issues for later debates and stand part debates. However, although he gave a poke if not a punch to the Government’s record, the autumn statement takes us in the right direction—it included the housing deal for more than £1 billion with the Mayor of London, providing flexibility of tenure and 2,000 accommodation places for those with complex needs. Those are the people who are particularly affected and who we are concerned about. As part of a wider package, that will help to provide the resources to fulfil the duties in the clause.
Order. Before the hon. Member for Hammersmith answers that, I think we are in danger of getting away from the specifics of the clause.
I support the amendment standing in the name of the Chair of the Select Committee. I had a similar amendment on the duty to co-operate between public bodies and local authorities, which I have not tabled. Both amendments would effectively have done the same thing.
Co-operation is important, but it runs both ways. As the Chair of the Select Committee has indicated, it is important because local authorities cannot achieve the objectives of the Bill on their own. Let me give an example that I came across last Friday: I spent the morning visiting the in-patient mental health unit in my constituency, where I was told that about a third of the beds there are occupied by people who are ready for discharge but have nowhere to go. In many cases those people will be referred to the local authority. The answer to the question of whether that is new is yes, it is relatively new.
I am not criticising local authorities, but the problem is that whereas they might have previously taken something on trust or accepted that they had a prima facie duty for it, they will now be much more scrupulous or detailed in looking at whether that duty is owed simply because of the demand on their services. They will do that across the board, even when dealing with other public authorities. The net effect will simply be to shift the burden from one part of the public sector to another, with the consequence that people either might not get the best care or might prevent others from getting the care that they need.
Accepting the amendment is absolutely crucial to the proper functioning of the Bill. One would hope that the public sector works in a joined-up way, and that Departments work in a joined-up way, but that is not always the case, so we would do well to give any encouragement to that.
It is a pleasure to take part in the debate. I welcome the intention and principle behind it, particularly because it flows into clause 10; it is just seeing how far it will bite. I particularly welcome the principle of joined-up services—we sometimes get sick of talking about joined-up Government, and it often does not mean that—when dealing with the concerns at the heart of clause 10, which is about trying to ensure that there is better co-ordination and co-operation.
As the co-chair of the all-party parliamentary group on complex needs and dual diagnosis, I make particular reference to complex needs and to those people facing multiple disadvantage, and to the need to ensure that there is real co-operation. The litmus test of clause 10 is the implications of referrals for those with the most need and facing the most disadvantage. There is a particular impact on health: almost twice as many who use homeless services have long-term physical health problems and mental health diagnoses compared with the general public, and the average age of people who die while homeless is 47, which is scandalous.
That particularly comes into play when dealing with those who come into contact with health services in one form or another. Not least, homeless people might struggle to register with a GP because of not having a permanent address. A vicious cycle goes on where they end up in crisis management and in A&E. It is then a further scandal when the intervention that needs to take place at that stage does not. At the heart of the Bill is the fact that early intervention and preventive duties should not just stem from when people come into contact with the housing department. When they are in contact with the health services, and not least when they end up at A&E, that should lead to an intervention and referral, which leads to the co-operation that we want.
St Mungo’s has been on this case for a long time and has drawn attention to it with the “Homeless Health Matters” campaign. Before the Bill, it sought to have a charter that local authorities signed up to so that co-operation happened on an informal level. I believe that clause 10 takes things a huge step further as regards the statutory duty on referrals. The issue is how much further it explicitly needs to go with a mandatory requirement to co-operate across departments.
I also support the principle behind the amendment because, in many ways, it is already happening across Government—regardless of the cynicism that is around. One only has to look at the issue of violence against women and girls, which is a concern that we all share. If one looks at the national statement of expectations published on 7 December, one sees that it is all about co-operation. That comes from the Home Office and has a welcome two-year fund for refuges and other forms of accommodation. There is also all the extra investment in social impact bonds, in which co-operation is very much inbuilt. There are those with complex needs and the multi-agency approach that is used, although often not well enough. Sometimes these things are based around funding streams, and we need to see that happening across the country. The question is whether the duty to refer will help to ensure that good practice does happen across the country.
To home in on women—who are, sadly, some of the most vulnerable and face complex needs—the national statement of expectations from 7 December says:
“To deliver this, commissioners should…consider whether an individual may have complex needs or suffer from multiple disadvantage and, if so, the services in place to manage these…Commissioners should consider how these detect and respond to women’s experiences”
of violence, and ensure that there are services for them. That has come from the Home Office but plainly interacts across all Departments, and there is that expectation that it be delivered. At the end, the statement talks about how local authority, housing and homelessness policies must take account of sexual violence. That is included in the Bill in relation to the duties on advisory services; it is welcome that domestic violence is included, not least because of the work of the Select Committee.
The question is whether the Bill needs to go further in terms of a mandatory requirement for co-operation, or whether this referral will supplement and complement what is now happening to a much greater extent across Government. There is greater recognition and understanding of complex needs. Many of us have talked over the years about multi-agency approaches and joined-up government until we were blue in the face, but sadly these most vulnerable people are not getting what they need and deserve.
My view, which has been a common thread in discussions on the Bill, is that we need to balance doing what we can to ensure that this is a groundbreaking Bill—as I believe it is—that will help to provide greater support, preventive work and co-operation with whether this amendment will provide additional burdens across Government and have unintended consequences. Although it may provide a mandatory requirement—that, in many ways, is already the intention across Government—it might lead to additional financial burdens, which might lead to additional bureaucracy that might get in the way of the local co-operation between services that we want delivered on the ground. I am not convinced. If there is a proper fulfilment of the duty to refer, which may be wrapped up in guidance, having a mandatory co-operation requirement may provide additional undue financial burdens across Government and create bureaucracy that might, sadly, get in the way of what we want to do, which is to co-operate across services.