(8 months, 2 weeks ago)
Commons ChamberIt is a privilege to speak in this debate today. The points that have been made so eloquently from the Government Front Bench—and will no doubt be raised by other colleagues throughout the rest of this debate—cover in detail the contents of the Budget. I was particularly pleased for Warner Brothers, Leavesden, in my constituency, for the benefits that were provided to ensure that the film industry would thrive in this country. But I wish to concentrate today on productivity, and I will do so by keeping my speech short and by focusing on one particular area of passion for me, which is the support given for technology within the NHS.
The NHS chief executive has acknowledged that significant investment to fund new technology will unlock tens of billions of pounds of savings, but there are particular areas that we need to look at when considering that investment. I refer in particular to the role played by digital and other technology in the health arena. On several occasions, I have been proud to visit the virtual wards and the virtual hospital that the team at Watford General have been developing. That work has been truly groundbreaking. It meant that especially during covid, when this initiative started, patients were able to be looked after in their own home with their family around them rather than being on a ward. From an NHS perspective, that freed up beds and nurses’ and doctors’ time. From the patient’s perspective, they had the comfort of being in their own home while knowing that the technology was there to support them and ensure that they were being monitored and watched with the best possible devices. I have also seen amazing work at Watford General on robot-assisted surgery. As I understand it, this can both lead to quicker healing time and ensure the precision of the surgery. I had the opportunity to use one of the machines a while ago, and its level of accuracy was absolutely incredible.
However, the area on which I wish to focus is the role of artificial intelligence. I have a few asks of the Minister, but I am aware that he may not be able to respond to them, because I appreciate that they fall more within the remit of the Department of Health and Social Care. When we look at digital health, it is important to make sure that we see the benefits of what may come, as well as the benefits that are already here.
Crucially, we need to make sure that, when it comes to the use of AI in healthcare, we are mindful not only of the benefits and opportunities, but of the risks that it might bring. Increasingly, as I see it, one of the risks concerns the digital divide. I ask that, when we put this investment into technology and the NHS, we do not have a growing divide between those who have the ability to use the technology and those who do not. I also ask that, when we are developing these tools, we do not just cut off the ability to provide face-to-face support for those who want it, or stop those who want to go in and see a receptionist face to face. We should use the extra time that is available as a result of some people using technology to provide others with access to face-to-face appointments.
Furthermore, there is a great opportunity here to develop a data donor scheme. I have proposed that before, but I am not sure whether I have done so from these Benches. At the moment, when somebody sadly passes away, they may be able to save other people’s lives through organ donation. However, many of us have Apple watches or Fitbits that collect data every day, which would no doubt be invaluable to AI, or to GPs and clinicians who diagnose and treat various conditions. There is great scope within this investment to look at a data donation scheme. Imagine if each of us could anonymously donate data on our heartbeat or our health attributes when we have taken a new drug and share it with the NHS, so that it could be used as part of clinical trials and research. That could transform the way that we look at curing cancer and improving the health of the nation, but it could also help us to identify potential risks that we may not have seen before. This investment, along with the £100 million that has been invested in the Turing Institute, will provide a great opportunity to look at how we can use AI in a better way.
Another important area is how we educate the public in the use of AI and data. One thing that I am conscious of, and that I have spoken about from these Benches before —[Interruption.] The hon. Member for Na h-Eileanan an Iar (Angus Brendan MacNeil) has just reminded me of my productivity pledge—yes, I am trying to keep to it. We need to make sure that people know when they are using this technology, especially given the rise in chatbots and AI tools that pretend to be human when they are not. It is essential that the public know when such tools are being used. Any Government or any NHS system should have a very clear watermark, note or reminder to let people know that they are not speaking to a human being, but that they are actually using AI. That will help to demystify the use of technology, make people feel more comfortable, and ensure that we inform those who do not want to use it for good reason.
I hugely welcome this Budget. The tax cuts have been essential, and all of us on the Government Benches are keen to make sure that we reduce taxes. I am also keen on all the benefits that we have seen. But we need to make sure that we make the most of technology, see the benefits of it and help the nation to become healthier and happier for it.
(10 months, 1 week ago)
Commons ChamberThat is a point on which we have consensus. It is outrageous that promoters have not been pursued. The all-party parliamentary group has considered and taken evidence on that, and I will certainly continue to push that point in this debate and for the weeks, months and years ahead, in trying to get justice for all the victims of the loan charge and holding to account those who gave that advice, who, I suggest, knew what they were doing.
I thank my hon. Friend for giving way and the right hon. Member for East Antrim (Sammy Wilson) for securing the debate. Does my hon. Friend agree that protecting the coffers of the state should never take precedence over protecting the lives of our constituents?
My hon. Friend makes an incredibly powerful point with which I entirely agree. Part of the ask of this debate and of the all-party parliamentary group on the loan charge and taxpayer fairness is a fair settlement that people can actually afford to pay; that takes into account—dare I say it—reality; and that understands what people actually earn and that they acted in good faith and took the professional advice that I mentioned a few moments ago.
May I join the congratulations to the right hon. Member for East Antrim (Sammy Wilson) on securing this important debate? This is why Parliament exists: we are here to seek redress of grievance from an overmighty Executive who abuse their power. This is a classic example of the state abusing its power through aggressive tax collection.
Why is it that in the Bible the tax collector is seen as the villain on almost every occasion the tax collector is referred to? It is because the tax collector seeks to extract more than is by law allowed. In our system, it has always been the case that the job of the tax collector is to raise the tax set out by Parliament—not a penny more, nor a penny less. It is not for the tax collector to squeeze out extra from people if that was not intended.
We know from this discussion that HMRC did not think there was anything wrong with these schemes early on. How do we know that? As the right hon. Gentleman pointed out, it employed people using these schemes. So we are saying either that HMRC is so incompetent that it has no idea about the basis on which it is employing people, or that actually, because it saved some money, it thought these schemes were licit. The other thing we know is that constituents of ours sent in tax returns acknowledging that they were using these schemes, and HMRC did not question them.
Then, in a panic, worried about the tax receipts that were coming in—2010 is an important date when tax receipts were very low and the country had an enormous deficit—a squeeze gets put on, and that squeeze becomes retrospective. But retrospective legislation is basically unconstitutional except in extraordinary circumstances. Whenever there is any retrospective part of legislation, it has to be specifically approved and cleared by the Attorney General before it can be brought before the House. Why is that? It is to safeguard the constitutional right that people know the basis of the law under which they are operating. That is surely proper, because with retrospective legislation people who have behaved properly and honestly and followed the law that Parliament had passed suddenly find that they had not. That is entirely unfair and unreasonable, and it could criminalise any of us for actions we committed years ago.
Does my right hon. Friend agree that in all these scandals, the presumption of innocent until proven guilty has been turned on its head, and we see the presumption of guilt and one being unable to prove one’s innocence? To use a biblical analogy, this is not so much David versus Goliath; it is David versus an army of Goliaths, and David has had the slingshot taken away from him.
My hon. Friend is absolutely right. HMRC, through the amalgamation of the Inland Revenue and Customs and Excise, has extraordinary powers. Customs and Excise historically maintained extraordinary prerogative powers—much greater, actually, than those of the Inland Revenue—and the coming together of those two bodies has brought a more aggressive culture to our tax system. It is a culture that assumes that taxpayers, following the law as they understand it and indeed as HMRC understood it, may be doing something wrong. That is a bad principle under which to operate. Members need, as we are, to look after the interests of constituents who are being affected in that way.
We need to allow people to know that their tax affairs are cleared after an inquiry has not been opened. That is set out: there is a 12-month period in which tax returns remain open and a seven-year period under which people have to keep records, and yet we have passed retrospective legislation that overturns all of that. My right hon. Friend the Member for New Forest West (Sir Desmond Swayne) was absolutely right that those of us who were here in 2017 should be appalled that this got through without being noticed and without being stopped. What he said to the Minister was absolutely right: we should look carefully at the ministerial responses.
HMRC is in the odd situation of being a non-ministerial Department. It is not properly accountable. With most Departments, the Minister says “Go” and—at least theoretically—they goeth. With HMRC, its independence is such that it can effectively ignore ministerial control. But that should work two ways. If the Minister cannot control HMRC, he should not read out the rubbish that it provides for him to read out from the Dispatch Box, and he should be well aware of the warnings given of Ministers who have either been willing to read out things that turn out in future to be untrue, or not asked the right questions.
I very much look forward to the speech by the shadow Minister, the hon. Member for Bristol North West (Darren Jones), because he has the advantage of independence. Not having gone native by virtue of being in the Treasury, he can bring—I hope—an independent mind to this. Bearing in mind that there will be an election this year, and who knows what may happen in that and what responsibilities may fall upon his shoulders, it is really important to know that the Opposition are on the side of proper constitutional practice.
The whole point of our system is that we come here, as we have done since the 13th century, to seek redress of grievance for our constituents when they are badly treated. This is a classic example, and Governments are absolutely appalling at answering it. People have mentioned the Post Office, but it is not just that; it is Hillsborough and infected blood. For some strange reason, Governments have a desire to defend the mistakes of long since past Administrations, and they do that to the disadvantage of constituents today. I hope that on this occasion it will not happen, or at least it will not continue to happen.
There is an ability to set it right, and there is an ability for the House to do more. If HMRC is not producing documents, we have things up our sleeves that the House can do to continue to exert pressure—the Backbench Business Committee can allow Humble Address motions to be tabled—but it would be so much better if the Minister at the Dispatch Box, who is one of the most able and intelligent Ministers in this current Administration, were to grasp this and deal with it to save our constituents from further pain—and, frankly, put HMRC in its box.
(2 years ago)
Commons ChamberI can give my hon. Friend that assurance. As he knows, the Government are committed to effective, efficient and proportionate regulation. He has advocated a number of amendments to that Bill, and I am giving them due consideration.
A common concern for small business people I speak to, in Watford and beyond, is cash flow, which has a heavy impact on organisations, for instance when Governments make late payments. May I ask the Government to ensure that the announcement to be made this week sends the clear message that all Departments and local government bodies follow the prompt payment policy robustly and, whenever possible, encourage businesses to follow the prompt payment code, so that SMEs can be paid quickly and fully and do not suffer in the efforts to make efficiencies and savings?
I know that my colleagues will join me in paying tribute to my hon. Friend for the time that he spends helping small businesses. As he says, the Government must lead by example on prompt payment. They are committed to paying 90% of valid invoices within five days and 100% within 30 days, which is absolutely right, and the Cabinet Office’s Procurement Bill will ensure that that happens throughout the public sector.
(4 years ago)
Commons ChamberIt is estimated by the World Health Organisation that globally 800,000 people die every year due to suicide. In the UK, three quarters of suicides are of men. I question why it is that men suffer the most with suicide and think it is often down to the challenges in society and how we, as a male species, do not ask for help.
During my maiden speech, I spoke about the concept of HOPE being an acronym standing for Help One Person Everyday. Sometimes, that one person has to be ourselves, but it so hard to ask for help when that is seen as a weakness. I say to anyone out there right now who is suffering that it is not a weakness to ask for help and support; it is a strength. When I look at the social media narrative and the often divisive debate around masculinity and men, I draw on my belief that we cannot heal divisions by being divisive, we cannot tackle hatred by being hateful and we cannot show our strength only by belittling those who show weakness. The debate that we have in this Chamber today should not be limited to the time we have here. It should be a societal debate about how we tackle these big challenges in society. How do we look at tackling the stigma, not just through medical and NHS support but through the narrative that we provide as politicians and members of the public.
We need to listen to each other. Sometimes when I look at the world, especially through the lens of social media, the web and the media, I feel as if we are in a world full of those shouting and it makes me ask who are those who are listening. Let us all listen to what people are saying. Let us not consider men to be the enemy. We are all part of the important fabric of society. We all have differences. To anyone who is struggling right now, who is thinking the worst thoughts, remember that you are unique. You are one of 7 billion on this planet and you are the only version of you. You need to continue your story. You need to be here for one more day; just give it another few minutes, another hour. Just give yourself a bit more time to find out why you are really here. The power of your story, of overcoming it, will make a difference to others and to those around you and, by God, it will make a difference to your family and friends. If they do not have you here tomorrow, if they do not have the stories of the difficult times as well as the joyful times, we all lack because of that.
So I ask all of us: please ask for help if you need it and ask others if they need help. Remember it is okay not to be okay, as my hon. Friends have said. It is also okay to ask others if they are okay. It is okay to say to them, “Are you really okay?” Ask them more than once. That second or third time might be the chance for them to open up in a way that they never have before. I am so pleased that my hon. Friend the Member for Mansfield (Ben Bradley) organised the debate today because without it we may not have these voices. Today we might change someone’s life. If, off the back of today, we stop just one person from committing suicide, even if it is over the next hundred years, that will have made this debate worth while.