Children’s Cancer Care: South-East

Debate between Florence Eshalomi and Munira Wilson

Wednesday 13th March 2024 Westminster Hall

[Munira Wilson (Twickenham) (LD)]

I beg to move,

That this House has considered children’s cancer care in the South East.

It is an honour to serve under your chairmanship, Sir Christopher. In 2020, Jackson’s parents received some of the worst news a parent possibly can: Jackson had been diagnosed with leukaemia, at just two years old. He soon began treatment at St George’s Hospital in Tooting; and after three years, in April 2023, he finally rang the bell that signified the end of his treatment. It was a very difficult experience for Jackson, but his family are extremely grateful for the treatment they received at St George’s Hospital. Reflecting on the experience, Jackson’s mum, Samantha, said:

“Thank you St George’s for being such a great hospital and to everyone who works there, you have made our journey so much easier to deal with because you’re the best team.”

Tomorrow, NHS England will make a decision about where to place a new children’s cancer centre, which will serve south-west London and the surrounding areas, such as Surrey, Sussex, Medway and Kent. NHS England will decide between two proposals: one submitted by St George’s Hospital, and the other by the Evelina London Children’s Hospital in Lambeth. After listening to staff, patients and others affected, I am here, with colleagues from both sides of the House, to make the case that children’s cancer care must remain with St George’s.

[Florence Eshalomi (Vauxhall) (Lab/Co-op)]

I thank the hon. Member for making a powerful speech and for referring to Jackson. Does she agree that the independence of NHS England is important, that any decision it makes tomorrow has to be based on the clinical knowledge of medical experts, that the decision must be free from any political interference and that the world-class facilities at Evelina, which the hon. Lady has seen at first hand, should be considered alongside the other hospital? Does she agree that we must ensure that the decision is independent, and that we do not undermine the public reputation of NHS England or put undue pressure on it?

[Munira Wilson]

This is not about political interference; it is about ensuring that there has been a fair, balanced and transparent process. I will talk about the process in a moment, but that is the concern. The hon. Lady talks about clinical input. The consultation, albeit that it was run in a very flawed way, had 2,500 responses—some were from clinical experts, and many were from patients and their parents—and it provides very strong evidence that St George’s is best placed and that the Evelina has been predetermined. I have nothing against the Evelina, and in fact I was just about to sing its praises, because I have had personal experience.

To make myself clear, the Evelina is a brilliant hospital that does incredibly important work in treating children. My own daughter, who is nine, is currently undergoing treatment at the Evelina and has received outstanding care. This is not about pitting hospital against hospital; it is about looking at the process and the evidence before us. As the hon. Member for Vauxhall (Florence Eshalomi) has alluded to, I would like to personally thank the medical director at the Evelina, who showed me around its excellent facilities on Monday. However, as I have mentioned, the evidence overwhelmingly demonstrates that, in this case, St George’s is best placed to deliver for this highly specialist cancer service.

Before I come to that evidence, I want to raise serious questions about the decision-making process to date. [Interruption.]

Pupil Roll Numbers and School Closures: London

Debate between Florence Eshalomi and Munira Wilson

Wednesday 7th June 2023 Westminster Hall

[Florence Eshalomi]

I thank my hon. Friend for making such an important point; her constituency neighbours mine, so a number of my constituents attend schools in her constituency and vice versa. This is about parental choice. The fact is that if schools are closing in some London boroughs and the Government do not address the situation now, there could be a ripple effect. I will come to that point later.

This process happening in secondary schools. Our national education funding model works on a per pupil basis and across the country schools are struggling. In Lambeth, where my constituency is, we are sadly at the forefront of these pressures. It is predicted that we will be hit harder than any other London borough, with an anticipated drop of 15% in the number of reception pupils by 2027. Secondary school numbers are also predicted to reduce by more than 12% over the same period.

The reality is that this trend can be linked to the Government’s record. In the years before they came to power in 2010, Lambeth experienced a 19% increase in demand for reception places. As a result, schools were built, refurbished or redeveloped across the borough to account for this fast-growing population of school-age children. I feel proud that I added to their number with my son, who is six years old today, and my daughter, who is eight; they both attend Lambeth schools.

The Tory failure to manage the economy has led to the spiralling cost of living crisis and the situation is not helped by the lack of affordable housing being built. This has priced people out of their communities and caused the decline in school numbers across Lambeth. Sadly, we are witnessing the harsh impact of this situation. Two schools in Lambeth are closing because they do not have enough pupils to be financially sustainable.

[Munira Wilson (Twickenham) (LD)]

I congratulate the hon. Lady on securing this important debate. She made a powerful point about the sky-high childcare and housing costs in London, which are driving people out of the capital. In Richmond upon Thames, we have not quite seen the level of reduction in pupil numbers that there is in Lambeth, but in my constituency of Twickenham we had to close down eight reception classes in the last academic year and seven reception classes this year. In a few years, that will feed into the secondary school sector, where, of course, academies can raise their pupil numbers at will and local authorities have no control over them. Does she agree that it is high time that local councils were given strategic powers to co-ordinate all school places and admissions in their area, so that every child can go to a good local school?

[Florence Eshalomi]

I agree. That is something that my party is committed to. I hope that my colleague—the shadow Minister, my hon. Friend the Member for Portsmouth South (Stephen Morgan)—will be able to outline why it is important that we have that approach.

Archbishop Tenison’s School in my constituency announced in May that it will close at the end of this academic year, and it was closely followed by St Martin-in-the-Fields High School for Girls in Tulse Hill, which is represented by another constituency neighbour, my hon. Friend the Member for Dulwich and West Norwood (Helen Hayes), although young pupils also attend it from my constituency of Vauxhall and that of my constituency neighbour, my hon. Friend the Member for Streatham (Bell Ribeiro-Addy). Both these secondary schools have histories dating back to the 17th century and their closures will leave a huge hole in the communities they have served.

I will say a bit more about Archbishop Tenison’s School, because its closure has directly impacted my constituents. The beautiful, grand, 1920s school building is matched by the school’s history. The school overlooks the Oval cricket ground and has proudly offered high-quality education to many generations of south Londoners who have studied there. I have had the pleasure of visiting on many occasions, and every time I have been struck by the strong sense of community. Pupils from all different backgrounds feel at home there.

The school’s closure has caused an outpouring of sadness. I was contacted by so many constituents who were shocked by the announcement, many of whom were former pupils with so many happy memories to share. The closure has caused significant practical disruption for the current students, which brings me back to the people at the centre of what we are discussing: the children and the school staff who have to bear the brunt of what is happening.

Mr Hollobone, I want us all to imagine what this would feel like: imagine what it would be like to be in the middle of your school journey, in a place you know like the back of your hand, having navigated the corridors where you have made friends you have seen every day for years; you feel at home. Then, one morning—out of the blue—you come to school to hear that your school is closing. You are probably preparing for exams and coping with the stress of being a teenager, but at the same time have to start at a completely new school, maybe in a new area, with new teachers, new classmates and new buildings. The uncertainty of the situation is having an impact on our young people mentally, and this will happen to many children in the years ahead if we do not act now.

Fortunately, neighbouring schools have rallied round to help minimise the impact for students from Archbishop Tenison’s. I am particularly grateful to St Gabriel’s College, which has agreed to take on a majority of the students in exam years, as well as a majority of the teaching staff. Earlier this week I had the pleasure of visiting St Gabriel’s with my hon. Friend the Member for Portsmouth South, and we saw preparations for the new students. Many areas would not be lucky enough to have such a sustainable alternative nearby, but even where a new school is found, the process will be disruptive for all involved.

My central point is a simple one: without action to address falling pupil numbers, Archbishop Tenison’s and St Martin-in-the-Fields will be joined by other good schools across London being forced to shut their doors. Data from London Councils shows that there are 14 parliamentary constituencies in London where at least one school has already closed or is consulting on closure—that is just in the last two years—but it does not have to be inevitable.

The Government have to act to address the core issues driving young families out of the capital and causing the birth rate to fall. There are a number of factors behind this behaviour. During the pandemic, we saw many families move away from London to be closer to relatives during the lockdown. Some have chosen to resettle where they are, because moving back to London is, frankly, too expensive. The picture has not been helped by the loss of many young European families who were living here in recent years. The uncertainty of the Government’s post-Brexit immigration policy has meant that we have lost the stability we had in previous years, and this has caused many to move away from the UK, leaving a hole in London’s workforce and meaning fewer people are settling here. Those factors have played a part in putting schools under pressure in recent years.

The single most important reason for the fall in the number of children growing up in London is the affordability crisis. It is an issue frequently discussed in the context of the cost of living. Sky-high inflation has pushed up the cost of everything from food to energy bills and household goods; we have all spoken about the issues and the pressing need for the Government to do so much more, but London’s affordability problem has long-term roots, starting with the extortionate cost of housing. The impossibility of finding an affordable place to buy as a young adult is a problem across the country, but it is particularly significant in London.

The average property sale price in London is now over half a million pounds. That is wildly out of reach for so many young couples wanting to start a family, and the private rental market is not a suitable alternative. Private rents have soared in recent years, driven by rising demand and falling supply. I have heard from so many of my Vauxhall constituents who face the choice between paying nearly double the rent to renew their tenancy or having to battle—in some cases, with up to 60 people—just to view a rental property. For a young family with children, that is no option.

Despite the best efforts of our councils to cope with the rapid rise in demand, social housing waiting lists are at an all-time high. Taken together, that means that young couples on lower and middle incomes simply have no choice but to leave London and look for cheaper housing elsewhere. Fewer children are being born here because of that, which fuels the drop in demand for school places. The housing crisis runs through so many issues we face, but if we are serious about protecting the future of our fantastic schools, Ministers must ensure that London remains a place where people of all backgrounds can afford to live.

Without more young families staying in London, we may sadly lose more schools. I have already spoken about the impact of school closures, but the loss of a school is also a wider risk to national education standards. As schools close and pupils are relocated, existing schools become larger. Over time, that creates a culture of survival of the biggest, where smaller schools are consumed by those with more capacity. We have already seen that locally with larger academies seeking to expand at the expense of neighbouring schools. That trend threatens the mix of small and big schools that defines London’s school ecosystem, reduces parental choice, and leaves smaller schools unable to compete, even if they are performing well.

For most pupils, what does that mean? It means longer commutes, and bigger class sizes, which puts pressure on our teachers, who are so stretched that some are at breaking point. Some are leaving the profession they love and care about, while the others are left with less time to spend with our children. Also, resources for specialist teaching are squeezed, and those with special educational needs are adversely impacted. Collectively, all those factors damage school standards.

The reality is that where education declines, the life chances of future generations suffer. That is what is at stake when schools close. The importance of that has been reflected in recent media coverage. Last month, the BBC reported that London is becoming “a city without children”. That should worry us all. London is a vibrant, diverse and young city, built on young people. If there are less of them living here, our economic strength to compete in a global world will be harmed. The UK economy will be hit hard by our capital city falling behind.

But what do we have? So far, Ministers have been silent, acting as if this is not happening on their watch. There are spatial impacts: if people are priced out of their home communities, gentrification will accelerate. I am proud to be a working-class girl from Brixton, and I still live there today. I know how important lifelong Londoners are to this city. I am proud to meet so many of them on my walkabouts across my constituency. They are the lifeblood of London, which would be so much poorer without them.

I have five simple asks of the Minister to help. First, further school closures can be avoided if the Department for Education recognises the pressure in the system. Will the Government please work with school leaders and local authorities to identify schools at risk of closure and to work out a plan?

Secondly, London’s birth rate means that pupil roll numbers will fall over the next few years. We have to plan ahead. Will the Minister address the inequalities in school funding? Will he work with the sector to develop a collaborative approach to the challenges ahead, so that we do not see disruption to education standards?

Thirdly, affordable housing shortages are driving young families out of London. The Mayor of London and many of our councils do all they can to increase the supply of affordable housing, but the reality is that the national planning framework, which the Government control, is stacked in favour of developers building high-end housing that no one can afford. Will the Government bring forward their long-awaited planning reform? Will they put power back in the hands of local communities, so that those communities can have development that meets the needs of the local population?

Fourthly, the local housing allowance is a lifeline for many low and middle-income families in the private rented sector, but the Government have frozen its rate since April 2020. Rents have gone through the roof since then. Will the Minister please ask the Chancellor to reverse that real-terms cut to housing support and give hope to the millions of people who have been forced out of their homes?

Finally, will the Minister meet me and other interested MPs to discuss the issue in more detail? Will he work with us to find a solution?

I will end by taking us back to the heart of the issue: the children who have their life chances impacted by what has happened to our schools in recent years. The Government may want to look away and pretend that this is nothing to do with them—that it is the fault of, and down to, the multi-academy trusts or MATs, the education authorities and the schools—but the reality is that Ministers are the ones with the power to do something. I urge them to act now.

Leaseholders and Managing Agents

Debate between Florence Eshalomi and Munira Wilson

Tuesday 28th February 2023 Westminster Hall

[Florence Eshalomi (Vauxhall) (Lab/Co-op)]

It is a pleasure to serve under your chairship, Sir George. I pay tribute to my hon. Friend the Member for Brent North (Barry Gardiner) for securing this important debate. In my three years as a Member, I have had to speak on this issue so many times—I have joined long-standing Members in the queue of MPs talking about it—so this almost feels like déjà vu. It is a pleasure to follow the hon. Member for Warrington South (Andy Carter), who outlined many of the issues we are seeing up and down the country.

I will focus on the role of managing agents in the building safety crisis, which has impacted so many of my constituents in Vauxhall since the Grenfell tragedy—and, six years later, it is still happening. Just yesterday, I held an online surgery with a group of leaseholders whose managing agent has raised their annual service charge from £1,000 a year to over £30,000 a year. When I saw the email come into my inbox, I replied straightaway, because I could not believe those figures. That staggering increase was justified by fire safety problems but the agent will not even disclose the details of the defects to the leaseholders. I ask Members to pause for a second and think about what it would be like to receive such an email. Imagine the stress of being charged a thirtyfold increase in the middle of this cost of living crisis without any proper explanation.

The sad reality is that that case is not even rare. Since becoming an MP three years ago, I have had many constituents come to me in desperation because their managing agents are refusing to share the basic information about their building—somewhere they call home and have to sleep every night. The issue has been exposed by the cladding scandal. Agents were commissioning EWS1 inspections on behalf of freeholders, leaving leaseholders unable to sell their flats and liable for thousands of pounds of fire safety problems that they did not cause. Many agents would not even publish those reports.

[Munira Wilson (Twickenham) (LD)]

In my constituency of Twickenham, we do not have many high-rise blocks of flats, but we have quite a lot of low-rise blocks. I have had two cases come to me relating to two different blocks of flats in Twickenham, in which managing agents have wrongly commissioned fire safety assessments for buildings under 18 metres. In one case, the report has been shown to be flawed. The residents cannot sell their homes; they are trapped. In the other block, residents are potentially being charged up to £800,000 for remedial works that are not needed.

[Sir George Howarth (in the Chair)]

Order. Interventions should be brief, particularly given the time pressure.