(11 months, 4 weeks ago)
General CommitteesIt is a joy to have you in the Chair, Ms Vaz. You will understand our initial disappointment that my hon. Friend the Member for Ealing Central and Acton (Dr Huq), a legend of north London, could not be with us. We therefore rely on you to help us on the Opposition Benches stand up to the mighty powers of the Executive, knowing that we only have limited resources on the Opposition side.
At the outset of my remarks, I want to praise those on the Opposition Benches who have come in to this Committee to help scrutinise the Government’s efforts in this area: my hon. Friends the Members for City of Chester, for Blaydon and for Liverpool, Walton, and on this occasion let me praise my hon. Friend the Member for Hammersmith too.
That bit hurt, but we have got to get over it. I am genuinely grateful to have the opportunity to discuss the Retained EU Law (Revocation and Reform) Act 2023 (Consequential Amendment) Regulations 2023. I confess I initially struggled to find the controversy in this statutory instrument, as it seems to be exclusively concerned with replacing slightly outdated legal phrasing for 107 pieces of primary legislation. From what I understand, all this statutory instrument actually does is bring into effect the use of the phrase “assimilated law” instead of the phrase “retained EU law”.
(6 years, 4 months ago)
Public Bill CommitteesAs a near neighbour it is a particular privilege for me to serve under your chairmanship, Mr Sharma. It was a weak and vulnerable moment when I agreed to support the amendments tabled by my hon. Friend the Member for St Helens North (Conor McGinn), knowing that he would not be here. I say that because, as all hon. Members will be aware, on 28 March he made an impassioned speech promoting his private Member’s Bill to make provision for the marriage of same-sex couples in Northern Ireland and to end an inequality with which we are all familiar and which I suspect, although I do not know for certain, all Committee members want to see an end to as a matter of urgency.
I am, therefore, slightly disappointed by the Minister’s response. She rightly alluded to the very difficult situation in Northern Ireland, but as my hon. Friend asked in March, why should the fact that the Northern Ireland Assembly is suspended mean that same-sex couples in Northern Ireland who want to get married are denied that right? New clause 1, in which the Minister has agreed to ensure that the Secretary of State prepares a report, seems to be an opportunity to make progress.
Most political parties in Northern Ireland already support same-sex marriage, and a broad coalition is already very active in campaigning on this issue. Opinion polls in Northern Ireland continue to demonstrate considerable support for allowing same-sex marriage, so I struggle to see why the Secretary of State cannot seek to advance the case for change in Northern Ireland through the report. Why, for example, cannot the Secretary of State and the Home Secretary not consult political parties in Northern Ireland? Why cannot they ensure that there is a consultation with other civil society organisations to continue the process of building support for change? Why cannot the Government commit to saying what they will do if it becomes clear—although we all hope that this will not be the case—that the Northern Ireland Assembly will not be re-established?
I support the report as it stands, as it will make progress in England and Wales, but it represents a missed opportunity for making progress in Northern Ireland. I hope the Minister will reflect on the opportunity that new clause 1 and the report represent in moving forward the agenda in Northern Ireland for same-sex marriage.
I fully support the amendments in the name of my hon. Friend the Member for St Helens North, and I am particularly persuaded by the eloquent speech by my hon. Friend the Member for Harrow West.
I will briefly address the new clause. I pay huge tribute to the way in which the hon. Member for East Worthing and Shoreham has pursued this issue through the many avenues available to us. He has put together the pieces of the jigsaw such that we now have very powerful arguments for this substantial change to legislation, which will enable millions of people across the country to enter into legally binding and protected arrangements, and which will be very good for them and the security of their families. On those grounds alone, the Government should support it.
As the right hon. Member for Orkney and Shetland has said, this anomaly should not have occurred in the first place. We heard from the Minister about the good progress that the Government have made—gradually at first, but now at an accelerated rate. The final piece of the jigsaw should be the Supreme Court judgment. I attended when it was handed down, in part because my constituents Rebecca Steinfeld and Charles Keidan doggedly pursued their case despite the difficulty—and let us not underestimate this—of the four-year process of going through every higher court and getting first of all a knock-back, then a partial encouragement, and then a unanimous decision by the Supreme Court. That decision said to the Government, in judicial language—I have not seen this in a judgment before—“Can you please get a move on here and hurry up?” I think that message has got through to the Minister.
Putting the jigsaw together has been a painstaking process. The pressure is on the Government now, with all the indications given, hopes raised and options ruled out. A consultation is now under way and there must be mechanism—of which the Bill is an important part but not the end—to put the measure into law.
The law will be changed at some point to allow opposite-sex civil partnerships. However long overdue that unfinished business is, we must welcome it. This is an important stage of the process, where the Government have a chance to set out their intentions at length, so it would be helpful if the Minister could set out, as far as possible, the mechanism and timescale involved. Every possible encouragement has been given by the House, the Supreme Court and the public at large, who are hugely supportive. As we have heard, this is a matter of some urgency for some families.
I congratulate all those involved in the process. It has been a good example of successful joint working across many institutions and bodies. We just want the Minister to explain where we go next.
(6 years, 8 months ago)
Commons ChamberI congratulate my hon. Friend the Member for Kingston upon Hull North (Diana Johnson) on securing this debate. If my hon. Friend the Member for Harrow West (Gareth Thomas) and I were of any assistance, it was, as usual, as her obedient servants in this matter. She made a compelling case for her own region, but I am delighted that she does not argue that we should rob Peter to pay Paul—take resources from my region, for example.
Rather than use my own words to talk about transport spending in London, I shall quote the hon. Member for Blackpool North and Cleveleys (Paul Maynard), Transport Minister until last month and not, I suggest, partisan in favour of the Labour London Mayor. He said last October that spend per head was a bad indication when judging the effectiveness of transport spending:
“The calculation for London…doesn’t account for the substantial number of daily commuters and visitors, both domestically and internationally, who will be using and benefitting from the roads and public transport networks but who aren’t London residents…two in every three rail journeys start or end in London and there are eighteen times more passengers arriving into London during a typical morning peak than at Manchester, the busiest northern city. In particular, as the main international gateway into and out of the country, London will be the location for transport investments which look to serve passengers well beyond the local resident population.”
Indeed, there are severe funding problems in London, and my hon. Friend the Member for Harrow West mentioned the most pressing: the withdrawal of the entirety of the operational grant—£700 million. What other capital city would that be true of? But that is only where it all begins; we now hear that the money raised from vehicle excise duty in London, some £500 million, will also be spent only on roads outside the capital from 2021.
It feels sometimes as though these decisions are spiteful rather than strategic. The current Transport Secretary is perfectly happy to overspend his budget by £300 million—including, as the right hon. Member for Chesham and Amersham (Dame Cheryl Gillan) said, £260 million on VAT for HS2. He said that we could not make adjustments to the system of penalty notices in London, which would have raised £80 million within our own resources. He also refused to allow the suburban rail service to be incorporated. That would have been more efficient and was supported by a number of Conservative MPs in the capital.
Does my hon. Friend also think it is regrettable that the Department for Transport has blocked London from accessing the new national clean air fund, given the scale of problems that diesel is causing, particularly in central and outer London?
(8 years, 7 months ago)
Commons ChamberWe have a single grouping of amendments to deal with in what might be the last outing of this interesting and important Bill, after some five and a half years of its progress through both Houses. I shall speak to the large number of amendments in my name. The remainder stand in the name of the promoters of the Bill, and no doubt the hon. Member for Harrow East (Bob Blackman) will address his reason for tabling them. I welcome the concessions that are marked by the promoters’ amendments, which may shorten considerably the length of the debate today.
My hon. Friend will recall from our discussion in November that one of my particular concerns about the way in which Transport for London has engaged on this Bill and other property development matters related to the future of Harrow-on-the-Hill station and the access issues pertaining to it. My hon. Friend may not be aware that I have had the opportunity to meet Graeme Craig, property director of TfL. It was a helpful meeting, but it left me worrying that although TfL has plans to improve the access arrangements at Harrow-on-the-Hill station, it does not plan to put any resource into them. Is there anything in my hon. Friend’s amendments or in the remaining parts of the Bill that might help to deal with that concern, which my constituents are likely to be very worried about?
That is a complex question—perhaps even more complex than my hon. Friend divines, despite his huge knowledge and intellect. It goes to the heart of the Bill and the fact that TfL has got itself into a sort of spiral with property developers and, as a result, does not know where it is going or where its best interests and those of its customers lie. Is its primary objective to uphold and improve its infrastructure, stock and services? Is it to compensate for the billions of pounds being withdrawn very cynically by the Chancellor, or is it going into a whole new area of operation where it will become some kind of poor man’s property developer?
I think that my hon. Friend will get the answer if he stays for the whole debate—if not, he may have to look at Hansard. My short answer to him now is that no one, not even the strongest opponents of the Bill—I include myself, the petitioners and the National Union of Rail, Maritime and Transport Workers in that bracket—would not wish TfL to maximise its income and its opportunities for development and to be able to develop on its operational and non-operational land and, in the process, improve its facilities. I hope that we have made substantial progress—although, it has been like drawing teeth over these five-plus years—but I am not sure that I can give him a full assurance that that will be the case as a consequence of this Bill.
However, I can give my hon. Friend a full assurance that from 5 May, when our right hon. Friend the Member for Tooting (Sadiq Khan) will be installed as Mayor of London, the importance of stations such as Harrow-on-the-Hill will be foremost in his mind. I have visited Harrow-on-the-Hill and know that it could do with a great deal of improvement. I know that my hon. Friend will continue to fight strongly for that.
My hon. Friend is absolutely right. Certainly, my amendments—I will go through them one by one—are designed to improve the Bill in the way she suggests. I will add a slight rider to what she says, however, because I think that TfL, as a public authority, has a slighter wider duty. We see that in the way it has disposed of assets in a cavalier fashion, entered into inappropriate deals with property developers and—perhaps most worrying of all in the context of the Bill—set out at this stage to say that its future priority, perhaps understandably, given the amount of money it is losing to the Treasury, will be to maximise the commercial opportunity of the land it holds. That sounds fine, if the money is going to subsidise fare payers. However, if it produces the type of development that is harmful to the London economy as a whole, and to Londoners—for example, by excluding affordable housing from its prime sites—then I think it needs to be brought up short. The problem is that TfL is trying to do several things at once. Yes, I am sure that it is trying to do as much as it can to subsidise its operations, but at the same time it is taking very risky steps in the deals it is doing with property developers. Part of that will be cured by the withdrawal of clause 5, but not all of it.
I take my hon. Friend back to Harrow-on-the-Hill station, because it is clear that TfL will have to go higher in any housing development, potentially reducing the amount of affordable housing, in order to pay for the access works required. Does he not think that it would be better if TfL, using the funding it currently has for making stations accessible, matched the funding that Harrow Council is willing to put into those access requirements, rather than just building ever higher blocks of housing to pay for it?
I am always pleased to be taken back to Harrow-on-the-Hill station, although my hon. Friend normally cons me into going there for canvassing sessions that tend to go on for four or five hours. He is absolutely right that there has to be a balancing act between the needs of the travelling public and whatever development TfL is doing, and I think TfL has abdicated its wider responsibility in trying to get that balance right.
Moving on from Harrow-on-the-Hill station, will my hon. Friend deal with the concern that he and many others of us alluded to last November regarding the so-called tax-efficient limited liability partnership model that TfL wanted to use for its property developments? Can he shed any light on how TfL’s plans have changed in relation to that vehicle in the light of the obviously devastating disclosures in the Panama papers?
A lot of the credit must go to Lord Dubs, who obtained a substantial concession in the other place when clause 5 was withdrawn. The chronology is that that preceded the Panama papers, but I suspect that TfL is breathing a sigh of relief, given that its proposals may have come under even more scrutiny had the clause remained in the Bill. I wait with interest to hear what the promoters say about the reasons for the withdrawal of clause 5. Personally, I am just glad that it is has been withdrawn, although I am puzzled they appeared prepared to die in a ditch for it over a period of years and then, following the debate in the main Chamber and the revival motions in the other place, decided to give in gracefully. What their reasoning was for doing that, I am still not quite sure, but I am grateful that it happened.
To that extent, the issue, which was of concern to the large number of Members who attended the last debate here, has gone away, but not entirely, as my hon. Friend will see when I talk about clause 4, which still tempts TfL—if I can put it that way—to enter into relationships with companies that may have a dubious past, present or future. Amendment 7 and consequential amendment 8 are designed to remove that temptation.
Before my hon. Friend turns to his proposed amendments, may I take him back again to our debate last November? There was substantial concern among Labour Members about the lack of commitment shown by the TfL management to building a significant amount of affordable housing in any large housing development. I understand that TfL is seeking to move on from that position—I am thinking of a particular site that my hon. Friend knows very well. Has he received confirmation that TfL is now more committed to affordable housing?
Like my hon. Friend, I recently had a lengthy meeting with Graeme Craig and other TfL lawyers and senior managers. The reasonable assurance that I was given was that no firm decisions would be taken on any of the London sites—save for one, which is in the constituency of my hon. Friend the Member for Eltham (Clive Efford)—until after the mayoral election, which I think is right.
London Members in particular were concerned that TfL was being disingenuous. It was saying in the free pages it gets in the Metro paper that part of its development strategy was to build affordable housing, but the reality was that it planned to build no affordable housing whatsoever on its prime sites in zones 1 and 2. It said that there might be elements in zones 3, 4, 5 and 6, but that was simply not satisfactory. Let us consider the issue after the mayoral election. It is clearly a matter for each individual planning application, but I would hope that Labour councillors in London would look askance at any proposal that did not include affordable housing.
One of the first three sites proposed was in Parsons Green, which is not quite in my constituency, but it is in my borough. That application has been withdrawn and is being rethought, because the proposals were either not sufficient or not the right type of affordable housing. We know that “affordable housing” is now a term of art and that, when used by this Government, it usually means housing that is affordable to nobody who is not on a seven-figure income.
Let me turn to the amendments standing in my name. I am very grateful for the substantial support I have received from a number of people at the National Union of Rail, Maritime and Transport Workers in preparing the amendments and, indeed, throughout the whole Bill process. They have been extremely assiduous in providing their expertise, obtaining counsel’s opinion and providing briefings on the Bill. The three public petitioners—Richard Osband, Jos Bell and Anabela Hardwick—not only contributed to that important part of the process, but have been stalwarts in scrutinising the Bill and providing briefings on it. Many Members, not just members of the RMT and London MPs, have also shown an interest; when we last debated the Bill, there were 20 to 30 Members present. I am grateful to my hon. Friends the Members for Harrow West (Mr Thomas) and for Brentford and Isleworth (Ruth Cadbury), who will get a special TfL Bill badge for being here tonight.
A further concern that was aired when we last debated the Bill in November was that the advisory board that TfL had set up to help it with its property development contained no significant social housing providers. Does my hon. Friend sense that TfL has now changed its position and that it is now balancing out the interests of those hard and fast traditional developers with the need for proper social housing to be part of the mix on the sites overseen by the Mayor and TfL?
I am not aware that that has happened. To give TfL the benefit of the doubt, it, like many in London, awaits the outcome of the mayoral election and will take its lead from that. Although I strongly anticipate that my right hon. Friend the Member for Tooting will be the Mayor—so, I believe, do the bookmakers, who have started paying out on him—I do not think, whoever wins the mayoral election, that we could be worse off than we are at the moment with a Mayor who has set his face against affordable housing. He, and the people he has appointed to be his agents in the matter, have cynically allowed the term “affordable housing” to become more abused than used.
I intervene again on my hon. Friend to suggest that he might want to use at least a portion of his speech on the amendments to encourage the promoter of the Bill to take back from the debate the concern that TfL has no social housing providers in its property development group. That needs to change. When my right hon. Friend the Member for Tooting (Sadiq Khan) is elected, we might be able to go directly to him. Perhaps we can encourage the hon. Member for Harrow East (Bob Blackman) to use the influence he has on TfL in the drafting of the Bill in that regard now.
I entirely agree. My hon. Friend has made the point very well, and I cannot add anything to it. I intended to say one or two things about housing, but I think I will say them on Third Reading. They relate more to the general principles of the Bill and TfL’s approach to the Bill than to the amendments that we are dealing with.
My hon. Friend has a modest style, but may I encourage him to say two further things on the question of whether social housing providers are invited to sit on TfL’s property board? First, will he urge my hon. Friend the Member for Cambridge (Daniel Zeichner) to encourage TfL to listen to our concerns about the absence of a social housing provider? Secondly, will he encourage the Minister to use his influence with TfL to persuade it to put social housing providers at the top of its property development work and on to its property development advisory group?
I absolutely concur with that. I suspect that, like me, my hon. Friend finds housing to be the single biggest issue in his constituency at the moment. We have reached a ludicrous stage in London whereby in many constituencies, including his and mine, it is simply impossible and unaffordable for anybody—not just those who have low incomes or average means, but those who are earning good wages—to access property of any kind. That applies to private rented, owner occupied and even what is cynically called affordable housing. That position has been exacerbated by Government policy and by some local authorities in London over a number of years.
It will take a long time to turn the situation around. It is possible, but it is difficult, and one of the quickest ways to do it is by the use of public land. TfL, as it constantly tells us, is one of the major public landowners in London. There are many others. I have the Old Oak and Park Royal Development Corporation in my constituency, and 70% of that land—the largest regeneration site in the UK—is owned by Network Rail. It will shortly be owned by the OPDC. It is not just TfL that owns land; Government Departments also do so. That is the most immediate and instant solution to the problem, which I suspect Members from all parts of the House would admit of. Even Members who represent constituencies outside London probably have experience of the London property market and know that the situation cannot be allowed to continue.
Even with its current budget constraints, it is wrong for TfL to say, “Nothing to do with us, guv; we are just a railway company.” Of course it is primarily a railway company, and of course its job is primarily to make sure that we have a safe, secure and efficient railway that has capacity. That is a difficult enough task, but TfL cannot abdicate its responsibility, and it certainly should not be making the situation worse by engaging in development that involves no affordable housing.
My hon. Friend is right to say that housing is a huge issue in my constituency, as it clearly is in many constituencies across London. Like him, I want the public land that TfL has available to be used to create more affordable housing in particular, as well as housing units more generally. Does he accept that TfL needs to take into account a further consideration, which is the character and conservation needs of the space in which such public land will be available? In that context, I think of Harrow on the Hill—not Harrow-on-the-Hill station, but the area in my constituency. Any large TfL blocks of flats will still need to allow local people to see the iconic views of Harrow on the Hill. It is crucial to preserve the character of such areas.
That is right. I am afraid that almost every planning application for residential development I now see ignores all the basic principles and tenets of building on a human scale, with sufficient amenity space and in such a way that impossible constraints are not imposed on existing neighbourhoods in terms of congestion, overlooking and environmental pollution, while also almost entirely excluding social infrastructure, such as hospitals and schools.
This is not the way London was built. Ironically, in the Victorian era—when the railways were built, and the suburbs expanded along those routes—we had far less town planning than we do now, but they somehow managed to build liveable communities, with all such factors. The combination of greed on the part of the developers and desperation on the part of much of the public sector means that we are now building monstrosities that nobody will want to live in.
(8 years, 11 months ago)
Westminster HallWestminster Hall is an alternative Chamber for MPs to hold debates, named after the adjoining Westminster Hall.
Each debate is chaired by an MP from the Panel of Chairs, rather than the Speaker or Deputy Speaker. A Government Minister will give the final speech, and no votes may be called on the debate topic.
This information is provided by Parallel Parliament and does not comprise part of the offical record
I might have been more sympathetic to the Minister’s intervention if there were not plans to shut more of the control rooms on the underground, because London Underground Ltd proposes that all but a few control rooms in the largest stations will be de-staffed. Proposed staffing cuts and that emphasis on customer-facing duties will require staff who are normally allocated to control rooms to work in the ticket hall. The result will be that there will be no routine monitoring of CCTV at more than 90% of stations, including some that have high volumes of passenger traffic, when major events are taking place. Will the Minister be willing to meet, with me, a deputation of the workforce who are concerned about the impact of the various job cuts on passenger safety? I look forward to his answer, and hope that he will, in the spirit of his interventions, and the spirit in which I have taken them, be willing to do that.
I want to raise some concerns about the impact of the cut in TfL funding on the accessibility of the London underground network. My constituency has six tube stations—exclusively tube stations—that are inaccessible to people using a wheelchair, and usually inaccessible to people with a pram. I understand that there are no plans for North Harrow, South Harrow, Sudbury Hill, Rayners Lane or West Harrow to be made accessible. There has long been talk of a plan for Harrow on the Hill to be made accessible, but it is not currently included for access to the small amount of funding that is available to make stations more accessible. I worry that the loss of £3 billion will reduce its chances even further. Perhaps the Minister would use his influence with Mike Brown, the head of Transport for London, who I am pleased to say came to North Harrow station to celebrate its centenary earlier this year, and encourage him to take an interest in the accessibility of Harrow on the Hill station.
My last point about the impact of the cuts concerns property income and the pressure on Transport for London to maximise its income from property sales or assets—essentially from the land that it owns. I should think that the whole House would think it a good thing to encourage Transport for London to make its land available for housing. The concern is that it is being put under heavy pressure to extract as much value as possible from selling its land or the housing on the land, with no consideration of Londoners’ broader needs for affordable housing. There are also concerns, as my hon. Friend the Member for Hammersmith (Andy Slaughter) knows well, about the methods being used to encourage Transport for London down the property development route. It has established a commercial development advisory group, which is chaired by Francis Salway, with Richard Cotton, Mike Jones and Richard Jones as the other members, but I worry that none of them has a background in social or affordable housing. I hope that the Minister may be willing to use his good influence to encourage Transport for London to see the bigger picture about housing in London, while at the same time seeking to maximise its income from its land.
My hon. Friend is right to be suspicious of Transport for London’s motives. It is on record as saying that two thirds of its sites will be in zones 1 and 2 and it is not looking for affordable housing in that area; but it is looking for some if it develops in zones 3 to 5. However, that is affordable rather than social rented housing.
My hon. Friend makes a good point and I look forward to his speech, if he catches your eye later, Mr Hollobone.
There was nothing in the spending review about funding for Crossrail 2. To be fair to the Government, I understand that they have set up a £300 million pot for advanced work on big infrastructure schemes. Will the Minister confirm that Transport for London can bid for money for Crossrail 2 within that pot, and explain whether the Government still support and recognise the need for Crossrail 2?
Of the £687 million in resource funding that Transport for London is getting this year, but which will be axed in future, £63 million is going to the capital programme; £137 million is going for borough improvements; £289 million is going on new greener buses; and £198 million is going for tube renewals and other investments. One has to wonder about the future of the investment in green buses, given the loss of resource funding going forward. It is striking that London Councils took the time to provide a brief for this debate, noting the impact of the funding received under TfL’s resource funding programme. It has been used to invest in road safety and maintenance, cycle parking and cycle training, car clubs, the installation of electric vehicle charging points, school and workplace travel plans, 20 mph zones and some further effort for accessible transport and pedestrian crossings. London Councils points out that much of that work—particularly that on road safety—has led to a significant reduction in the number of people killed or seriously injured on London’s roads. The implication is that there is concern about how such work is to continue to be funded.
I want lastly to consider how the gap in Transport for London’s books might be filled. I have always been a strong supporter of fiscal devolution to the capital, and having criticised the Mayor of London for big fare hikes I should at least acknowledge the important work that he got Tony Travers to undertake on fiscal devolution. I welcome the Chancellor’s decision to devolve business rates to London, but I am sure that the Minister will acknowledge that business rate income is often lumpy, if that is the word, and not always easy to predict. It would be helpful if, as the Tony Travers commission suggested, other property taxes were to be devolved to London. The devolution of stamp duty land tax to the London Mayor might help to unlock new investment in transport development, particularly in relation to the building of new homes that would be enabled by improved transport links. I understand that the vehicle excise duty incurred by Londoners who own cars amounts to about £500 million at the moment, and it might be suitable to invest that in London’s transport rather than taking it out of London and investing it in roads in the rest of England. I ask gently of the Minister, whom I saw shaking his head a little earlier, whether it is time for him and the Chancellor of the Exchequer to agree to redirect that £500 million to City Hall, to ensure that London’s road network gets the investment it needs.
(12 years, 4 months ago)
Westminster HallWestminster Hall is an alternative Chamber for MPs to hold debates, named after the adjoining Westminster Hall.
Each debate is chaired by an MP from the Panel of Chairs, rather than the Speaker or Deputy Speaker. A Government Minister will give the final speech, and no votes may be called on the debate topic.
This information is provided by Parallel Parliament and does not comprise part of the offical record
There has already been significant change in hospital services in north-west London. That has been for clinical and financial reasons. It has involved within Imperial the centralising of services, including renal, paediatric, oncology and vascular specialisms. More of that was anticipated. Other proposals for savings have been leaking out of Imperial for the past six months. Further moves away from hospital to community or GP services were expected—but nothing on the current scale.
This review is driven by the need to cut costs and is unrestrained because the chaotic reorganisation in the NHS, for which the Minister must answer, means that there is no accountability on the part of those who are making decisions. The Joint Committee of Primary Care Trusts, itself a body artificially created to make these cuts, is neither their author, nor will it survive to see their execution.
I would like to say a little about the history of hospital services in my part of west London, the scale of the changes proposed and the flawed process under which they are being made. I would then like to summarise the emerging public and professional views on the proposals, before finally asking the Minister for his response. Given that many in the NHS see the north-west London proposals as a prototype for what will happen elsewhere, it is not satisfactory for him to disown interest. He must either justify or be prepared to criticise the loss of front-line hospital services.
Each of the hospitals now under threat has a long and distinguished history. I am afraid I am old enough to remember when Charing Cross was Fulham hospital and when Chelsea and Westminster was St Stephen’s. Hospitals have stood on the Hammersmith campus since 1905 and at Charing Cross since 1884. Originally, these were workhouse infirmaries, fever hospitals or military hospitals. They have evolved into the world-class treatment centres that they are today. I do not want to take up a great deal of time with the history, but while preparing for the debate, I did come across this interesting paragraph on the opening of Hammersmith hospital:
“Immediately on opening, there was an outcry about the cost of the…building…£261,000…and its lavishness. The vestibule was paved with mosaic and was surrounded with a dado of the most expensive encaustic tiles. The dining hall was ‘of baronial splendour’. The press dubbed it the ‘Paupers’ Paradise’ and the ‘Palace on the Scrubs’.”
I did not know the Daily Express was going in 1905, but clearly it was. I am not sure that that was a completely accurate representation of the hospital, because its annual report for 1957 illustrated a granite block—part of the last consignment to the workhouse for breaking up by the inmates of the casual ward. I do not want to give the Minister any ideas about reintroducing rock breaking for out-patients, but that does show that we have come a long way over that time.
The Minister may say that I am being nostalgic in looking at the history of Hammersmith’s hospitals or that it is evidence that change in the health service is nothing new, but that misses the point. These hospitals have grown up on their current sites and changed in response to local need. These are some of the most densely populated parts of the UK. There is intensive residential development in the area: tens of thousands of new homes are planned for the next decade. This is a population with complex health needs and high turnover. This is an area with major transport infrastructure—air, road and rail—and with risks ranging from major trauma accidents to tropical and infectious diseases.
The accident and emergency departments under threat are always busy. They are trusted by my constituents. They have evolved to work side by side with GP practices, walk-in clinics and urgent care centres. However, they work, because the level of clinical expertise available can be adapted to cases ranging from the relatively minor to the very serious. I understand the debate about having fewer major trauma centres—the trade-off between travelling further and losing critical treatment time against the quality of care on arrival. I do not think that that argument is settled, not least because of the unpredictable and congested road system in west London, but also because of the conflicting opinions as to how crucial minutes can be in reaching specialist care in different trauma cases. What is unarguable is that the vast majority of patients currently attending A and E will potentially receive a worse service. They will not be sure whether their condition merits a longer trip to a hospital that still has A and E services, or whether seeing a GP at an urgent care centre will suffice. There will certainly be confusion and delay, and overall standards in quality of care will fall.
I apologise for missing the first couple of minutes of my hon. Friend’s remarks. Does he accept that, notwithstanding the proposed closure programme, there is already growing concern about the length of waiting times in A and E? Many of my constituents will be worried that their wait at Northwick Park hospital A and E unit will increase as a result of this closure programme.
My hon. Friend missed the point that I made at the beginning: this affects all MPs and all communities in north-west London, not only those expecting the closure of services. The closures go against the thrust of the changes in the health service over the past five to 10 years, which have seen the huge pressure on A and Es relieved by the addition of urgent care centres, not the replacement of A and Es by them.
I will not give way to the Minister again yet. I want to make some progress. We shall see what happens in a few moments, but after I give way to my hon. Friend, I really must move on.
I am grateful to my hon. Friend for giving way. I do not know whether the Minister’s intervention was prompted by the recent answers he gave to my parliamentary questions. He will be aware of the approximately 180,000 people who waited more than four hours from arrival in A and E to departure. Will my hon. Friend ask the Minister for an assurance in his final remarks that the figure is not likely to rise for the 2011-12 period?
I am happy to trade statistics with the Minister, but the debate is not about incremental performance, but the fundamental change to services.