Homelessness
Debate between Heidi Alexander and Lord Barwell
Gavin Barwell
I am embarrassed to say that I was not present for Prime Minister’s questions. There was a memorial service for the victims of the Croydon tram crash, which is why I am dressed in this way, and that is where I was. I therefore cannot respond to the hon. Lady’s point about PMQs. However, I can say that, as a London MP, I see every week in my surgeries and in my case load the consequences of the long-standing failure in this country, for 30 or 40 years, to build the homes we need. That has happened under Governments of all kinds—
Gavin Barwell
Let me just finish making this point.
London is the part of the country where the gap between what we need to build and what we are actually building is at its most acute. I am sure that I am also speaking for the Secretary of State when I say that I get up every morning thinking about what we can do to sort out this problem. It is my sole focus, and I will come on in a moment to address the issue of supply. Before I do so, I am very happy to give way to the hon. Member for Lewisham East (Heidi Alexander), who is another fine south London MP.
Heidi Alexander
I find it absolutely remarkable that the Minister is trying to absolve the previous Government of any responsibility for the housing crisis that we now face. My recollection is that, in 2011, his Government cut the national affordable house building programme by 63%. Will he set out the consequences of that on the supply of genuinely affordable homes?
Gavin Barwell
If the hon. Lady will bear with me, I will return to that central question at the end of my speech.
Accident and Emergency Departments
Debate between Heidi Alexander and Lord Barwell(11 years, 10 months ago)
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Gavin Barwell (Croydon Central) (Con)
For the second time this week I have reason to thank you, Mr Speaker. Six minutes seems like an eternity compared with four. A number of colleagues kindly commented positively about my speech on Tuesday, but this one is going to be much less popular, particularly with the hon. Member for Mitcham and Morden (Siobhain McDonagh), and I apologise to her at the outset for that. I am going to strike a slightly different tone from that of many of the people who have spoken in the debate.
The hon. Lady mentioned the “Better Services, Better Value” review, which has been commissioned for health services across south-west London. In the final clinical report’s introduction, the clinicians involved in the review found that
“health services in south west London are not sustainable in their current configuration. In the opinion of the clinicians leading the review, no change is not an option.”
A number of points made in the review are specifically relevant to A and E departments and I wish to draw the House’s attention to them.
The review looked at the number of full-time equivalent emergency medicine consultants in each of the four A and E departments in the area and compared that with the recommended minimum number to achieve cover for 16 hours a day, seven days a week. Croydon Health Services NHS Trust should have 16 whole-time equivalent consultants, but it has 4.9. The figures for St Helier show that it should have 12 but actually has 4.5. Kingston Hospital NHS Trust should have 16 but it has 10. St George’s should have at least 16 but it has 21. So that provides clear evidence that the departments across south-west London, with the exception of the one at St George’s, do not have anything like the recommended minimum level of consultant cover.
The review says specifically:
“In London, data shows that the probability of dying as a result of many emergency conditions is significantly higher if the admission is at the weekend, compared to a weekday.”
That is because of that low level of consultant cover. It continues:
“Each year, there are around 25,000 deaths following emergency admission to London’s hospitals. If the weekend mortality rate in London was the same as the weekday rate there would be a minimum of 500 fewer deaths a year.”
Heidi Alexander (Lewisham East) (Lab)
How does the hon. Gentleman know that those different mortality rates that he cites are down to less consultant cover at weekends and are not, for example, the result of a sicker population entering A and E at weekends?
Gavin Barwell
The honest answer to the hon. Lady’s question is that I do not know. I am simply relying on the report, which is suggesting that that analysis points to 500 as the number of deaths that are purely due to the timing of the week. We could argue about the figure, but I hope that she would agree on the point of principle that having fewer consultants on at the weekend must impose some level of risk.
The report also says:
“The Royal College of Surgeons state that a critical population mass is required in order to provide an efficient and effective emergency service. This is supported by literature that suggests that surgeons who perform a high volume of procedures tend to have better outcomes. The preferred catchment population size for an acute general hospital providing the full range of facilities, specialist staff and expertise for both elective and emergency surgical cases would be 450,000-500,000.”
We have a problem. We have a large number of hospitals in London with accident and emergency departments and they do not have the recommended level of full-time equivalent consultant cover to provide the best medical outcomes. Every single Member of this House will defend their local hospital, as that is where their constituents go for treatment. If I was in the same position as the hon. Member for Mitcham and Morden, I would be doing exactly the same.
The Riots
Debate between Heidi Alexander and Lord Barwell(13 years, 2 months ago)
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Gavin Barwell
My hon. Friend has real expertise in the area and he makes a powerful point. We need reassurance on both those issues. I will now make some progress, if hon. Members will permit me, because I want to allow time for everyone present to speak in the debate.
The Metropolitan police estimates that in London alone there are more than 20,000 hours of closed-circuit TV to view. That gives rise to a lesson and to a question. The lesson is the importance of CCTV. There are legitimate civil liberties concerns—no Member would want our country covered in surveillance cameras—but CCTV has played a crucial role in bringing people guilty of offences to justice. I was much encouraged that on 11 August the Prime Minister and the Home Secretary made more positive noises about the contribution that CCTV can make. I understand why the Government wish to ensure that, when a system is introduced, the proper checks are made, but I will be grateful to hear from the Minister that the Government recognise the important contribution that CCTV can make to deterring crime and catching criminals.
My question concerns the police estimate that it will take nearly 12 months to review the remaining evidence. The Government must ask whether it is reasonable for such a review to take that long. If not, the Met police will need assistance from outside London, not to patrol the streets as they did in the immediate aftermath of the riots, but to get through all the evidence.
Heidi Alexander
I thank the hon. Gentleman for giving way and congratulate him on securing the debate.
In Lewisham, the borough commander tells me that he has a team of 25 police officers currently reviewing some of that CCTV footage and investigating the riots. Does the hon. Gentleman share my concern about the potential impact on other policing in the borough, given the amount of resource dedicated to that?
Gavin Barwell
The hon. Lady makes a good point. For a few weeks after the riots, the public understood the need to concentrate all resources on the operation but, clearly, carrying that on for a whole year would impact on other areas of police work.
The next issue I want to refer to is the crucial one of intelligence. Crimestoppers has made a great contribution. The police will say that they were receiving intelligence from people who would not normally provide it. In the two weeks before the Conservative party conference, however, I visited every school and sixth-form college in my constituency, to talk to young people about their attitudes. On the vast suite of issues, their views were similar to those of my middle-aged and more elderly constituents, but on one issue there is a difference: their attitude towards the police. Young people of all backgrounds, but in particular young black men, do not have confidence that the police are there and on their side. I am in my late 30s, and it seems to me that the police have moved on a long way from the situation when I was growing up, but it is clear that a significant problem remains. The police must ensure that they win the respect and trust of the people they are policing. Policing in this country is based on the principle of policing by consent. At the moment, that consent is not there from crucial sections of the community that they need to police.
In Croydon, as in many other areas of the country, there was a huge public response, which was seen in the clean-up afterwards and in donations of money to help rebuild the House of Reeves store and some of the other damaged properties. Since the riots, I have seen more than 60 people in my surgery who have had ideas for projects to work with young people and to stop such events happening again. Government and local government must ask how we co-ordinate that upsurge of good will and ensure that some of those projects come to fruition.
I also wish to touch on the issue of bringing those responsible to justice. First, I want to praise the courts for the speed of their response. Court staff, some of whom may well be made redundant over the coming months as a result of the savings being made, went above and beyond the call of duty to ensure that the courts processed cases quickly. There must be a question for the Ministry of Justice about whether that swifter process of justice can be maintained so that those who have committed violent crimes are taken to court sooner, rather than after often long delays.
The Ministry of Justice research tells us that those who committed offences during the riots were more likely to receive an immediate custodial sentence and a longer sentence than if they had committed the same offence a month earlier. I spent much of the summer defending that sentencing approach against various eminent lawyers on TV and radio, because it has done much to restore faith in our criminal justice system. I quote what his honour Judge Andrew Gilbert, QC, said when sentencing defendants at Manchester Crown court:
“The people of Manchester and Salford are all entitled to look to the law for protection and to the courts to punish those who behaved so outrageously. It would be wholly unreal therefore for me to have regard only to the specific acts which you committed as if they had been committed in isolation...Those acts were not committed in isolation and, as I have already indicated, it is a fact which substantially aggravates the gravity of this offence. The court has to pay regard to the level and nature of the criminal conduct that night, to its scale, the extent to which it was premeditated, the number of persons engaged…and finally…the specific acts of the individual defendant…For the purposes of these sentences, I have no doubt at all that the principal purpose is that the Courts should show that outbursts of criminal behaviour like this will be and must be met with sentences longer than they would be if the offences had been committed in isolation.”