Debate on the Address Debate

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Department: Cabinet Office
Tuesday 7th November 2023

(5 months, 3 weeks ago)

Commons Chamber
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Theresa May Portrait Mrs May
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My right hon. and learned Friend has been a champion for those on the autistic spectrum. He has long raised the issues in relation to autism and neurodiversity. He is absolutely right that these changes are needed now—they should not be delayed further. I sincerely hope that, in the other measures, the Government will consider bringing that new mental health Bill forward.

A couple of weeks ago, I spoke to pupils at Cox Green School in my constituency. We talked about various issues. The teacher asked them to raise their hands if they were concerned about mental health—the majority did—and then to raise their hands if they were concerned about climate change and the environment. Again, the majority raised their hands. In relation to the King’s Speech and the Government’s programme on climate change and environmental degradation, the Government are missing an opportunity. What we need to do now is to press the accelerator on transition to a green economy, not try to draw back. The King’s Speech says that

“my Ministers will seek to attract record levels of investment in renewable energy sources,”

but I fear that that ambition is not sufficiently strong to make sure that the Government make that transition quickly enough to ensure that we reach net zero in 2050. It is no good waking up on 1 January 2045 and saying, “We have five years to do something, let’s do it now” because that will be even more costly for members of the public.

Lindsay Hoyle Portrait Mr Speaker
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I call Jim Shannon.

Jim Shannon Portrait Jim Shannon
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This is my maiden intervention in this term.

I commend the right hon. Lady for what she is saying. In Northern Ireland, we do not have the contract for difference scheme, but people have it here on the mainland. I have been keen to pursue this matter with the Government. It would help the United Kingdom of Great Britain and Northern Ireland to meet its net zero figures if Northern Ireland were part of that. It needs to be a part of it, but the contract for difference scheme—

Lindsay Hoyle Portrait Mr Speaker
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Order. Mr Shannon, sit down for a second. We know that this is on net zero, but the point is that this is a speech, not a question, so quickly come to the end.

Jim Shannon Portrait Jim Shannon
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Does the right hon. Lady agree that we in Northern Ireland want to be part of the net zero scheme? Is it not right that we should do that through the contract for difference scheme?

Theresa May Portrait Mrs May
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I am tempted to say to the hon. Gentleman that, when he was called to speak, it was only 4.23. Of course we want to make sure that all parts of the United Kingdom are part of our plans. I do not know the contract for difference details that he talks about, but we want to make sure that every part of the United Kingdom is able to contribute to the work to reach net zero, and there are things the Government must do to enable that.

--- Later in debate ---
David Davis Portrait Mr Davis
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I agree with the hon. Lady on the saving money element, and I will come back to that in a second. The truth is that this Government have poured more money into the health service than anybody ever predicted, and more money than they intended over time, but decisions within the health service—I come back to management rather than money—led to some of those decisions. The hon. Lady is dead right that it is a waste of money not to do the diagnosis. I am talking about MRI and CT scans, blood tests, and all the other things that help us get ahead of the disease.

I talked to Randox, one of the diagnostic companies, which is based in Northern Ireland, and asked about this issue. It has technology that it says will reduce a seven-day analysis of blood samples, for example, to 30 minutes. My view is that we should break clear of the ideology and look dramatically to increase the amount of scans and diagnostic procedures—when I say “dramatically”, I mean a multiple of what we currently do—and we should use the private sector to do it. I know that causes a bridling and a backing off, but the only way we can do this fast enough is to do that. That would save about £3 billion and reduce waiting lists for millions of people. Most importantly of all, it would save thousands of lives. If there were one thing I would do within healthcare, that would be it; there would be other things, but that would be that.

Jim Shannon Portrait Jim Shannon
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The right hon. Gentleman is talking a lot of sense in relation to cancer diagnosis and better treatment. One way of doing that is through research and development. For example, there have been advances in prostate cancer at Queen’s University, with that centre of excellence in Belfast, and news today of pills that can reduce the risk of breast cancer. Those are just two examples. Does the right hon. Gentleman feel that research and development is key to advancing and saving lives, and getting better results for cancer patients?

David Davis Portrait Mr Davis
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That is exactly right, which brings me to my other health topic, and the whole question of national health service data and the use of data. It is widely accepted that we have one of the greatest information treasure troves in the world in the form of national health service data—data about all our citizens. There have been two or three attempts—certainly two in my memory—to bring that data together and manage it in one block, so that it is available for managing the treatment of patients and for research. A third attempt is happening right now, with contracts out to introduce a new data management system for the whole health service. The two previous attempts failed because the national health service executive and management do not understand the importance of privacy. Each time they tried to do it, the reaction from GPs and patients was, “We are not going to co-operate with this.” There was a vast waste of money, and the projects crashed and were over. More importantly than the money, we missed the opportunity to do exactly what the hon. Gentleman says: use that data for research to advance this country to the front of the world.

The Government are doing the same again this time, because the contract has gone out, and it looks likely that the company that will win it is Palantir. For those who do not know Palantir, it started, I think, with an investment from the CIA. Its history is largely in supporting the National Security Agency in America. Bluntly, it is the wrong company to put in charge of our precious data resource; even if it behaved perfectly, nobody would trust it. The thing that destroyed the last two attempts will destroy this one: people will not sign up and join up. The health service has got to get its act together on this. If it does, and privacy is protected, we can do things like having a complete nationwide DNA database. If privacy is not protected, that will not happen. There is an opportunity there, and the Government should grasp it, not drop it.

Technology also has a large possible application to education. I was lucky that when I was a teenager, social mobility in Britain was probably as great as it ever has been, for a variety of reasons, ranging from grammar schools, which I know are controversial, through to the fact that post war, there was huge growth in the middle classes, which expanded opportunities. Those combinations together created a massive social mobility advantage for people like me. I was very lucky in that respect. Today, while I think we are about No. 10 or 11 in the PISA—the programme for international student assessment—tables, we are No. 21 in the social mobility tables, and we should not be that far down.

We need to do something about that issue. One reason it happens is that 35% of children by the age of 11—children going through their primary education—are unable to cope with their maths and English sufficiently to make progress in other subjects. In essence, they are failed by the age of 11. For free school meal kids—I am looking at my hon. Friend the Member for Stroud (Siobhan Baillie) —it is 50%. Half of children on free school meals have been failed by the state by the time they are 11, and there are all sorts of reasons why. Even with vast amounts of effort, with committed teachers, headteachers and so on putting all their effort in, it still comes apart.

One thing we can do about it—and the Department has begun to talk about it—is to start to use AI in the classroom, so that children can have tailored teaching. A kid who is falling behind gets diagnostic responses from AI, which then generates appropriate teaching patterns to pull them back up. We already have such technology. In fact, a British firm called Century Tech does exactly that. I saw it in action in Springhead Primary School in my constituency, where there was an intervention class for children who were falling behind, and they were pulled back up using this technology. If we applied such technology right across the board, it would raise the average performance in our schools by one grade per subject. That is an enormous change. That is my judgment, not anybody else’s. If we did that, our competitive advantage and our social mobility advantage would be enormous.

We have to think very hard. The Department for Education has to be a lot more imaginative than it has been so far in this area, and it has to look hard at improving the options for all those children we currently let down. That is not because the Government intend it, or because this Government or previous ones have fallen down on it; this statistic has been going on for a long time.

The last thing I want to talk about is not technology, but bricks and mortar. I have some sympathy with the comments of the PAC Chairman, in that it is as plain as a pikestaff that we have a supply problem, however we analyse it and whoever we blame for it. Our population has grown by about 10%— 6 million or 7 million—over a couple of decades, for all sorts of reasons; we can get into controversy on that, but the truth is that housing has not grown to match. One of the problems—I guess the primary problem—is the planning system. This is not the first time the country has faced this problem. We faced it after both the world wars, when “Homes fit for heroes” and so on were the slogans of the day. How did we deal with it? We had a movement to create well-designed and well-created garden towns and cities in the right places, not by trying to tack on 100 houses to this village, 100 houses to that village and 100 houses over there, in each case overwhelming the schooling, transport arrangements or whatever. We need to look hard at cutting this Gordian knot, and it seems to me that the only way we will do that is by creating well-designed, well-financed garden towns and villages, not by going through the mechanism we have been pursuing so far.

Health, education and housing: if we add those to what we have now, we have a winning King’s Speech.