Child Maintenance Service

Jim Shannon Excerpts

Tuesday 27th February 2024 Westminster Hall

[Jim Shannon (Strangford) (DUP)]

It is a real pleasure to speak in this debate. I congratulate the right hon. Member for East Ham (Sir Stephen Timms) on his speech. I will comment not only from a Northern Ireland point of view, but from a personal point of view and on behalf of my constituents.

We brought in the Child Maintenance Service to ensure that when a parent—a mother or a father—leaves the family unit, the child is cared for. It is so important. We deal with these cases nearly every week in my office. Unfortunately, they are not always good to hear about, because the contribution—in most cases from the father, but in some cases from the mother—is not always up to scratch.

The Government give parents a small amount of money to help with childcare, but not many people can raise a child on less than £25 a week. Subsequently, it is incumbent on parents to do the bulk of the financial giving. For some parents, child tax credit helps to fill the gap, yet when there is a relationship breakdown, finances are inevitably strained. Instead of just one rent or one mortgage, there are now two. There are two sets of heating bills and two sets of electricity, yet the income has not doubled. I completely understand that it cannot all be done, but there can never, ever be an excuse for a parent not providing for their child.

The CMS was set up to facilitate things when a relationship breakdown means that an agreement cannot be reached. Its role is to ensure that help is there to work out how to pay the bills and provide for the children. That is the theory, and it is all great, but in practice I have parents coming to my office upset because their partner will not meet their obligations. I know of one who has holidays, nights out, a big car and a lavish lifestyle, and he is absolutely suntanned to the eyeballs—this is all detailed on social media! Everybody else seems to know what he is doing, but the CMS seems not to. I find that quite frustrating. What is he paying? He is paying £5 a week in maintenance. How can that be right? The computer will say that people are paying what they are able to pay, but the reality is that they have turned their back not only on their relationship, but on their child and on their obligation. Their life is so expensive. It hits you right between the eyes when you see that.

The most recent statistics that I have found, for Northern Ireland’s separate but very similar system, show that the compliance rate for paying parents on collect and pay remained relatively stable from September 2020 to September 2023. Between 75% and 83% of parents paid some child maintenance; in the quarter ending September 2023, compliance was at 79%. It is interesting that one in five parents are not paying towards their offspring, but to me the telling phrase is “some child maintenance”. That £5 a week example shows a real shortfall. How much is “some”? Is it £5 short? Is it £5 a week? It could mean the difference between a child who can afford to have swimming lessons in school and a child who has to sit on the sidelines and is made different from their peers because one parent has decided, “No, I’m not paying that.” That is absolutely unacceptable.

It is a difference that we need to know about. We cannot accept a reporting system that appears to say that any amount paid is a victory. Try explaining that victory to a struggling single parent whose mum is giving money out of her pension to keep the lights on! That is the reality for the CMS.

There is a mechanism by which those who are not paying can be taken to court. A 2018 review of the Northern Ireland child maintenance reform programme, commissioned by the Department for Communities, found that from the introduction of enforcement charges in 2014 to December 2016, £7,200 had been received in enforcement charges. I suggest that there needs to be a bit more action on that. On collect and pay, the review noted:

“Collection charges were introduced in August 2014. Up to December 2016, £432,100 have been received in collection charges from paying parents with £83,400 received from receiving parents.”

Part of the problem with parents pursuing CMS is that they speak to a different officer every time. How many times have we, as elected representatives, had to explain the whole case again to a different officer? If it is going to be one officer, that is okay, except for one thing—it does not work out either.

[Mr Gregory Campbell (East Londonderry) (DUP)]

The point about case officers not being fully au fait with the issue is an extremely frustrating one that more and more parents are describing. They are experiencing delays on the phone, and then they have to start from scratch to explain their case from A to Z. It is extremely frustrating for all concerned.

[Jim Shannon]

It certainly is, and that is one of the problems. The Minister is a very compassionate and understanding Minister, and hopefully he will come back with the answers that we all seek. I am very keen to hear his thoughts on how we can we ensure better continuity.

Reforms have been happening, thanks to the hon. Member for Stroud (Siobhan Baillie). Like other hon. Members, I want to thank her personally, because it was her determination and commitment that enabled the Department for Work and Pensions to impose tougher sanctions on non-paying parents such as forcing the sale of property and taking away passports and driving licences through a quick and simple administrative process. The Child Support (Enforcement) Act was designed to see families being paid faster, as it gives the DWP the power to use a liability order to reclaim unpaid child maintenance instead of applying to court and waiting for up to 20 weeks. My goodness me! How frustrating to wait that long for something to be done.

I want to keep to my six minutes, Sir Charles, so these will be my last few sentences. The reform is great, but more is needed. I look to the Minister to see what improvements can be made throughout the United Kingdom of Great Britain and Northern Ireland. I would appreciate hearing the Minister’s thoughts on discussions between the DWP and Northern Ireland to ensure that in a bitter breakdown, the child is not the one ultimately paying the price. That is what this debate is about, and that is what we should try to achieve.

[Sir Charles Walker (in the Chair)]

Thank you for your collegiate approach.

Disability Action Plan

Jim Shannon Excerpts

Monday 5th February 2024 Commons Chamber

[Mims Davies]

Sport England is undertaking work on best practice and that is precisely about opening up that portal and making this a reality for youngsters. We know that all children’s wellbeing is absolutely about their social activities and opportunities to learn through play, and this plan should not and will not be a talking shop resulting in no change. I will keenly make sure that this information on accessible playgrounds makes a difference, and that will be part of the reports we do at six and 12 months.

[Jim Shannon (Strangford) (DUP)]

I thank the Minister for her statement; it was most helpful. Several of my disabled constituents have raised an issue that I am sure is replicated in every constituency across the United Kingdom of Great Britain and Northern Ireland and which is not clear in the action plan: help to insulate homes to aid with energy costs for those who need health-related upgrades or ongoing help with energy costs rather than a one-off bonus payment. What consideration have the Government given to the issue of warm homes for our disabled constituents—something that they do not necessarily have?

[Mims Davies]

I wrote to counterparts in Northern Ireland again today, as I did to all devolved groups, and the hon. Gentleman is right about the challenges we have heard in the Chamber today, and I am happy to look at the extra support available for his community. As usual, he makes a pertinent point about ensuring that everybody has that warm home and that support. This is of course devolved in a slightly different way in his community, but I am happy to share the details with him.

Oral Answers to Questions

Jim Shannon Excerpts

Monday 5th February 2024 Commons Chamber

[Mr Speaker]

I call Jim Shannon. Always here.

[Jim Shannon (Strangford) (DUP)]

Thank you, Mr Speaker.

When I was 16, my mother took me to Danske bank—or Northern bank as it was then—and opened an account for me. When I was 18, my mother phoned up the pension man in Ballywalter and told him I needed a pension. My mother has been a big guide in my life. What would the Secretary of State say to encourage the young people of today to take their mother’s advice on opening bank and pension accounts and planning for the future?

[Mel Stride]

I think the response to that is, always take your mother’s advice. I always did—and look where it got me. At the age of 16, I would have thought the hon. Gentleman would have been saving into a piggy bank, putting his little pennies in a porcelain pig. I direct him to the gov.uk website, where there is a plethora of information for young people and those of all ages about saving and what the Government are doing to assist.

Household Support Fund

Jim Shannon Excerpts

Wednesday 31st January 2024 Westminster Hall

[Jim Shannon (Strangford) (DUP)]

I congratulate the right hon. Member for East Ham (Sir Stephen Timms) on securing the debate and on setting the scene so well. We have had marvellous contributions from right hon. and hon. Members. From the outset, I want to be clear that Northern Ireland has a different method of allocation —it is a different system. Our access to the household support fund ended with the energy costs support, and our constituents are directed to find equivalency in the discretionary support fund, as we have no existing household fund.

The funding in Northern Ireland is deliberately so pared back that people can claim discretionary support for only a small number of reasons. Simply being unable to cope is no longer one of them. It should be, but it is not. Those who suffer domestic violence and have to leave all their goods in the middle of the night cannot access good enough support. That is just one example.

Yet again, the ordinary person in Northern Ireland is still paying more to be part of the Union. If only we got all the benefits of being part of the Union! I am very supportive of it, but I think it is time that that was looked at. The Government committed today in the Chamber to looking at the Barnett consequentials and seeing whether we can have the equivalent of the Welsh provision. If we do, that will be a step in the right direction.

I have outlined in another debate how money in the local economy shrinks. The hon. Member for Tamworth (Sarah Edwards) mentioned food banks; I will speak about my food bank, to give some equivalency. Take a middle-class family with two working parents who perhaps used to take a wee weekend holiday once every quarter. The hotel now misses out on its income from them, so it cuts back the hours for the cleaner it employs, and the cleaner loses their income. The family no longer go to the restaurants they used to go to, so that money is pared back. Where do they end up? I will tell you where they end up, Mr Hosie: they end up at the food bank.

An answer has to be given to explain why the cost of gas and oil is substantially lower, and yet the savings are not being passed on. As an example, one family I know have paid £250 for their gas bill. They are a small family with two children. If they cannot manage it, there is no way in the world that pensioners can. The Government must step in with help for energy costs, not simply for those on benefits who need the help, but for all people who are struggling in every working and non-working capacity.

The Newtownards food bank, which is based at the House church in Newtownards in my constituency, is the first ever Trussell Trust food bank in Northern Ireland. The stats tell a story—I will finish with this point, Mr Hosie, because I know you are looking at the clock. The food bank helped to feed 1,272 people in December 2023, compared with 988 in December 2022. That is an increase of almost 29%. Many of those were new referrals: people who had never been before. That shows where we are. Poverty in Northern Ireland has risen, and people who have never had to claim before simply cannot meet the escalating costs. Action is needed, and action is needed now.

[Stewart Hosie (in the Chair)]

I call Vicky Foxcroft—five minutes.

Defined-Benefit Pension Schemes

Jim Shannon Excerpts

Wednesday 17th January 2024 Westminster Hall

[Mr Carmichael]

It absolutely does. Representing a constituency that had the Sullom Voe oil terminal managed by BP for many years, I suspect that the reasons why the hon. Gentleman has Shell pensioners in his constituency and I have BP pensioners in mine are very similar.

[Jim Shannon (Strangford) (DUP)]

I commend the right hon. Gentleman for bringing forward this debate. It is a critical issue, and it goes beyond the two pensions that he has referred to. Does he agree that the Government—I say this with great respect to them—have had adequate warning that we are heading towards a UK-wide pension crisis if we do not make changes to pension schemes soon? Will he join me in asking the Department for Work and Pensions to begin, today, to take adequate steps to rectify the precarious position we are currently in, on behalf of our constituents?

[Mr Carmichael]

The hon. Gentleman strikes at the reasons why I brought forward this debate. We might benefit from a wider and longer ventilation of the issues at some later stage, but we have 30 minutes today, so let us use it. I had the opportunity to discuss the issues yesterday with the Minister, and he is alive to the concerns.

When it comes to regulating pensions, and indeed other similar financial provisions, the law of unintended consequences is never far away. The Government are right to be cautious, but they have to be alive to the fact that this is an emerging crisis. What happens to the beneficiaries of the BP and Shell pension schemes today could happen to just about any pensioner the future. As those pension funds come to a point of greater maturity, the concern that we hear from BP, Shell and other pensioners is that decisions are being taken not in relation to their best interests, which is the primary fiduciary duty of the trustees, but because of other concerns. There is a significant number of significant issues for the Government to look at in relation to pension regulation, not least of which is the balance between the companies that have created these pension funds in the first place and the independence of the trustees.

Cost of Living: Pensioners

Jim Shannon Excerpts

Tuesday 16th January 2024 Commons Chamber

[Wendy Chamberlain]

I think it is reflected across a number of policy areas that we should look in all our services at sufficiency of income, allowing people to live with dignity and respect and knowing that they can cover the essentials, and for pensioners as well as for other age groups.

[Jim Shannon (Strangford) (DUP)]

Further to that point, will the hon. Lady give way?

[Wendy Chamberlain]

I give way to the hon. Member—it is not an Adjournment debate without him.

[Jim Shannon]

I congratulate the hon. Lady, who always brings to the House and Westminster Hall bread-and-butter issues that I support. I am glad to come along and give my support to her tonight. The price of electricity in Northern Ireland is rising by 20%, but pensions are rising by only 8.5%. With similar increases in the cost of meat and veg, it is clear that those comfortable on their pension in 2020 will be substantially less comfortable now. Does she not agree that an investigation into energy prices must take place as people feel that they are being gouged every time they put on their light or gas and feel the pain of prioritising one necessity over another?

[Wendy Chamberlain]

I am grateful to the hon. Member. I agree that many people feel they are being held hostage by the vagaries of energy prices and systems. Although the cap and other measures have gone some way to helping with that, there is no doubt that it is a huge challenge. It also demonstrates why the triple lock remains required.

[Wendy Chamberlain]

One challenge in my right hon. Friend’s constituency is the number of his constituents who are off grid. We know that there is a lack of regulation in the sector off grid. One other challenge for the Government in responding to energy price fluctuations was getting a lot of money out to many people easily, and administrative issues materialised for those off grid. Many of them have still not seen the money to which they are entitled. We need to look at better regulation of our energy system.

I was talking about the Future Pension Centre and the challenges experienced by many constituents across the UK in topping up their pensions. I tabled a presentation Bill on the issue to extend the deadline and was glad that the Government took that up. In responding, will the Minister tell us what discussions he is having with His Majesty’s Revenue and Customs about making its systems align and function properly? If those systems were working as they should, many constituents would not have a gap to fill in the first instance. Will he consider implementing a proper receipting system so that older people have proof of payment as they do with any other transaction?

We know that errors by the Department for Work and Pensions are all too commonplace; we need only to look at the experience of the WASPI women—the Women Against State Pension Inequality—to see that. Those women, through no fault of their own, lost their ability to plan for their retirements. They lost their financial autonomy. Many of them continue to live in poverty, while others have sadly died without seeing any compensation.

I know that we are all awaiting the final report of the ombudsman setting out its recommendations for compensation for the WASPI women, but in the meantime will the Minister agree to meet me to discuss the next steps? He and I worked successfully together on the all-party parliamentary group on ending the need for food banks before he took on his current role, and I hope that we can do so again.

I return to pension income and want to raise pension credit with the Minister. This top-up benefit is the simplest tool at the Government’s disposal to lift pensioners out of poverty. It feels like every year we have a new attempt at increasing uptake with a fancy leaflet or other information campaign. I am sure we all go to the drop-ins, have our pictures taken and share them with our constituents, but pension credit take-up remains stuck at 63%, which suggests that the campaigns simply are not working. Pensioners either do not know about the benefit or do not realise they are eligible, or some struggle with the stigma of being seen to claim it.

I have been in this role for more than three years, and I have spent a lot of time having conversations about how to improve uptake. Clearly, an annual leaflet is not doing the trick. We need a long-term strategy on pension credit uptake with two key focuses: how we share data to identify people eligible for pension benefit, and how we target them efficiently and effectively so that they actually claim it and do not feel stigmatised?

[Jim Shannon]

The hon. Lady makes a critical point. When I talk to pensioners in my constituency, I always ask what benefits they are on. I always mention carer’s allowance if they do not receive disability living allowance, and I always mention pension credit. In many cases, they are not on it. How do we make a better system? I suggest, with great respect, that maybe the Department needs to physically go to those people and introduce it to them. Many people are proud, independent and do not want to take it up because they think they should not, but they should. They worked hard all their days and paid their tax and national insurance, and it is time for payback.

Musculoskeletal Conditions and Employment

Jim Shannon Excerpts

Wednesday 10th January 2024 Westminster Hall

[Margaret Greenwood (Wirral West) (Lab)]

I beg to move,

That this House has considered musculoskeletal conditions and employment.

It is a pleasure to serve under you chairmanship, Dame Caroline. Musculoskeletal conditions can be devastating for those affected. They can cause pain, reduce mobility, diminish self-confidence and lead to isolation. They can also lead to extended periods of absence from work and, in some cases, people giving up work altogether. Instead of enjoying a productive working life, people can find themselves unemployed and impoverished. In addition to the terrible human cost, MSK conditions bring substantial costs to the state in the form of social security and NHS spending.

Conditions include osteoporosis, rheumatoid arthritis, traumatic fractures, osteoarthritis, rheumatic rheumatoid arthritis, traumatic fractures and a range of conditions that cause pain in the lower back, the neck and parts of the arms and legs. The workplace can be a source of such conditions through injuries sustained from one-off accidents or through poorly managed working practices that lead to conditions developing over time.

The Health and Safety Executive has noted that MSK conditions can be caused by a number of things, including, but not limited to: lifting heavy loads, working with handheld power tools, long-distance driving or driving over rough ground, working with display screen equipment, and repetitive work that sees an individual using the same hand or arm action over a period of time. HSE statistics show that the industries with the most reported incidents of musculoskeletal disorders are agriculture, construction, health and social care, and transport and logistics.

It is clearly important to ensure that healthy working practices are the norm and that mitigations are put in place where such movements are required. That might include ensuring that there are sufficient breaks from routine activities. The Health and Safety Executive has reported that 35.2 million days were lost due to work-related ill health in Great Britain in 2022-23. MSK disorders accounted for 6.6 million of those lost days and was the second highest cause after stress, depression or anxiety. Research from the charity Versus Arthritis suggests that over 20 million people—around a third of the UK population—live with an MSK condition. For current UK employees, the figure is one in 10.

Of course, we have to remember that a lot of people have to give up work precisely because they have an MSK condition. According to the Government's statistics, the employment rate for people who have an MSK condition and are classified as disabled was 57.5% in 2022-23. In contrast, the employment rate for the whole population was much higher at 75.7%. Versus Arthritis estimates that the cost of working days lost due to osteoarthritis and rheumatoid arthritis, which are just two of the many types of MSK conditions, was £2.5 billion in 2017, and that that figure will rise to £3.43 billion by 2030. In 2022, the Government’s Office for Health Improvement and Disparities stated that musculoskeletal conditions represent the third largest area of NHS spend, costing around £5 billion a year. The report cited a 2016 study based on 2012-13 costs, and so is not recent. It would be helpful if the Government could revisit this and provide a more up-to-date figure.

The scale of the problem demands a clear and focused response from the Government. In short, the Government should come forward with a cross-departmental MSK strategy. That strategy must set out how the Government will seek to promote good MSK health, reduce the risk of accidents and practices in the workplace that lead to or exacerbate MSK conditions and ensure that support is there for people who need it through positive workplace practices and, where appropriate, the use of equipment, devices and assistive technologies. They should also invest far more in the provision of leisure centres and swimming pools, particularly in deprived areas, so that people can manage and improve their health, and should increase investment in research into MSK conditions. Ministers should consult with stakeholders including clinicians, health and safety experts, trade union health and safety representatives, employers and employees when coming up with this strategy.

Those who are in work need the right support so that they can remain in work, and those who are looking for work need to know of the support that is available to help them get back into employment. Modern design and technology can improve working conditions for people with some MSK conditions, yet people can often feel awkward asking for such adjustments.

[Jim Shannon (Strangford) (DUP)]

I commend the hon. Member for Wirral West (Margaret Greenwood) for bringing this important issue forward for us to consider. I apologise to you, Dame Caroline, and to the hon. Lady because, unfortunately, I cannot be here for the debate because I have to attend a Northern Ireland Affairs Committee session. I will just make this point: in Northern Ireland, we have almost half a million sufferers of MSK. That equates to a quarter of the population. Does the hon. Lady agree that we need to enable working people to continue working by providing support and help? I think she does, and I believe that the Minister will as well. The Government must offer support to small businesses to ensure that they know how to make a reasonable adjustment to allow someone who wants to work to do so, rather than having to take sick leave, which they do not want to do.

[Margaret Greenwood]

The hon. Gentleman is absolutely right. Support is needed particularly for small businesses who may struggle to understand and source what is required to support people, and to have the confidence to do so and the understanding that it is a positive investment in their workforce. He makes a really important point. I am also very glad that he cited the scale of the issue in Northern Ireland. One in four is incredibly high, so we need a focused response as a matter of urgency, and I thank him for that point.

There should be absolutely no stigma around having an MSK condition, nor for asking for help in relation to it. For example, in an office environment, it should be common practice that employees are made to feel comfortable in speaking up if they face issues, and that adjustments and equipment such as sit-stand desks, voice recognition software, a vertical mouse, split keyboards and other ergonomic computer equipment are made available to people if that would support their MSK health.

The strategy to which I have referred should be launched alongside a large public awareness campaign so that everyone can be involved and benefit. The Access to Work scheme provides important support for people who are disabled or have a health condition that impacts on their ability to get work or stay in work, but it seems that not nearly enough people know about it.

There has been much evidence to suggest that many people who could benefit from the scheme do not know that it exists. Indeed, I have heard it referred to as the Government’s best-kept secret. In 2021-22, only around one in eight—just over 4500 people—who received support from Access to Work had an MSK condition. The Work and Pensions Committee has highlighted that the application process can be complex and difficult for people to navigate. We therefore need a much greater effort from the Government to raise awareness of the scheme and the benefits that it can bring.

For example, the Government could make it a legal requirement for all employers to inform new and existing employees about Access to Work and to provide a point of contact for any employee who thinks they might benefit from it. This would highlight and promote the scheme, and it would give the opportunity for expertise to be developed within workplaces to support MSK health.

The Government must also give thought to the fact that over 7 million adults in England have very poor literacy skills. It is vital that information about the scheme is presented in a way that is easy for them to understand. Last year, the Government published their “Transforming Support” White Paper, which, among other things, pledged to pilot a new Access to Work enhanced package for people who need more support than the existing scheme can provide. How does the Minister envisage that that will benefit those with MSK conditions specifically? The White Paper also spoke of Access to Work developing an innovative digital service. Will the Minister guarantee that changes will be mindful of the fact that so many adults struggle with literacy and digital skills?

It is disappointing that the Government are failing to administer the Access to Work scheme promptly. In a response to a written question from my hon. Friend the Member for Lewisham, Deptford (Vicky Foxcroft), who will respond on behalf of the Opposition this morning, the responding Minister said that 21,780 applications were outstanding on 5 September last year. That is 21,780 people waiting to receive support for their health condition. It is completely unacceptable. I ask the Minister to update the House on the current state of affairs.

The last Labour party manifesto committed to help disabled people who want to work by bringing back specialist employment advisers and introducing a Government-backed reasonable adjustments passport scheme to help people move between jobs more easily. In their White Paper, the Government said:

“Access to Work is supporting a series of Adjustment Passport trials. The Adjustment Passport will provide a living document of the disabled person’s workplace adjustments, general working requirements and signposts adjustment support at every stage of the journey into work.”

Will the Minister give more information on these trials and how they are going? Can she say what actions her Department has taken to ensure that the passports are user-friendly for people who have problems with literacy?

The Government can promote MSK health and prevent issues from arising through specific campaigns developed with the expertise of health professionals and occupational therapists. They can also legislate for good working practices. It is important that the Government lead on creating positive workplace cultures around promoting MSK health, but for this to be most effective, they need to look at the issue from the employee’s perspective. Under the Equality Act 2010, employers must make “reasonable adjustments” to workplaces, working practices and policies or procedures, to remove or reduce any disadvantages faced by workers that are related to their disabilities. However, it can be difficult for people to raise concerns in the workplace, especially if their job is insecure. People on zero-hours contracts are a particular risk in this regard.

One of the key sectors in which MSK has an impact is transport and logistics, and we know that many delivery drivers are on zero-hour contracts. Health and care is another key sector affected; again, many in the care sector are on zero-hour contracts. Clearly, then, banning zero-hour contracts, as Labour would do, is important not just to ensure that people know that they have stable work and a reliable income, but to prevent a race to the bottom in health and safety at work. The Health and Safety Executive is responsible for inspecting organisations and enforcing statutory duties in relation to health and safety law. The HSE can investigate businesses and has the power to bring enforcement proceedings, including prosecutions, in cases of serious failures. Its work is incredibly important, yet the HSE’s funding has been savagely cut since 2010.

Analysis last year from the Prospect trade union found that Government funding for the HSE decreased by 45% in cash terms between 2010 and 2019, from £228 million to £126 million. Funding increased to £185 million in 2022, but this still represents a huge decrease from 2010 levels. Prospect’s research also highlighted staff cuts of 35% across the HSE since 2010, while the number of inspectors has fallen by 18%. These cuts are an attack on the health and safety of all of us, and I call on the Government to review the needs of the HSE and restore funding to at least 2010 levels. We cannot allow the Government’s obsession with austerity to damage our health and safety.

The Government could also promote MSK health and prevent issues from arising by supporting the “Better Bones” campaign, which is led by the Royal Osteoporosis Society and the Sunday Express and backed by many organisations, including the Federation of Small Businesses, Parkinson’s UK, Coeliac UK and a number of unions and royal colleges. Some 50% of women and 20% of men over the age of 50 will have a fracture caused by osteoporosis—staggering rates. A third of those who have a fracture and have osteoporosis will have to leave their jobs.

Fracture liaison services can do invaluable work in identifying whether people have osteoporosis. However, only 51% of NHS trusts in England have them. As a result, many people will break bones and go to A&E, and will be seen without their underlying osteoporosis being diagnosed and treated. That leaves a massive risk that they will suffer further, more serious fractures in the future. As a result of this postcode lottery, around 90,000 people a year are missing out on important diagnosis for a condition for which they could otherwise receive medication that would reduce their risk of further fractures.

The “Better Bones” campaign is calling for access for all over-50s to fracture liaison services with dedicated bone specialists, £30 million a year of extra investment to make fracture liaison services universal in England, Wales and Scotland, and the appointment of a fractures tsar for each British nation. It was therefore extremely disappointing that there was no extra funding in the autumn statement for fracture liaison clinics, despite the Minister in the Lords saying in September:

“We are proposing to announce, in the forthcoming Autumn Statement, a package of prioritised measures to expand the provision of fracture liaison services and improve their current quality. NHS England is also setting up a fracture liaison service expert steering group”.—[Official Report, House of Lords, 14 September 2023; Vol. 832, c. GC241.]

That is especially disappointing from a Government who claim that they want to try to help people over 50 to get back into work. It is disappointing too that, in July, the then Secretary of State for Health and Social Care said that the Government planned to spend more than £8 billion from 2022-23 to 2024-25 to support elective recovery, with NHS England prioritising fracture liaison services in its elective recovery plan. However, in the end, fracture liaison services were not even mentioned in the elective recovery plan.

The Government must address the shortcomings in fracture liaison services, which would contribute to helping over-50s back into work, and I ask the Minister to press this point with ministerial colleagues. As the Federation of Small Businesses said of the “Better Bones” campaign, it

“is more than a health initiative—it’s a matter of economic vitality. We need to address the increased numbers of those who have left the workplace as employees, self-employed or small business owners themselves due to sickness. This campaign is one of those steps.”

The Government can support workers with MSK conditions, too, by ensuring flexible working from day one, as a Labour Government would do. We also need to see action from Government on people’s general health and MSK conditions through investment in the health and wellbeing of all communities.

Versus Arthritis argues that being overweight or obese increases the risk of developing arthritis conditions such as osteoarthritis and gout. It also points out that swimming is a good exercise for people with musculoskeletal conditions, such as arthritis or back pain. The water helps to support the weight of the body, which reduces strain on painful joints. The Government should also promote MSK health by ensuring people can access facilities such as swimming pools and leisure centres.

Sadly, central Government cuts to local government since 2010 have resulted in many pools and leisure centres closing across the country, including in my own constituency of Wirral West. During the campaign to save the Woodchurch Leisure Centre and swimming pool, I remember people telling me how they used the pool to cope with arthritis. The loss of this facility has been devastating for many people trying to manage MSK conditions in my constituency and it is doubtless the same for people across the country.

Government strategy must look at the impact of austerity policies on sport and leisure facilities and at the impact that this has on the health of the population. Musculoskeletal issues cause serious problems for millions of people and can have a devastating impact on an individual’s working life. The high prevalence of such conditions warrants a high-profile, cross-departmental policy intervention. I to pay tribute to all those who work so hard to promote safe and healthy working environments, including the HSE professionals, occupational therapists and of course hard-working trade union health and safety reps who do such invaluable work in identifying workplace issues and campaigning for greater safety for working people.

The Government must bring forward a cross-departmental MSK strategy with clear goals to improve prevention and to support those with MSK conditions. Failure to do so will only lead to continuing costs to people’s health and happiness and continuing costs to the Exchequer for NHS and social security spending. The benefits of taking action on MSK are clear to all, and I call on the Government to do just that.

Oral Answers to Questions

Jim Shannon Excerpts

Monday 18th December 2023 Commons Chamber

[Mr Speaker]

Here’s somebody who will shine. I call Jim Shannon.

[Jim Shannon (Strangford) (DUP)]

Thank you very much, Mr Speaker. I thank the Minister for that response. Many of the long-term unemployed have disabilities. Some of them cannot work, but some wish to work, and they need flexible hours because they do not know the times and days that they will not be able to work and will be off. What can be done to help those who have disabilities get into work, so long as their health can dictate when?

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[Mims Davies]

I thank my right hon. and learned Friend for the opportunity to build on that incredible work, which will be life-changing for many of our constituents. The people we are talking about today are not statistics; they are humans, and they need to have a real difference in their lives. For Opposition Members, and everyone else listening today, let me say that I am determined to make sure that those people have a voice across Government and that I use my experience to deliver.

[Jim Shannon (Strangford) (DUP)]

Further to the point made by the hon. Member for Leeds East (Richard Burgon), a recent report by the National Institute of Economic and Social Research suggested that destitution in Northern Ireland is set to rise to 67%. That is a truly horrific and worrying figure. What discussions has the Minister had with partners back home in Northern Ireland on this matter?

People with Learning Disabilities: Employment

Jim Shannon Excerpts

Monday 4th December 2023 Commons Chamber

[Lee Anderson (Ashfield) (Con)]

I thank the House for allowing me to have this important Adjournment debate on a subject that is close to my heart and those of my constituents and my family. When the welfare state was introduced in 1949, just a few years after the second world war, probably over 90% of disabled people in this country had a job—they went to work. There were a number of reasons for that. I think it was mainly because we were short of labour after the war—a lot of men did not come back—and there was a need for people to rebuild the country, so lots of people had to go into the workplace. But there was also a lot of support in place for people to go to work under the new welfare state system.

We have some similar challenges right now. We have probably got over a million vacancies, and we have lots of people out there who are quite prepared to do the work but need a little bit of extra support in getting the skills and doing the job from day to day. Nowadays—the Minister may correct me later—the proportion of disabled people in the workplace is probably about 60% to 65%. That is a lot less than back in the 1940s, so maybe we could learn some lessons from the past.

We can talk about physical disabilities because we can see them. We can see people who are injured—those who have got a bad back or a bad leg—and all sorts of physical disabilities. Governments and employers have come on a long way in the past 20 or 30 years to make reasonable adjustments in the workplace to ensure that people can do a decent day’s work, have a decent job and play a part. In this debate, I want to concentrate on people with learning difficulties.

Whenever I talk about stuff like this, I always think about this young lady in Ashfield. Her name is Jossie. She is seven, and this month—I think on 17 December—she will be eight. Jossie has Down’s syndrome. Jossie is not alone—she will not be alone, because probably 900,000 people of working age in this country have learning difficulties. Jossie’s mum tells me that although great strides have been made in our educational system throughout the years, there are still a lot of problems and barriers when it comes to transitioning from education to the workplace. She says that more needs to be done.

[Jim Shannon (Strangford) (DUP)]

I congratulate the hon. Gentleman on bringing this matter forward. I spoke to him before the debate. He is right that there are 870,000 working-age adults with a learning disability in the UK. Only 26.7% of them are in the workforce, so less than a third are in paid work. There is often a stigma whereby those suffering from certain types of disabilities feel that they are not capable of applying for certain jobs. Does he agree—I am sure he will say yes—that more can be done in schools to instil in young people with disabilities that their future career choices are not limited just because they have a disability? That could be taught through work experience opportunities. In other words, give them a chance to do better—we can do that.

Autumn Statement Resolutions

Jim Shannon Excerpts

Monday 27th November 2023 Commons Chamber

[Mr Ellwood]

My right hon. Friend is absolutely right. The Centre for Economics and Business Research suggests that there is £10 billion to be made in lost GDP at the moment, as we are not attracting overseas visitors because our taxes are higher than those of our continental counterparts.

Looking at the bigger picture, finances certainly remain tight. The national debt, although falling as a percentage of GDP, as I said, remains too high. Our growth, although larger than Germany’s, is not where it should be. Given that we are the sixth largest economy in the world, we need to look at improving productivity, which remains sluggish, as it has been since 2008. A lot of these economic debates focus, understandably, on the micro level—the line-by-line budget allocations to Whitehall Departments, and the changes to general taxation, benefits and pensions—but how all those fiscal jigsaw pieces fit together is often overlooked. Our world is changing fast. Not only is it becoming more internationally competitive, but there is a question mark as to what our role actually is. I am reminded of what John Foster Dulles, the former US Secretary of State, said:

“Britain has lost an empire and not yet found a role.”

What we saw in the autumn statement was interesting indeed. The world is going digital, as IT changes every aspect of our lives: how we communicate, travel, do business and even strengthen our own security. That is all good news for the UK, as we have the third largest tech sector in the world, after the US and China. We are world leaders in pharmaceuticals, life sciences, creative industries, aerospace, fintech and artificial intelligence. With some of the best universities in the world, along with our globally recognised finance sector, we are well placed to become a high-tech superpower—another silicon valley. That is also good news for Bournemouth, because that is exactly where our area focuses; we are focused not just on tourism and financial services, but on the creative industries.

[Jim Shannon (Strangford) (DUP)]

I commend the right hon. Gentleman for what he says about the pharmaceutical and engineering sectors, as we have businesses in those areas in my constituency that can do well. One thing that is needed to improve it is reviewing and increasing the child benefit thresholds—perhaps the Government should consider that. It would enable families that work hard to get more benefit, which they cannot do at this moment in time.

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[Dame Margaret Hodge (Barking) (Lab)]

I congratulate my new hon. Friend the Member for Tamworth (Sarah Edwards) and I wish her well, but she arrives in difficult times, because in 30 years as an MP, I have never seen the country’s finances in such a mess. We have the highest taxes since records began, the highest public sector debt since the 1960s and inflation at a 41-year high, and average households will be £1,900 worse off by the end of this Government.

At the same time, public services are on their knees and the OBR predicts a miserable 0.1% growth rate for the fourth quarter. The Government try to pile the blame on others—covid, Ukraine, the middle east and even their own past leaders—but the whole Conservative Government have done this, having voted through 13 years of flawed measures and disastrous policies that have not helped growth and jobs, but have intensified inequality and increased child poverty. We have had enough, the country has had enough and Britain deserves better.

I will focus on three areas that could make a real difference if the Government made different choices. In 2012, the tax gap—the gap between what HMRC receives and what taxpayers pay—was £34 billion. This year, it is up by nearly £2 billion, and if tax campaigners calculated it, they would probably triple or quadruple that figure. Failing to collect £36 billion is massive—that is £3 billion more than we spend on the whole of primary education across the UK.

Those who benefit most from HMRC’s failure to pursue them are the rich. Last year, only 11 wealthy individuals were prosecuted for tax cheating and only eight were pursued for evasion over two years. However, 420,000 people on low incomes, many not earning enough to pay a penny in tax, were taken to court for filing their tax returns too late.

What about the big multinationals who still aggressively avoid tax? TaxWatch’s analysis of just eight tech companies, including Google, Facebook and Apple, shows UK profits of £9.6 billion, but the tax paid amounted to a miserly £297 million. They avoided £1.5 billion in UK tax. Add the estimated £350 billion annual loss through fraud and money laundering, and we are talking about eye-watering sums, yet prosecutions and convictions by HMRC have both fallen by 75% in the last five years. This wretched failure to pursue tax avoiders, evaders, fraudsters, money launderers and multinationals is a scandalous stain on this Government and destroys faith in our system.

Equally awful is the fact that the Government cannot be trusted to spend our money wisely. Government waste is yet another scandalous stain on the Conservative Government’s record: £15 billion lost to fraud and error across all covid schemes, £1 billion overspent on a contract for a new warhead facility, another billion pounds lost on the Astute nuclear-powered submarines and £2.2 billion wasted on the now abandoned HS2 phase 2 project. The bill for the failed asylum support system has gone up fivefold in four years and cost us a shocking £3.6 billion. The staggering costs of meeting the needs of nearly 300,000 homeless families are at least £18 billion a year. With services so stretched, the waste of taxpayers’ money because of sheer incompetence is unforgivable. People are struggling while the Government squander.

I want to turn to the unfairness in the tax system that the Government deliberately promote. Our system is ridiculously complex, opening opportunities for aggressive tax avoidance. Take the 1,180 tax reliefs, of which 339 are non-structural reliefs, supposedly introduced to help a particular group achieve a particular policy outcome. We have no idea how much those tax reliefs cost or whether they are effective, and there is no accountability for the expenditure, because it is all below the line. One hundred reliefs have been costed, at an estimated £195 billion, which is almost double what we spend on local government and double the £46 billion spent on defence. That sum accounts for only a third of the 339 non-structural reliefs. With little data, and scant scrutiny and evaluation, we are sitting on a time bomb.

Take, for example, the cost of the research and development tax credit—up from £2.3 billion to £5.2 billion in five years, yet without an equivalent increase in R&D investment by companies. The patent box relief was introduced to encourage companies to commercialise their inventions, but has now been exploited as a tax loophole. The moment the KPMG partner seconded to the Treasury to write the technical rules for the relief left the Treasury, he produced a brochure entitled “Patent Box: what’s in it for you”. That relief is costing us £1 billion a year. Entrepreneurs’ relief cost £427 million in 2008-09, but that had ballooned to £2.2 billion by 2018-19, the last year for which I could find proper figures. The relief is supposed to encourage investment, but a survey of those who claimed it found that only 8% said the relief had influenced their decision at the point of investment.

Finally, we talk about making work pay, but we have a system in this country whereby the income that people gain from work is taxed at a higher rate than the income they gain from wealth. No such system can ever justify that we are a country that enables work to pay.

[Jim Shannon]

The rise in taxation for working-class people has implications for their childcare costs. Does the right hon. Lady agree that when it comes to childcare costs, it is impossible to make ends meet, and that working-class people and those on the poverty line need more help? Unfortunately, I do not see that help.

[Dame Margaret Hodge]

I agree entirely with what the hon. Member says. I simply point out that if we got the money in that was owed to us, spent it wisely and taxed fairly, we would be able not only to pay for childcare costs but to have the high-quality childcare that is essential to ensure that we equalise life chances.

This Government have failed. They have failed to get the money in, they have wasted billions and they have failed to tax and spend in a fair way. Trust and confidence have been squandered. It is time for them to go.

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[Stephen Crabb (Preseli Pembrokeshire) (Con)]

I rise to make a few remarks in support of the Chancellor’s autumn statement, emphasising two themes that came out strongly from it. They have been consistent themes for the Government over the past 13 years we have been in office: boosting incomes, particularly for those in the lowest income brackets, and improving our benefits system to ensure that we have a dynamic labour market and individuals can fulfil their maximum potential.

Before I go into those points, it is worth underlining again where we were 13 years ago when we took office. The minimum wage was less than £6 an hour, the state pension was less than £100 an hour—no pensioner will forget the derisory 75p increase that they got from Gordon Brown—and we had a welfare system where more than 1 million people had been languishing out of work for almost 10 years, out of the reach of any meaningful engagement from local job centres. We should not forget either that, while the Labour party might this afternoon present itself as a party of welfare reform, spending restraint and sensible economics, for most of the past 13 years it set its face against every step that we took to try to improve our benefits system. What we have now is not perfect—no benefits system ever is—but it is so much better than what was in place under the previous Labour Government. We know that because Labour Ministers who served in the Department for Work and Pensions before 2010 were themselves highly dissatisfied with the benefits system. Those with particular reforming instincts were doing their best, fighting an uphill battle to see improvements. We should not trust the Labour party as a party of benefit reform.

Briefly on boosting incomes, a national living wage of £11.44 an hour is transformational for constituencies such as mine in Pembrokeshire, where for decades there has been a culture of low pay, as there has been right across Wales. Thousands of people in my constituency will benefit from that increase to the living wage. Increasing the state pension by the full triple lock boost will ensure that pensioners continue to see the full value of their pension increase. That comes at a cost. All of us who defend the triple lock need to bear in mind that it has significant long-term costs, and we need to speak to how they will be met in the future, but the triple lock that this Conservative Government introduced in 2010 has been transformational in lifting pensioners out of poverty in my constituency, and all across the United Kingdom.

[Jim Shannon]

One of the reasons the triple lock is in place is the confidence and supply agreement between the Democratic Unionist party and the Conservative party. It was one of the things that we insisted upon. When it comes to giving credit for things, I want to keep the record straight.

[Stephen Crabb]

The hon. Member makes a strong point on behalf of his party. Lots of people claim credit for the triple lock. Again, all of us who defend the triple lock need to bear in mind the long-term costs and be ready to speak to how the country will afford them. The answer that successive Governments have found of just pushing the state pension further out of reach by increasing the state pension age is not a long-term sustainable plan.

On benefit reform, I strongly support what the Government are trying to do in linking together more closely the work of local jobcentres with that of health authorities, health boards and the Department of Health and Social Care overall. Successive Ministers have found huge institutional resistance to the NHS and the DWP working together—two massive spending Departments that have levers to do something really positive in getting people with long-term sickness and disabilities back into work. It is really encouraging to see much greater levels of co-operation than at any time in the past 20 or 30 years.

The point that has been made several times this afternoon about obligations is really important. There was speculation that the Chancellor would not uprate working-age benefits by the higher level of autumn inflation rates, but he did so. That was entirely consistent with what the Conservative Government have done consistently through the pandemic and the cost of living challenges, which is to help people on the lowest incomes. The Government doing the right thing and choosing to be consistent in that underlines the point about obligations, and the social compact that needs to be at the heart of our welfare system. Government Members have talked about that, as have those on the Labour Front Bench. An adequate benefits system supports people on the lowest incomes and provides a strong and secure safety net. There needs to be a sense of obligation around that as well.

As I said, there were Labour welfare Ministers who struggled with how to engage people who had been long-term sick and had long-term health needs to get more meaningful interaction, so that they could perhaps begin a journey back to work if that was appropriate. It is one of the biggest public policy challenges that we as a Government have faced. If the Labour party forms the next Government, it will wrestle with that, too. Governments of countries around the world that share a similar demographic to ours, with an ageing population and increasing numbers of elderly and sick people, are wrestling with these challenges. There are no easy solutions.