Technology in Public Services

Debate between Judith Cummins and Chi Onwurah

Monday 2nd September 2024 Commons Chamber

[Chi Onwurah]

I thank the right hon. Gentleman for that intervention, and for highlighting the lack of progress by the last Conservative Government—and indeed their failure to roll out acceptable digital infrastructure across our country.

Good news stories about technology have been replaced by tech horror stories—about workers imprisoned unfairly because of Post Office software failures, and about students being treated unfairly by exam algorithms. This entrenches opposition to technology. Too many of my constituents feel that they are being tracked, monitored, surveilled and analysed. They do not want to go online without feeling safe and secure.

Work by the Collective Intelligence Project highlights that safety, participation and progress must go hand in hand, because only public confidence in AI will enable us to drive adoption in public services and improve productivity. That is why the Government are so right to emphasise safe deployment. Pre-deployment evaluation of foundation models by our world-leading AI Safety Institute will boost public confidence, and provide transparency about when AI is used in the public sector, and how it will help to maintain trust.

I have worked in technology deployment for many years, and bitter experience has led me to the conclusion that whatever the problem might be, technology is not the answer on its own. You cannot force technology on people. Co-creation is an overused term but an underused reality, so engagement, participation and partnership working need to be part of the plans for adoption. The group Connected by Data has great examples of this type of participatory decision making. Camden Council, which was led until recently by the Parliamentary Secretary, Cabinet Office, my hon. Friend the Member for Queen’s Park and Maida Vale (Georgia Gould), has done excellent work in this regard.

I am sure that I do not need to tell the House that AI is the subject of hype as well as hope. In partnership with the What Works centres, we need to evaluate different uses of AI in our hospitals and schools, for example, so that we can scale up the most cost-effective solutions while avoiding expensive failures. The private sector has driven the adoption of so many of the technologies that have transformed our lives, but we must build state capacity in tech by recruiting more diverse science and technology experts to the civil service, so that Government can innovate. We need fair, open and transparent procurement processes that will enable British start-ups as well as big tech companies to bid for Government contracts.

Given the previous Government’s responses to my parliamentary questions, I am concerned that our digital infrastructure may be too dependent on single or dual suppliers, or on proprietary systems. I hope that the Secretary of State will consider that, and the role of start-ups and open source in ensuring resilience. Digital inclusion was neglected by the previous Government. Age UK estimates that around a third of over-75s—that is 1.7 million people—do not use the internet. We must tackle the barriers, which include infrastructure availability, cost and the skills gap, but we also need to recognise that some people may never be comfortable with digital access to Government services.

Finally, we should remember that we too are a public service. I have raised the adoption of technology in this place many times. Indeed, I worked closely with the House authorities during covid to deliver a remote Parliament by introducing Zoom into the Commons. We must lead by example when it comes to adopting technology to improve our performance. I am standing to be Chair of the Science, Innovation and Technology Committee because this is so important to all our constituents, but they often feel that technology is something that is done to them, rather than with them and for them. The benefits of technology have not been shared fairly. Under a Labour Government, this will change, and public services will lead the way.

[Madam Deputy Speaker (Judith Cummins)]

I call the Liberal Democrat spokesperson, Layla Moran.

Reforms to NHS Dentistry

Debate between Judith Cummins and Chi Onwurah

Thursday 27th April 2023 Commons Chamber

[Judith Cummins (Bradford South) (Lab)]

I beg to move,

That this House has considered progress on reforms to NHS dentistry.

I thank the Backbench Business Committee for once again granting this important debate, and my co-sponsor, the hon. Member for Waveney (Peter Aldous), for all his work in helping to secure it.

When preparing for the debate, I thought it was useful to consider and reflect on the foundations of our NHS in the Beveridge report, which was published 80 years ago last November. Although it would be an understatement to say that the world has changed since its publication, the identity of this country is still proudly centred around our national health service—an idea so powerfully contained in the pages of the report. For the great British social reformers of the 20th century, dentistry was not some Cinderella service of secondary importance. Beveridge concluded that no one could seriously doubt that a free dental service should become as universal as a free medical service. Eighty years after the report’s publication, it is time that the House reaffirmed our commitment to universal dental care in this country.

It is worth noting that the Beveridge report, in its proposition for universal access to NHS dentistry, was published by a multi-party coalition Government. As I stand here today, Members on both sides of the Chamber will agree that the crisis in NHS dentistry deserves the same cross-party attention that it was afforded 80 years ago, because the system has decayed: access has fallen to an historic low, and inaction over the past 13 years has caused untold damage. There can be no more half measures or excuses. Now is the time to establish a new preventive dental contract that is fit for the 21st century.

The words of my campaigning over the past eight years now serve as a compendium of forecasting doom. In 2016, I warned of a mounting crisis and drew the Government’s attention to a digital report warning that half of dentists were thinking of leaving the profession. Between 2017 and 2019, I warned that 60% of dentists were planning to leave NHS dentistry. In 2020, after years of repeated warnings, I once again informed the Government that 58% of the UK’s remaining dentists were planning on moving away from NHS dentistry within five years. The Government once again fudged and ignored, and more than 1,000 dentists left the NHS.

This NHS dental crisis has been a devastating slow-motion car crash of the Government’s own making, yet year after year, Minister after Minister, they have assured me of their commitment to reform. Last year, when I pressed the Under-Secretary of State for Health and Social Care, the hon. Member for Lewes (Maria Caulfield), for action on this matter, she informed me that she had started work on a dental contract reform. However, just yesterday, we became aware that after 13 years in power, the Government are once again starting with an announcement of a plan to publish a new plan to improve access to NHS dentistry—a plan for a plan.

We would all welcome further clarification on what that plan might involve. I can only hope that sustained campaigning on this issue by me and other Members will mean that the plan will result in positive change for my Bradford South constituents.

[Chi Onwurah (Newcastle upon Tyne Central) (Lab)]

I congratulate my hon. Friend on securing this excellent and incredibly important debate. In Newcastle, where NHS dentistry access has become almost impossible for so many of my constituents, a whole generation of young people and children are growing up without access to an NHS dentist. Does she agree that that is causing immense suffering now and storing up not only pain and suffering but additional costs for the future?

[Judith Cummins]

My hon. Friend makes an important point. I will specifically cover access to NHS dentistry for children later in my remarks.

On the Government’s plan for a plan, experience suggests that positive change for my constituents may well be wishful thinking. My constituents are suffering and take no solace whatever from the Government’s commitment to plan for a plan for reform. The contract has been in place since 2006, and the Government have been undertaking a review of the process since 2011. After 12 years, it is still a work in progress.