(10 months ago)
Commons ChamberIt is a pleasure to follow my hon. Friend the Member for Bury North (James Daly), and I agree with so much of what he has said and what other Members have said. I congratulate my hon. Friend the Member for Stoke-on-Trent South (Jack Brereton) on presenting this Bill to the House. His speech laid out in detail the issues and challenges that we face, and he is proving to be a vociferous champion for his high street.
British high streets should be vibrant hubs of commerce and community life, yet many are now facing unprecedented challenges in the wake of evolving consumer habits and economic shifts, particularly after the pandemic. Too many retail units lie boarded up, and the Bill recognises that reality and takes a proactive approach to try to breathe new life into some of those critical spaces, alongside other Government action. The Bill is not merely about preserving bricks and mortar structures; it is about preserving the beating heart of our communities. Too many businesses have closed their doors, and as a result jobs have gone too, affecting families and individuals.
Let me say a few words about the town centres and high streets of Crewe and Nantwich. Nantwich in my constituency would commonly be regarded as the more secure of the two, which is probably true. Even in Nantwich, however, we have seen more vacant units than we would like, and we cannot take the success of any of our high streets for granted. As my hon. Friend the Member for Congleton (Fiona Bruce) mentioned, recent changes confirmed yesterday will increase parking charges in Nantwich and Crewe, which is going in the wrong direction. The council will probably lose more money if our high streets are not successful, and we need to encourage greater use of them, not make that even harder or more expensive for people. Even in Nantwich we have challenges, but there is no doubt that my constituents are particularly concerned about our town centre and high streets in Crewe. The history is a long and sometimes tortuous story. First there was a decision to construct a retail park within walking distance. That has seen businesses move and customers make use of the free parking near the big chain stores that we find there. Secondly, there was an ambition to build a new leisure and retail unit in the heart of town.
Again, I apologise if this is slightly controversial, but does my hon. Friend think that out-of-town retail parks are an absolute disaster? Because I do in terms of town centre regeneration. They serve no purpose, and the same product can be delivered in a much more harmonious and better way in towns where such shops have traditionally been.
We must recognise the jobs and investment that retail parks sometimes create, but there is no doubt that they lack on the added value we get when those retail units are placed in more diverse communities. Certainly, as I have seen in this case, there might be an argument for an out-of-town retail park, but to place a retail park immediately next to a high street and town centre has created enormous challenges for that town centre over the years. In part to try to rebalance that, the plan was to build a new retail leisure centre in the heart of town, right on our high street, but as others have mentioned, the definition of a high street can involve multiple streets that make up the high street, and we could also see a street further out nearer the train station as a local high street.
Unfortunately, that plan led to a long period of the town centre being a big boarded up space, then a demolished space. That dragged down the purpose and vibe of the town, which is not surprising. Unfortunately, market changes as that delay has dragged on have led ultimately to the decision not to proceed with that plan in the short term, and potentially never to proceed with it. At the same time, that allowed us to build a new car park and bus station, which will open this year and will help and benefit the whole town centre. But that leaves us with the pressing priority to make use of that now vacant and derelict space, as otherwise it will carry on dragging down the rest of the town centre. I hope we see rapid progress from the Labour-led council this year to get that space back into use.
The Minister will understand that when it comes to challenges facing Crewe’s retail sector and town centre it would be remiss of me not to mention the additional challenges that we face following the decision on HS2. That has always divided opinion in the House on its overall merits, but everyone would recognise that Crewe in particular would benefit from investment and regeneration. There are short-term challenges because of the accounting changes that need to be made. I have spoken repeatedly to the Government about that, and I am optimistic that we can find a solution. Going past that, we need additional investment so that Crewe can make up the loss, which we did not expect, on the back of the decision on HS2.
I do not want to be too negative, because there absolutely are positives for our high streets in Crewe. We have a £22.9 million town deal, and we have £14.1 million from the future high streets fund. Some of the things we will do with that money include a programme to get vacant units in Crewe back into use—exactly the kind of challenges we have been discussing—and landscaping work to make the journey in, around and to the town centre and its high streets easier. It will help to bring back into use buildings that are not smack on the high street—they might be slightly further out, such as the Flag Lane Baths community centre, which is coming on board, and a new boxing club on Mirion Street. All those things encourage people to come into town, and to the high streets. That creates footfall, as my hon. Friend the Member for Bury North said. We have a football club in Crewe which, as he said of his football club, brings a lot of people into the town. We have started to construct a history centre, which will provide additional public space.
All those things are positive, but we must do more. The Bill seeks to do something different to tackle the crisis. I have worked closely as part of the town board with Cheshire East local authority, and I have seen the benefits of an engaged local authority—we do not see that everywhere—so, even if I do not agree with everything that it has done or think that it is perfect, I have seen its effort and willingness to engage.
Every local authority should be engaged in that process. The designation aspect of the Bill acknowledges the unique character of each town and each high street, emphasising that a one-size-fits-all approach is not the way forward. By conducting comprehensive and periodic reviews, we can ensure that the distinctive needs and opportunities of each community are met. As for the specific proposals in the Bill and things that we need to be careful about, as we have heard, it is said that each area needs between one and three high streets. As I have said, there are a number of high streets in my constituency. My hon. Friend the Member for Congleton, who shares my local authority, has several in her constituency. Across Cheshire East there are probably dozens of high streets. It is right not to say that we have to get going on every single one, but I would not want a local authority to choose, for example, the three rosiest high streets, with the best possible outcome already on the table. I hope that the guidance ensures that the selection of high streets gives some consideration to those that will be of most benefit in tackling the issues that we have discussed.
I want briefly to talk about vacancies and absent landlords. I welcome the work that has been done—I know that the Minister is passionate about it—on high street auctions. It is shocking, when we try to engage with landlords to tackle issues in Crewe, only to discover that they could not care less. We cannot get hold of them—the council cannot do so—or they might respond to one letter, but not to another. It is a free market, and people buy property. The state should be careful about designating exactly what it should do, but there must be limits for properties in locations of high community interest. We need to tackle that.
I want to touch on the contribution of my hon. Friend the Member for Bury North about not thinking that this is all about freezing our high streets, or setting them in stone, or pushing back the tide. We have to accept that in the long run the retail footprint will shrink because of changes in online shopping. A smaller footprint is more sustainable in the long run, and we can think about replacements such as in-house living.
The legislation is an opportunity not only for inviting investment but for a firm political commitment to strengthening the fabric of our communities. It fosters political accountability and signals a commitment to the long-term wellbeing of our towns and high streets. I welcome its progress through the House, and I look forward to its becoming law, with benefits for multiple high streets across our country and our constituencies as a result.
(2 years, 11 months ago)
Commons ChamberI entirely agree. For example, if this legislation were seeking to reform or amend the general approach that we take to the appraisal of healthcare technology treatments in the NHS, I might have more sympathy with it, but it is not seeking to do that. Its promoter has picked out a particular line of medical treatment and sought to use primary legislation to drive it forward, and for the reasons I gave earlier relating to the history of deciding what treatments doctors should or should not be using, that is something about which I am extremely uncomfortable, although I am very sympathetic to the individual cases that Members have been raising.
In November 2019, NICE conducted a review of the international evidence available in respect of this important issue. The report that followed was essentially inconclusive, but it did consult widely and obtained a wide range of information on some of the issues that Members have rightly identified. If the commissioning proposal in the Bill went ahead, how would the relationship with NICE and its statutory responsibilities work in this situation?
As my hon. Friend says, this is creating complexities and competing relationships that need to be given considerably more thought, rather than our aiming to promote a particular treatment.
We have talked about the risks. I now want to describe some of the many ways in which healthcare practitioners are held to account for their decisions. This is particularly important in relation to the unlicensed use of a medicine. First there is the sense of personal, moral or social responsibility that we would hope anyone involved in healthcare feels. Even if we do not necessarily take the Hippocratic oath any more, we are signed up on the basis of the fundamental principle, “First, do no harm”. Understanding that can be complicated, as I have tried to explain in relation to side-effects, for example.
Secondly, we are accountable to our employer. For example, a person working in a hospital is not free to practise as they wish. Their employer will have reasonable expectations that they ensure that their practice is safe, evidence based and works in the best interests of their patients. Increasingly, employers will place a big emphasis on following best practice guidelines from royal colleges, the National Institute for Health and Care Excellence and others that restrict their practice in some regard.