(5 years, 12 months ago)
Commons ChamberI thank my hon. Friend.
Raising awareness will help to encourage more people to come forward. There has been some encouraging progress. In the 2017-18 crime survey for England and Wales, there were more than 10,000 recorded offences of stalking, almost double the previous number of 5,313. The increase is likely to be due to improvements in the recording of the crime, rather than an increase in stalking. That is an important point: laws in themselves will not protect victims. A key focus is to make sure that we have better recording so that victims are more confident about coming forward. That does not mean that every instance of unwanted attention will lead to prosecution for stalking—of course not.
Stalking is a type of harassment characterised by fixation and obsession. As hon. Members have said, the Bill will allow earlier intervention, rather than allowing that to become a deeply ingrained pattern of behaviour that carries on for decades. We heard that Emily Maitlis’s stalker pursued her for more than two decades and even, disgracefully, managed to continue his behaviour from prison. There is a possibility that, if we can intervene at an earlier stage, we can stop this behaviour in its tracks, and I think that that is an important aspect of the Bill.
I pay tribute to the courage of all the victims who have come forward and spoken out. I am not talking just about celebrities; as we have heard, stalking affects people in their everyday lives, and stalking patterns of behaviour sometimes follow relatively trivial encounters. I pay particular tribute to Alexis Bowater, from my own area, for her long-standing work and her campaign for changes and increased protections.
I, too, welcome the courage of the people who have been able to speak out, but we should recognise that hundreds, if not thousands, of people throughout the country are unable to do so. I have heard victim impact statements read out in court from people who have not been able to come forward because the stalker’s behaviour has had such a negative impact that it has affected their mental and physical health, and their ability to conduct their daily lives. That has impeded them from speaking out, although they may have wanted to.
That is an extremely important point. There is, of course, another group who cannot speak out: those who have lost their lives at the hands of stalkers. Some of the most moving testimonies that I heard when I was preparing the Bill have come from families who have been bereaved by stalking. I am thinking in particular of the family of Alice Ruggles. I pay tribute to all those people, and I am grateful to the Minister for meeting some of them at a roundtable. I think that we were both struck by their personal courage and bravery in trying to change a hideous experience into an attempt to protect others in the future, and I thank them all.
Another point that has been raised today concerns the growth of online stalking. There is nothing new about stalking, but, sadly, what is new is the increase in the number of avenues that are open to stalkers. That is one of the reasons the Bill does not strictly define stalking. This is a rapidly evolving, changing field, and it is important for us to retain some flexibility. The number of avenues that are open has increased even over the last few years, and if we defined stalking too tightly, we might restrict future opportunities to head off stalking behaviour. The Bill leaves the definition open, giving examples of the kinds of behaviour that could constitute stalking. As I have said before, the point about stalking is the fixated and obsessive nature of it, and the fact that it is a form of harassment. That needs to be recognised as a whole. My hon. Friend the Member for Cheltenham made an important point when he said that an app should be considered. That would enable the full picture to be seen, and I hope that the Minister will consider adopting my hon. Friend’s welcome suggestion.
The Bill is important because it fills a significant gap in the law relating to those who are subject to so-called stranger stalking—that is, stalking by someone who is not a former, or indeed current, intimate partner. It is also important because it takes the onus away from the victim. It means that someone else can come forward to apply for a civil stalking protection order on the victim’s behalf, rather than the victim’s incurring a huge amount of expense and trauma in trying to establish protections on their own behalf. That is one of the key features of the Bill. Moreover, because this is a civil order, it can be imposed on the balance of probabilities—although, importantly, breaching it is a criminal offence. There are real penalties, which I think have been lacking in the past. Stalking is punishable with up to five years’ imprisonment. However, the protection order is not intended to replace a prosecution for stalking. When the criminal threshold has been met, we would expect the police and the whole criminal justice system to go down that route, but we know that a case can take time to build. The point about a stalking protection order is that it could be there while that case was being built for a full prosecution.
(6 years, 2 months ago)
Westminster HallWestminster Hall is an alternative Chamber for MPs to hold debates, named after the adjoining Westminster Hall.
Each debate is chaired by an MP from the Panel of Chairs, rather than the Speaker or Deputy Speaker. A Government Minister will give the final speech, and no votes may be called on the debate topic.
This information is provided by Parallel Parliament and does not comprise part of the offical record
I thank the hon. Lady, my fellow Committee member, for her input. We on the Committee heard that there is a complex spaghetti of acronyms—STPs, ICPs, ACOs—and nobody knows what they mean. Even those working in the system struggle to keep pace with them and with the changes. We have to keep bringing it back to plain English and why it matters to people and hold our attention there.
The integration of health and social care has been a long-term goal for successive Governments for decades, so we might ask why it is not happening everywhere if we have been striving for it for so long. We saw and heard about many fantastic examples of good integrated care, but they sometimes felt like oases in a desert of inactivity. It is also possible to have an area that does some things very well but others not so well.
I commend the hon. Lady for the way she is making her remarks on our report, which I welcome. I looked closely at the Government’s response, in which they said that they
“remain keen to consider how to build political consensus on the case for reform and funding as part of the development of the NHS”
10-year plan, but we have heard no reference to exactly how any mechanism for reaching such a consensus might be pursued. We have heard a lot of talk about integrated care for many years, but we now find ourselves at a critical moment. The Government are about to launch their 10-year plan, and it must be front and centre of what they put forward.
I will respond further to the hon. Lady’s remarks when I comment on legislative change and how we can get legislative change through a hung Parliament. I will also comment on the importance of engaging with the service and why that needs to come bottom-up from the service, and the importance of politicians from across the House listening to the service and being focusing on its message and the message from patients and patient representative groups. I thank her for her constructive input. The Committee has been successful in building consensus about how this should go forward. I hope the Minister has heard that intervention and that he will respond specifically to that point in his closing remarks.
Hon. Members know that a lack of proper pre-legislative scrutiny that responded to concerns expressed led to many of the barriers. We have to go back and address them when they could have been addressed in a more collaborative process during the passage of the Health and Social Care Act 2012. I am thinking of the need to reconsider the legal basis for merging NHS England and NHS Improvement, and how we establish a better statutory basis for the process so that provider partnerships do not always have to go back to separate boards to gain their approval. It is about considering how we address issues such as geographical arrangements so that they make more sense to local communities. The Committee could play a constructive role in a host of areas but—I say this to the Minister—unless proposals are subjected to pre-legislative scrutiny and unless a cross-party consensus is established, proposals are likely to fail.
My final point—other Committee colleagues will probably want to develop it further—is this: what will happen around establishing a legal basis for integrated care providers? For two reasons, the Committee welcomes the change of name from “accountable care organisations” to “integrated care partnerships”. First, the original name confused the debate about Americanisation. The “accountable care organisations” proposed were not the same as those organisations in the States, and the original name caused a great deal of unnecessary anxiety. We do not see the process as Americanisation.
A concern raised with the Committee was that the process will be a vehicle for privatisation. We did not agree. In fact, we thought the opposite: we agreed with the witnesses who told us that the process provided an opportunity to row back from the internal market and away from endless contracting rounds, and move towards much more collaborative working. We would like that change to be properly reinforced within the legal status of health bodies, and are disappointed that the Government have not agreed to say categorically that these bodies would be classed as NHS bodies. When the Minister sums up the debate, I would like him to reflect on whether any form of wording can put the matter beyond doubt and ensure that these health bodies will not be taken over by large, too-big-to-fail private sector organisations.
It is not a concern that groups of GPs might want a leading role in the bodies. The Minister will know that the public concern is more about them being taken over by very large too-big-to-fail private sector organisations. It should be possible to come up with a solution. The Committee heard—the Minister knows this—that those working in the service have the view that the bodies are not likely in practice to be taken over by private sector providers. However, that public concern exists and is a barrier to change. If we can put this matter beyond doubt, we should try to do so.
I would add a bit of clarification on that point about the size of private organisations that might become involved. My concern is that, irrespective of size—whether private organisations are big or small—the threat of a takeover happening within our NHS has distracted the debate. Anything that would categorically rule it out would be very helpful.
(6 years, 4 months ago)
Commons ChamberThe hon. Lady is absolutely right. Health in all policies means using every opportunity to maximise public health. When Departments work together, such as on the childhood obesity strategy, we need maximum engagement across the whole of Government to make that effective. The way it was put to us when the Committee visited Amsterdam was that it should be viewed as a sandbag wall, and if any part of it is missing, we are not going to achieve what we want. That applies to all of public health.
To echo the point that has just been made, the hon. Lady will be aware that I presented a ten-minute rule Bill in April about having health in all policies. Does she agree that the Government should reinstate the Cabinet Office Sub-Committee on public health so that the entire machinery of government can come together to ensure that we do everything possible to keep people well, rather than having a service that treats people when they are sick?
Absolutely. It is essential that we use every mechanism at our disposal to ensure that Departments work together. Public health is mostly delivered in the community, so we need that to happen at the local level, too. Councils should be reaching out into their communities and ensuring that they use every opportunity to deliver health in all areas when it comes to prevention.
One of the most welcome aspects of the funding settlement is that it is long term. For too long we have limped from one short-term sticking plaster to another, so I particularly welcome the fact that we now have certainty over five years combined with a 10-year long-term plan. In the Minister’s response, I ask her to reflect on the recommendation from the House of Lords Select Committee on the Long-Term Sustainability of the NHS for an office of health and care sustainability to do long-term horizon scanning. That means not just future demographic challenges, but long-term workforce planning, which has always been a huge challenge within the health service. Brexit, for example, has implications for not just the workforce, and there are many other challenges ahead, so it would be helpful to have an independent body that could consider such things and help to work out the necessary long-term funding.
My final points are about how we fund the new system. I would be delighted if there was a Brexit dividend, but I am afraid that I do not believe that there will be. I think there will be a Brexit penalty. The difficulty with people thinking that everything might be solved by a mythical future fund means that we are not levelling with them right at the outset that we are all going to have to pay for it. The challenge should be about how to distribute the cost fairly. That is the key point here.
I want to stop here to thank the citizens’ assembly that worked with my Committee and the Housing, Communities and Local Government Committee. I also thank the Chair of that Committee, the hon. Member for Sheffield South East (Mr Betts), for the Committee’s diligent work on this issue.
Going back to fairness, when I was in practice, it always came as a huge shock to my patients when they realised that if they had what might be really quite modest assets, they would have to fund all their social care. That shock was striking when the citizens’ assembly considered the matter. If we are to move to a properly funded system, it must look at the quality of social care, which is precarious in nature, and at the provider challenge. We must be realistic, and we have to make it clear that somebody has to pay. We cannot just put it off to future generations; we have to think about it and explain to the public what that means.
That is why, unusually, our Select Committee makes recommendations to both Front-Bench teams, because the failure to address this has been a political failure. On the one hand, measures suggested by the Labour party have been denounced by my party as a “death tax” and, on the other, my party’s suggestions have been denounced as a “dementia tax”, and that means we get nowhere.
If we are to avoid having the same discussion in five years’ time, we need to be clear about how we will get this across the line. That will require, particularly in a hung Parliament, the co-operation of both sides of the House. I therefore urge both Front-Bench spokespeople to commit to working together.
Members on both sides of the House have repeatedly said that we are prepared to form a parliamentary commission to go out and engage with the public, rather as Adair Turner did on the difficult issue of pensions, regarding what fairness means. We cannot offload this entire cost on to a relatively shrinking pool of working-age employed adults. We need to have a conversation that reaches out to everybody and asks, “What is the fair payment?”, and in return we must make sure those extra payments are earmarked for the NHS and do not just disappear into wider Government funding.
How we do that will mean conversations about national insurance with the self-employed, and it will mean conversations with people in retirement about their own contributions. We cannot put the cost entirely on to young people, many of whom are already, in effect, paying a graduate tax of 9% on everything they earn over £25,000. That would not pass the fairness test.
I am afraid that least fair thing of all would be for us to duck this challenge and leave even more people without the care they need, with disastrous consequences for them, for their loved ones and for their carers, because it falls into the “too difficult” box. This is difficult, but we need to grasp it, explain it to people and come to a decision.
(11 years, 4 months ago)
Westminster HallWestminster Hall is an alternative Chamber for MPs to hold debates, named after the adjoining Westminster Hall.
Each debate is chaired by an MP from the Panel of Chairs, rather than the Speaker or Deputy Speaker. A Government Minister will give the final speech, and no votes may be called on the debate topic.
This information is provided by Parallel Parliament and does not comprise part of the offical record
I thank the hon. Member for her intervention. I will go through all her points in my contribution. If she has further questions, perhaps she will wait for my response, and I will be more than happy to come back to her.
Solar has numerous benefits to offer, and some have been picked up in the contributions that we have heard. It can complement other, less predictable renewable technologies. We do not always know how windy it will be, but we know to the minute what time the sun rises each morning and sets in the evening, so we can work out exactly what the minimum output will be.
Research shows that solar produces electricity at times of year when wind and hydro power generate less. Solar parks can help energy suppliers to balance supply from other forms of generation. Crucially, that helps to reduce the cost of supply to the bill payer because suppliers are less reliant on the short-term energy market, where power is more expensive. The time when electricity is generated from solar technology is a good match for demand, especially in daytime factory production, office and retail spaces. It would be misguided to put all our renewable eggs in one basket. This debate is a reminder about why it was folly for the Government not to commit to setting a decarbonisation target in the Energy Bill to clean up our power sector.
Looking at what is happening globally, the rest of the world is moving fast with solar. For example, the United States has today become the fourth country in the world to break through the 10 GW barrier for solar PV capacity, and it is not only large countries such as China that have broken through that barrier but Germany and Italy. In comparison, the UK currently deploys around 2.5 GW of solar PV capacity.
The Minister said recently that he wants to make the UK the destination of choice for any solar company looking to invest in Europe. I recognise and acknowledge that solar is a core technology in the revised debt renewables road map. He has also said that it is his ambition to deploy up to 20 GW of capacity by 2020. That is a fantastic ambition, which I would like to see realised urgently. Does he believe that it can be met solely on brownfield and roof top sites?
I understand that around one in 70 homes currently has a solar panel on its roof, and I hope that that number will increase. I acknowledge the contributions about community energy projects. I visited an energy co-operative in Brixton recently. It is using the roofs of social housing and reinvesting money raised from that project into the local community. However, we must acknowledge that roof-mounted solar projects often have to compromise their output to fit the architectural constraints of the building, and many people do not have the choice of having a solar panel. I would love one on my roof, but unfortunately it faces north so I cannot.
Ground-mounted projects can be orientated for maximum output, and many hon. Members have raised the planning and environmental issues associated with them. First and foremost, it is absolutely right that we take care to protect our rural landscape and our natural environment, in the same way as with all energy generation. Consent for generating stations of 50 MW or smaller is a matter for local planning authorities. Some applications will be for appropriately sited installations and will receive planning permission; others will not be appropriate and will not go ahead, as with any development.
We all accept that that is the ideal, but I am afraid the reality is that local planners often feel obliged to approve applications because they are unsure and fear the costs of appeal.
I thank the hon. Member for her intervention, and I will respond to that point in a moment.
Hon. Members have views about individual developments and applications that are being considered in their own constituencies. It would not be correct for me to comment on them. However, national policy guidance is that local planning authorities should avoid prime agricultural land for large-scale solar projects.