Supported Housing (Regulatory Oversight) Bill

Luke Evans Excerpts

Friday 18th November 2022 Commons Chamber

[Dr Luke Evans]

My hon. Friend is making an excellent point. Drawing on his expertise, and looking on a system-wide basis, does he think that the invention of the integrated care boards, pulling together social services, councils and the NHS all in one place, provides the chance to try to join up exactly the care he is talking about?

[Dr Spencer]

I thank my hon. Friend for his intervention. It is a really good question. As the Bill goes through, and hopefully in the Minister’s response, I would like to hear how the regulatory framework it puts forward sits alongside the role of the new integrated care systems, particularly in regard to the duties of organisations that provide healthcare-type treatments to people in exempt settings.

To give a different example of how important general support is, in my career I have looked after many people with complex and severe psychotic illnesses. I recall quite a few cases where people sadly were, despite best treatment and intervention, quite disabled and continued to be quite disabled as a result of their illness, and they were being discharged back into community settings and supported accommodation. Although over the past 30 or 40 years we rightly dismantled the asylum system and brought in care in the community, we then expected the community almost organically to provide general support to people who had severe chronic mental health needs.

However, what I quite often saw was that we had created what I call an asylum of one, where somebody was in a type of supported accommodation on their own with very little social interaction and not much of the sort of stuff coming under general supportive care going in. With many of the people I saw, my conclusion was that they did not have reason to be well, because in the community there was not the outreach, support or ongoing engagement, and that led to destabilisation, worsening mental health problems and admission to hospital.

I want to stress the importance of the general supportive care that is being provided to people in supported exempt accommodation, and how necessary and important it is that there is proper oversight and scrutiny, as well as thought about how and what is delivered and making sure it is badged so that it meets the appropriate criteria. Not giving this the same importance as other regulated activities, such as those regulated by the CQC, is unwise and, as we have discussed and seen today, has the potential to do a disservice to some of the most vulnerable people in society.

I congratulate again my hon. Friend the Member for Harrow East on bringing forward the Bill. I am really pleased that this is being supported to make these very important changes, particularly the national supported housing standards, the advisory panel, which makes a lot of sense, and the licensing framework. To finish, there is a need to collect data, because without data we do not know what the situation is or how many of these organisations operate. With data, we can understand where the problems are and we can scrutinise what is being done to ensure that the most vulnerable in society—this is a group of highly vulnerable people—are getting the support, care and treatment they need. I very much welcome the Bill, and I am very pleased to have had the opportunity to take part in this debate.

--- Later in debate ---

[Dr Luke Evans (Bosworth) (Con)]

I congratulate my hon. Friend the Member for Harrow East (Bob Blackman) on his speech, but I think he has done us a bit of a disservice. He spoke for 45 minutes, and I am sure he could have spoken about this topic for about three hours, given his immense knowledge. That is testament to him, and to his time and effort spent dealing with this important Bill.

I am pleased to support the Bill, and I pay tribute to the work of Justin Bates of Landmark Chambers, and to Crisis. Crisis has a long-standing reputation as an important advocate for policies on homelessness and housing. I pay tribute to its Regulate the Rogues campaign. With Christmas fast approaching, I also wish Crisis well with their upcoming Crisis at Christmas campaign, which I know is highly regarded across the UK. I appreciate, however, that Crisis and other bodies campaign throughout the year, because homelessness and housing problems are not seasonal issues, but a matter that we must continue to work through. Many of our constituents are counting on us to make progress, and the Bill is an important addition to supporting a critical sector of housing.

When I researched for this debate, I was troubled by comments from the important report by the Levelling Up, Housing and Communities Committee about exempt accommodation. Statements such as

“some residents’ experiences of exempt accommodation are beyond disgraceful”

and

“some people’s situations actually deteriorate as a result of the shocking conditions in which they live”

leave us wondering why we have reached a situation where some of the most vulnerable people in our society, who are trying to get their lives back after a period of personal crisis, feel that their lives are getting worse in exempt accommodation, which is meant to provide them with the necessary support to get back on their feet.

The report continues to make further worrying conclusions, such as that

“organisations with no expertise are able to target survivors of domestic abuse and their children”

and notes:

“Millions of pounds are being poured into exempt housing benefit with no guarantee that vulnerable residents will get the support they need.”

I admit to a deep sense of concern when reading a report that highlights evidence that in some cases,

“vulnerable residents who are likely to have low incomes have to pay for support out of their own pockets.”

We heard about that from several accounts in the Chamber today. I am left with the conclusion that in some instances there is a vicious cycle of residents on low incomes living in exempted accommodation, while paying for the questionable “benefits” of patchy support. Is patchy a strong word in certain cases? I think not.

Some providers of such accommodation are exempt from the benefit cap and other restrictions on housing benefit, which enables them to charge the higher rents we have heard about. We cannot ignore the fact that this is public money flowing into these operations. As we have heard, exempt accommodation means accommodation that is exempt from housing benefit regulations that limit local housing allowance levels. The higher running costs associated with that type of accommodation must be considered, but I am troubled that in some cases poor-quality and even dangerous provision for vulnerable people is the return on that investment. There must be a better return for such support in these troubling cases. I am concerned that exempt accommodation can be increasingly associated with supported accommodation that is of poor quality. Considering the needs of residents who are living in such housing, we must break down the associated stigma when people raise their concerns.

At this point in a speech, it is usual for the speaker to bring forward a mass of statistics to highlight the problems in the sector, but as we have heard countless times, that is difficult because there is no clear picture of the extent to which rogue landlords, and good operators, are operating in this sector. Advocates such as Crisis are hearing real horror stories, and we have read about them in the report and in the Chamber today. It is hard to know whether such cases are playing out in all our constituencies, in some of them, and whether some areas are worse than others. Our local councils are hearing about cases, but we may just be trying to resolve individual problems; we simply do not have the data to know. The difficulty is compounded by the different types of provider, involving multiple regulators. We must try to work out how we can tie the patchwork together.

When I spoke to my local council in Bosworth, I was advised that there were 43 exempt accommodation properties in my borough, but there may also be private landlord arrangements that are not notified to the council. My council has rightly raised concerns about standards and regulation and, strangely enough, expressed the need for licensing and possibly for inspections, as we heard from Labour Members. I am keen to see those options explored.

Then we need to know the definition of support, as the standard of support is also unclear. We veer wildly between good and bad stories, and there is no consistency even across a constituency. The provision should not be a lottery; it affects the lives of the residents we represent, and that is more important.

To be fair to the Government, I sense that they recognise the issues. I was pleased that earlier this year the previous Minister with responsibility for rough sleeping and housing, my hon. Friend the Member for Walsall North (Eddie Hughes), announced a series of targeted measures to be introduced when parliamentary time allowed. Those measures included minimum standards of support to ensure that residents receive the good-quality support that is expected and deserved, new powers for local authorities to manage the local supported housing market, changes to housing benefit regulations to seek to define care, support and supervision and a £20 million supported housing improvement programme to drive up the quality of accommodation in the sector. However, some months have passed and, from what I have read and considered on this subject from people in the sector, I think that real progress needs to be made, so I am pleased that the Government are supporting the Bill.

Turning to the provisions of the Bill, I welcome the introduction of the supported housing advisory panel, which will be as a useful sounding board and a way to gather evidence to support policy making in this area and, crucially, to drive progress. Nevertheless, it is important that the panel draw upon a geographical spread of voices, representing different voices and needs in the UK.

For instance, I can imagine that the issue facing exempted accommodation providers in more rural areas such as Bosworth may be different from those we have heard about in London, or those in Leicester or Coventry. I also want to ensure that the panel draws upon expertise and innovation in the sector, so that large and small providers can come together to innovate and drive forward good practice.

I welcome the duty for local housing authorities in England to carry out a review of supported exempt accommodation in their districts and publish a supported housing strategy, though I would be interested to understand the guidance and matrix for what the assessment should cover and how the strategy will be made up. I also want assurance that the strategy can be incorporated into any ongoing local plan process. Those documents cannot be mutually exclusive, so I would want to be sure that my local council can provide the necessary direction to ensure that its supported housing strategy really captures the needs of Hinckley and Bosworth.

Clause 3 captures the nub of the problem, and I support the idea of clearly defined standards for this accommodation. I also note that clause 4 deals with licensing as a means of ensuring that national supported housing standards are met, and I hope for swift and effective decision making about licensing.

We are coming up to the end of my third year in Parliament. When I look back over these most eventful of years, I am struck about how the good intentions that we have work out in this place and can make a real difference to the people that we represent. Hearing and reading baffling accounts of people with a history of substance misuse being housed with drug dealers, and of survivors of domestic abuse being housed with perpetrators of such abuse, as outlined in the Select Committee report, is very concerning.

We must boil the argument down to the basics. In a world where there is much talk about the disposable society, the commercial society and the desire to seek short-term happiness from the most temporary of means, there are occasions when we need to think about the basics of what we need to get through life. One of those basics is a safe and secure room where you can put your head down for the night and wake up refreshed to fight the next day.

One cannot help but be troubled by what we have heard today from my hon. Friend the Member for Harrow East and other colleagues. However, there is hope, and I applaud everyone for shining an important light on this issue today. I am heartened by the will to put things right and to tackle the rogue landlords who appear to be exploiting the situation off the back of some of the most vulnerable in our society.

--- Later in debate ---

[Dr Neil Hudson (Penrith and The Border) (Con)]

It is a great pleasure to follow my hon. Friend the Member for Heywood and Middleton (Chris Clarkson). I pay tribute to my hon. Friend the Member for Harrow East (Bob Blackman) for introducing this Bill, but in the top trumps of adulation, I do not think that I can compete with my hon. Friend the Member for Ipswich (Tom Hunt).

My hon. Friend the Member for Harrow East is a proud champion of speaking up for the most vulnerable in society, and I pay tribute to him for all the work he has done in this area and for introducing this important Bill. I am really pleased that it has so much cross-party support, as it shows the importance of what he is doing. This House is at its best when we are united in the common good of trying to protect the most vulnerable in society.

I also welcome the Minister to her place, and I look forward to hearing from her later. What really resonated with me, as a vet and a scientist, was when my hon. Friend and other colleagues talked about the paucity of data in this area. If the data are not there, we just do not know what we are looking at. We can make good policy with evidence-based decisions, and we need the evidence out there. This debate today has highlighted the importance of that data collection.

It is clear that those who are protected by this Bill are among the most vulnerable in our society. I pay tribute to those across my constituency of Penrith and The Border who support the most vulnerable people. In the housing arena, I pay tribute to Eden Housing Association, which is celebrating its 25th anniversary this year. I hope that the Bill complements the work of people up and down the land who are supporting the most vulnerable in society. At a time of economic crisis, when people’s livelihoods have been affected, forcing them to live from day to day, it is so important that we are putting forward good legislation to provide help in these troubling times.

I welcome the fact that the Bill will try to stamp out the awful practices that have been highlighted today of rogue landlords exploiting people. There have been some pretty harrowing examples from Members on both sides of the House, and it is so important that the Bill will clamp down on these practices and rid them from society. These people on benefits are really struggling, as are many people across the country. As we have heard today, this is a compassionate piece of legislation, and when we are driving Bills with cross-party support through the House, it is so important that compassion is at the heart of that. To get political, I welcomed the Conservative Government showing some of that compassion yesterday with measures in the autumn statement, and the fact that we are now uprating benefits in line with inflation is critical to that compassionate conservatism.

We have heard from many Members, including esteemed medical colleagues, about the mental health implications in the supported housing sector, and we have also heard about physical wellbeing. Something that has really resonated with me today is the mental health impact of the situations that these people find themselves in; that impact is lasting, profound and very damaging for them. The mental health stresses in this sector compound the trauma that many of these people have experienced, having faced domestic violence, homelessness and all other manner of challenges in their lives. If they are then challenged in their own homes, that exacerbates the awful problems in their lives.

In rural areas such as my constituency of Penrith and The Border in Cumbria, the factors that challenge mental health are compounded by rural isolation. I have pressed the Government to ensure that policy making reflects the challenges we face in different parts of the country. Rural communities often struggle to get the mental health support they need due to the long distances and poor connectivity, whether that is physical or virtual connectivity or even mobile phone signal. This is something I feel very strongly about. I sit on the Environment, Food and Rural Affairs Committee, and I initiated an inquiry on rural mental health. We looked at some of the trigger factors for people in rural communities, and we found that challenges in the housing sector were among those.

The Bill has to be part of an holistic approach, to protect the most vulnerable in exempt accommodation. We have heard today about mental health, and I feel passionately that mental health needs to have parity of esteem with physical health. The two go hand in hand, and they need to be balanced together.

To segue into another issue, as a vet, I am passionate about animal health and welfare. As a dog owner, I know the impact that animals have on people’s lives and the importance of people being able to have animals in their accommodation. I have worked with Ministers on various types of legislation, and we want people in the rental sector to be able to have pets in their accommodation. Responsible pet owners should be allowed to have a pet, to give them that companionship and to help their mental health and the health of the animal. That is something we can move forward with.

[Dr Luke Evans]

My hon. Friend is making an excellent point about the impact of animals on mental wellbeing. Does he agree that having an animal to provide that support is even more important in rural areas, where loneliness is such a big problem?

[Dr Hudson]

I very much agree with my medical colleague about the role of animals in society and in supporting us, and the support we can give to our animal friends, and that is pivotal in rural communities. We love animals in rural areas and in towns and cities. Our love for the animal world is something that unites us in humanity and across the Chamber.

I welcome the statutory requirement on local authorities to publish a strategy for supported housing, so that they can respond to the needs of their area. In rural areas such as my constituency, the importance of local councils and local democracy cannot be overstated. Local councils and parish councils are at the heart of these communities, in terms of community engagement and providing the key services on which we all rely daily.



I urge central Government to take care that the Bill’s statutory requirements on the Secretary of State at national level do not create inertia or an inability to act at local level. We have seen a bit of inertia in Cumbria with local government restructuring, as we move to two unitary authorities. Sadly, local democracy has ground to a halt as people jockey for position and decide who is in charge of which parts of the county. Parish councils are struggling to get things through, and grant applications are not being looked at. For local democracy, we have to make sure that we do not have inertia after decisions are made. This is a really good Bill and, when it gets on to the statute book with cross-party support, we need to make sure the process is lubricated.

I echo the comments of my hon. Friend the Member for Truro and Falmouth (Cherilyn Mackrory) highlighting the lack of housing in rural areas, exacerbated by the upsurge in short-term holiday lets and Airbnb, which is also a critical issue for us up in Cumbria. I welcome the fact that the Government are listening to Back Benchers who have raised the lack of housing. In our rural communities, we see people being driven out of their local area because they cannot find rented accommodation, so I welcome the fact that Ministers are looking at this issue on a cross-departmental basis. There has been a consultation on short-term holiday lets, and I look forward to the Government working through the Levelling-up and Regeneration Bill to make sure we have sensible legislation so that people in rural communities can live, work, study and have their kids go to school in their local community. I very much hope the Government move on that, too.

There is a huge impact on employers in rural Cumbria, as they are not able to attract staff to come and work in their pubs, restaurants and farms because of the lack of housing due to short-term holiday lets. I welcome the fact that my hon. Friend the Member for Truro and Falmouth has raised this issue, as have I in Cumbria and as have other colleagues from up and down the land. It is a key point, and I hope the Minister will look at it in parallel legislation.

Again, I pay tribute to my hon. Friend the Member for Harrow East for bringing forward this Bill. I welcome the strong cross-party support, including from the Government, as the compassion at the heart of this Bill has my firm support.