Business of the House

Lyn Brown Excerpts

Thursday 16th May 2024 Commons Chamber

[Penny Mordaunt]

I am sure that the House is very keen to hear the story behind this, but I am afraid that what the hon. Gentleman has said is not true. I have done no such thing.

[Ms Lyn Brown (West Ham) (Lab)]

I have recently been contacted by constituents about the imminent closure of the Hall, a small community space in East Village, Stratford—one of very few in the area. As we know, such spaces are absolutely invaluable. Ours hosts loads of events, including meetings of the Brownies and the Girl Guides. I am making representations to Get Living, the developer responsible for that decision. It has, frankly, been responsible for a whole bunch of questionable decisions over recent years, including during the cladding scandal and on exorbitant service changes. Can we have a debate in Government time on how the actions of developers have undermined the Olympic legacy and failed local residents?

[Penny Mordaunt]

I am very sorry to hear of the situation in the hon. Lady’s constituency. She will know how to apply for a debate on the issue, which I think is an excellent topic for discussion. I will also ensure that the Secretary of State for Levelling Up, Housing and Communities has heard her concerns. Clearly, a huge amount of work has been done to enable community asset transfers, and funding is available to facilitate that. I will ask one of the Secretary of State’s officials to contact her office with any advice that they can furnish.

Business of the House

Lyn Brown Excerpts

Thursday 18th April 2024 Commons Chamber

[Penny Mordaunt]

I congratulate my right hon. Friend on all the work she has done on this matter, particularly securing the £6.5 million redevelopment of the urgent and emergency care unit in her local hospital. I think that the timeline she outlined is correct, and the work will certainly have a massive impact on improving patient waiting times and reducing ambulance handover times by creating additional capacity. She will know that she can air questions to the Secretary of State on this matter on 23 April, which is next week.

[Ms Lyn Brown (West Ham) (Lab)]

I am absolutely delighted to tell the House that 81 students from the Bobby Moore Academy in West Ham will be welcomed to the Royal Opera House today to watch a performance of “Swan Lake”. I hope that they absolutely love it and that it inspires a lifetime of getting joy from the arts. I am sure the Leader of the House will agree with me and my right hon. and learned Friend the Leader of the Opposition that every child should have the opportunity to fall in love with the arts. Can we have a debate in Government time where we can explore ways that we can give working-class communities like mine greater access to the arts?

[Penny Mordaunt]

I hope that all students from the Bobby Moore Academy have a wonderful time watching “Swan Lake” today. The hon. Lady knows that we are absolutely committed to ensuring that every child can experience high-quality performances. The funding that we have distributed has been across the whole of the UK, which is very important. She has just missed the opportunity to raise this issue with the Secretary of State for Culture, Media and Sport, so I shall make sure that she has heard what the hon. Lady has said today.

Business of the House

Lyn Brown Excerpts

Thursday 25th January 2024 Commons Chamber

[Penny Mordaunt]

I thank my hon. Friend for again diligently raising this important issue; I understand that the forums in which he can do so are limited, which is why he brings it to the Floor of the House each week. He has put those points on the record, as well as his thanks to those survivors for their important intervention. As the Secretary of State will not take questions until 4 March, I will again ensure that he has heard what my hon. Friend has said.

[Ms Lyn Brown (West Ham) (Lab)]

Stratford market village in my constituency has provided space for more than 60 much-loved independent local businesses to ply their trade since about 1974. They are the kinds of businesses that reflect the entrepreneurship, drive and diversity in Newham, but on 10 January, with no warning at all, the traders received an email telling them that the market village was closed with immediate effect. The company that owns it is going into administration, leaving viable, much-loved businesses in limbo, out of pocket and without a home. I thank our Assembly Member Unmesh Desai and Newham Council for their work on the matter so far, and I hope that it bears fruit, but I know that many similar communities have faced similar problems. May we have a debate in Government time on whether our councils have the resources and powers they need to effectively step in and save much-loved local spaces and businesses when this kind of thing happens?

[Penny Mordaunt]

I thank the hon. Lady for her helpful suggestion of a debate. I am sorry to hear about the situation in her constituency. Such markets are often a stepping stone for many businesses to getting additional premises of their own. The Department for Levelling Up, Housing and Communities and its high streets team have been collecting good practice about where other people have faced such situations. There are some good examples of what local authorities and other groups can do to ensure that continuity. As the next question time is a little way off, I will ask officials in the Department to contact the hon. Lady to see what more can be done to assist.

Business of the House

Lyn Brown Excerpts

Thursday 14th September 2023 Commons Chamber

[Penny Mordaunt]

I thank my hon. Friend for raising this matter. He is right that, in Labour-run Birmingham, the council blamed everyone else rather than taking responsibility for the situation. It blamed the IT system, the Government and women expecting equal pay. It really must stop passing the buck and take responsibility for its own mess. This comes as a stark warning to Labour-run Warrington Council, which I understand is in debt to the tune of nearly £2 billion and has just approved a £145 million loan to another council, despite that terrible financial situation. I know that my hon. Friend has raised this many times and that the Secretary of State has also asked for an independent review. With regard to other councils that are managing their budgets well, we know that there are still tough times ahead. There are many demands on their services, which is why we have confirmed an almost £60 billion package for local authorities this financial year.

[Ms Lyn Brown (West Ham) (Lab)]

Women continue to contact me with graphic descriptions of their horrifying experiences of NHS hysteroscopies, enduring appalling and unnecessary pain as the medical establishment appears not to believe that any kind of anaesthesia is necessary. I have raised this issue 10 times in the House. I know that the Women and Equalities Committee is currently conducting a very valuable inquiry into women’s health and I hope that it might consider this issue. Will the Leader of the House have a word with her colleague, the Minister responsible for women’s health, to ensure that her response to that inquiry is as good as it can be and perhaps to push this issue up her to-do list. It is simply not good enough that women are continuing to experience this dreadful trauma.

[Penny Mordaunt]

I thank the hon. Lady for raising this very important matter, which will be of concern to many women across the country. I also thank the Women and Equalities Committee for the work it is doing in its inquiry. I will write on the hon. Lady’s behalf to raise this specific issue with the Minister and ask that she contact her office to give her some assurance.

Business of the House

Lyn Brown Excerpts

Thursday 13th January 2022 Commons Chamber

[Mr Rees-Mogg]

As always, my hon. Friend is a great champion for his constituency. I can tell him what the Government have been doing. The £4.8 billion levelling-up fund includes help to regenerate town centres and high streets. Considerable measures have been taken to spur innovation and investment across the country and help business to build back better from the pandemic. We are increasing the British Business Bank’s regional financing programme to £1.6 billion, providing capital to businesses across the country; extending the temporary £1 million annual investment allowance cap to March 2023, providing more up-front support to help businesses to invest and grow; and reducing the burden of business rates by more than £7 billion over five years. All those things should help high streets, but the support that my hon. Friend gives by encouraging people to use their high street and go to the shops will also be important in maintaining a competitive high street.

[Ms Lyn Brown (West Ham) (Lab)]

I have a British constituent who is still trapped in Afghanistan. She is an eight-year-old child—just eight—and is being kept from her mum and little sister because of successive Passport Office failures dating back to 2014. We have made frantic efforts to get her out, before and since the flights stopped. On one day, she was in a Foreign, Commonwealth and Development Office minibus, so close to the airport, for 24 hours—an enormous risk—but was turned away because she had been given nothing to show and no support to get through the checkpoints and the gates. I have written to the Foreign Secretary and others many, many times, but there has been no constructive answer and no action. This little girl is in grave danger, and she believes her mum does not love her. We have to bring her home. Will the Leader of the House intervene with his friends in the Home Office and the FCDO to get an answer and some action as soon as possible from someone?

[Mr Rees-Mogg]

I am very sorry to hear about that eight-year-old girl. The hon. Lady puts her case very forcefully. I have said before at this Dispatch Box that whenever right hon. and hon. Members have individual constituency cases I will do whatever I can to take them up with the relevant Departments, to try to get answers. I cannot promise the answer, because that is not within my purview, but if she writes to me with all the details, I will certainly take it up with both the Home Office and the Foreign Office as necessary.

Independent Complaints and Grievance Policy

Lyn Brown Excerpts

Thursday 19th July 2018 Commons Chamber

[The Leader of the House of Commons (Andrea Leadsom)]

I beg to move,

That this House approves the Second Report from the Committee on Standards, Independent Complaints and Grievance Policy: Implementation, HC1396, and the Independent Complaints and Grievance Scheme Delivery Report and its proposals for ensuring clear standards for all who work in or visit Parliament, and, in particular:

(1) endorses the Behaviour Code and the policies and procedures relating to bullying and harassment and sexual harassment associated with the Independent Complaints and Grievance Scheme set out in the Delivery Report;

(2) agrees the following amendments to The Code of Conduct:

(i) in Section IV (General Principles of Conduct), after paragraph 8 insert the following new paragraph:

“Parliamentary Behaviour Code

Members are also expected to observe the principles set out in the Parliamentary Behaviour Code of respect, professionalism, understanding others’ perspectives, courtesy, and acceptance of responsibility.”;

(ii) in Section V (Rules of Conduct), add the following new rule as Rule [17]:

“Respect

A Member must treat their staff and all those visiting or working for or with Parliament with dignity, courtesy and respect.”;

(3) agrees the following changes to Standing Orders:

A. Standing Order No. 149 (Committee on Standards)

(i) in paragraph (5), at end insert “save as specified in paragraph (5A) of this Order”;

(ii) after paragraph (5) insert new paragraph (5A) of this Order:

“(5A) It shall be an instruction to the Committee that before dividing on any motion, the Committee should hold an indicative vote of lay and elected members to ascertain the views on the motion of the Committee as a whole and of each member present; that such a vote should be conducted as if it were a formal division; that, as in a formal division, the Chair should not take part in the initial vote but should have a casting vote in the event of a tie; that after holding such a vote the results should be recorded in the Committee’s formal minutes, without question put; and that after holding such a vote the Committee may or may not proceed to a formal division of elected Members.”;

B. Standing Order No. 150 (Parliamentary Commissioner for Standards)

(i) in paragraph (2), at end add the following new sub-paragraph:

“(f) to consider cases arising from the Independent Complaints and Grievance Scheme”;

(ii) in paragraph (4), at end add the following new sub-paragraph:

“(c) in any case arising from the Independent Complaints and Grievance Scheme where the Commissioner has proposed remedial action within any procedure approved by the Committee with which the Member concerned has complied or, if the remedy is prospective, undertaken to comply”;

(4) recognises the role of the Parliamentary Commissioner for Standards to consider cases arising from the Independent Complaints and Grievance Scheme; notes the arrangements about publishing the details of investigations of such cases to ensure complaints are handled confidentially as set out in the Independent Complaints and Grievance Scheme Delivery Report; and accordingly agrees that, for consistency and fairness, the Parliamentary Commissioner for Standards should no longer routinely publish information about individual investigations before those investigations are concluded and accordingly agrees to amend sub-paragraph (b) of paragraph (12) of Standing Order No. 150 by inserting “statistical” before “information” and leaving out “and matters under investigation”;

(5) recognises that Dame Laura Cox QC is conducting an independent inquiry into the allegations of bullying and harassment of House of Commons staff, whose Terms of Reference were published on 23 April 2018; notes that the inquiry relies upon past and present staff members coming forward with information in person or in writing; notes further that the inquiry, while not investigating any individual complaints or reopening past cases, will consider what options are available for resolving current or historical allegations and providing support to those affected; accordingly agrees that a further independent inquiry in similar terms be established, by the Clerk of the House in consultation with the relevant authorities in the House of Lords as appropriate, to consider allegations of bullying and harassment in respect of those individuals including MPs and their staff, where those allegations are not in scope of the Dame Laura Cox QC inquiry; and directs that the inquiry should report directly to the House in time for its findings to be taken into account in the 6 month review of the scheme established under paragraph (6) of this motion;

(6) endorses the proposal in the report that there should be reviews of the new arrangements at 6 months and 18 months, and invites the Leader of the House to propose the establishment of a review body, including staff representation, to the House of Commons Commission for their consideration and agreement, in consultation with the relevant authorities in the House of Lords as appropriate; those reviews should incorporate

(a) the findings of the independent review set up under paragraph (5) of this motion and

(b) the findings of the Dame Laura Cox QC inquiry which deals with matters relating to staff of the House;

(7) directs the Accounting Officer to meet those costs of the inquiry under paragraph (5) and the reviews under paragraph (6) falling to the House of Commons from the House of Commons (Administration) Vote.

Today gives us a new start. Since last November, Westminster has been rocked by allegations of bullying and harassment, and today we demonstrate our determination to put our house in order and ensure that everyone will be treated with dignity and respect in future. This debate and vote comes as a result of the tireless work and dedication of the programme team, who have driven the implementation of the working group’s proposals. The programme team was overseen by a cross-party steering group made up of staff representatives and Members of both Houses. To everyone who has been involved in this process and supported and provided advice, I am extremely grateful. Most importantly, we probably would not be having this debate were it not for the bravery and spirit of those women and men who have chosen to speak out about their personal experiences. We thank them for taking that step on behalf of everyone who has been treated wrongly.

[Lyn Brown (West Ham) (Lab)]

As the right hon. Lady would expect, I have talked to my staff about this policy and asked them whether they think it is a step forward. They do, but they also want the House to recognise the Unite branch and give it a role in the reviewing and implementation of the procedure, to embed union protection in the workplace. Has that idea been discussed or progressed?

[Andrea Leadsom]

That idea has been discussed a number of times through the working group. It was decided not to include that specific recognition, mainly because there are many different organisations in this place, all of which do a good job. Therefore, there is no non-recognition, but neither is there a specific formalised recognition of the Unite branch within the complaints procedure.

The motion asks the House to endorse specific changes that were identified in the working group’s report that was published and agreed by the House in February. Today, the principles of that report will become reality. First, today’s motion asks the House to approve the independent complaints and grievance scheme delivery report, and in doing so it will also ask the House to endorse a new behaviour code that makes it clear to all those who come here—whether an MP, member of staff, peer, contractor or visitor—the standard expected of everyone in Parliament.

Secondly, the motion asks the House to eliminate the threat of exposure that prevents many people from coming forward, by ensuring that all investigations are managed confidentially. Thirdly, it will provide the Parliamentary Commissioner for Standards with a broader set of powers and make changes to the Committee on Standards, including to the voting role of lay members. Fourthly, it proposes that a further independent inquiry be established, with similar terms to the Dame Laura Cox inquiry, to hear historical allegations about Members, peers and their staff. Finally, the motion will make provision for a full review of those arrangements after six and 18 months.

In addition to the measures in today’s motion, the steering group has established two independent helplines—one to deal with bullying, and one to deal with sexual misconduct—as well as independent HR advice for staff, and there is an aspiration to improve the general culture of Parliament, including through a new programme of comprehensive training. Members, staff and the public can rest assured that this new independent complaints and grievance policy puts the complainant at the very heart of the process, while taking care to ensure that the principles of innocent until proven guilty are upheld. The ICGP will be fair and transparent, and I believe it will win the confidence of everyone.

Following an intensive period of implementation, today is the final parliamentary hurdle to getting this much needed new scheme up and running. This is the first step, not the final step, towards the culture change that we all want. That is why we have built in a six and 18-month review of the scheme, to ensure that it achieves exactly what we set out to do. Importantly, the six-month review will take careful account of the findings of the independent inquiry by Dame Laura Cox QC and the further independent inquiry that we are establishing today.

Let me turn to the key elements of today’s motion. First, the new behaviour code will apply to everyone on the parliamentary estate. It has been drawn up following extensive consultation with trade unions, staff associations and the public, who were asked for their views about what behavioural expectations we should have of those working for and within Parliament. It seeks to ensure that everyone in and working for Parliament is respected and valued and that we take a zero-tolerance approach to bullying, harassment and sexual misconduct. Unacceptable behaviour will be dealt with seriously and with effective sanctions.

Today’s motion will also make changes to the Standing Orders for the Parliamentary Commissioner for Standards and to the Committee on Standards. We propose that the commissioners of both Houses keep their investigations entirely confidential until such time as there is a finding. That is crucial if individuals are to place their trust in the new system. There is clearly a balance to be struck between public interest in transparency and putting the complainant at the heart of the process by protecting their identity, and that is vital. In deciding whether to publish any findings, the PCS will also put the complainant’s wishes at the heart of the decision.

I thank, very sincerely, the right hon. Member for Rother Valley (Sir Kevin Barron) for the extremely thoughtful and collaborative way that he and his Committee came to their position. I must point out, however, that we have had to respectfully disagree on one issue, which is about whether confidentiality should also be observed during an investigation in non-ICGP cases. I would be the last person to want to avoid transparency, but for this scheme to succeed, it is vital that we achieve consistency. The amendment by the Committee on Standards would effectively mean that there is one process for ICGP cases and a different one for non-ICGP cases.

Christmas Adjournment

Lyn Brown Excerpts

Thursday 18th December 2014 Commons Chamber

[Lyn Brown (West Ham) (Lab)]

I am absolutely delighted to have this opportunity to contribute once again to a Christmas pre-recess Adjournment debate. I want to raise two health issues: the hysteroscopy procedure and pancreatic cancer. I know that some Members were present when I talked about hysteroscopy last year, but I must warn the others that it is not for the squeamish, so I will perfectly understand it if anyone wants to leave the Chamber.

The hysteroscopy procedure was first brought to my attention by my constituent Debbie, who lives in Plaistow. She is a really lovely women and a great campaigner. She was diagnosed with womb and uterine cancer and contacted me not about the pain of the cancer, but the pain she went through during the process of diagnosis. Debbie underwent a hysteroscopy, which I remind Members is a procedure for looking inside a patient’s uterus. It is used to investigate symptoms such as pelvic pain, abnormal bleeding and infertility. Biopsies are often taken during the procedure and tissue is removed. The procedure is uncomfortable and can be incredibly painful.

Debbie has since campaigned tirelessly to prevent other women from being subjected to such a painful procedure. I pay tribute to the work that she and others in the hysteroscopy campaign have done. Since raising Debbie’s story in the House last Christmas, I have been contacted by a number of women across the country who heard about the debate and wanted to share their stories with me. The cases they described have all happened since last year’s debate.

One such woman is Mrs Hughes. She had a thickening of her womb and was told that she might have cancer, so she had a pipelle biopsy, which in itself was very painful and distressing. She was then told that she would need a hysteroscopy and that she would be given an anaesthetic. Mrs Hughes, who has heart problems, phoned the hospital to find out what type of anaesthetic she would be given. She was told that it would be a nerve block anaesthetic. To be clear, Mrs Hughes received information from a doctor, a nurse and a leaflet at the local hospital, all telling her that the procedure would be conducted under anaesthetic.

On the day of the procedure, however, her doctor—let us call him Dr C—told her, “Well, we only give anaesthetics to people who can’t cope with facing it. It stings, but you’ll be all right. I’ll be gentle. I’ll be in and out in 30 seconds.” But the doctor could not find the cervix. After some time, and a considerable amount of intense and painful probing inside her, water was pumped into her womb and a camera was inserted. The pain increased significantly and Mrs Hughes was calling out loudly in distress. She felt herself passing out because of the pain. The doctor then said, “I can’t reach it.” The procedure was terminated without a biopsy or a diagnosis.

After the procedure, Mrs Hughes went home. She said:

“I had excruciatingly painful cramps and bleeding. I was so very distressed and dazed...I started to shiver and then began to shake all over. I couldn’t stop the shaking. My nerves were shot. I was crying and couldn’t get the procedure out of my head... I kept having flashbacks. My heart was affected, thumping and missing beats. I felt truly traumatised. I couldn’t sleep—I kept waking up in an absolute panic.”

She was in agony and was clearly experiencing post-traumatic stress. The doctor simply told her that she would have to come back and have the procedure done under general anaesthetic.

This really cannot go on. The Under-Secretary of State for Health, the hon. Member for Battersea (Jane Ellison), kindly wrote to me after last year’s debate. She highlighted the guidance from the Royal College of Obstetricians and Gynaecologists, stating that she expected

“all clinicians to adhere to guidance where available to ensure good practice and the best outcomes for patients.”

The guidance includes the need for formal informed consent for out-patient hysteroscopy before the procedure. I am afraid that I do not consider that to be sufficient protection for women. A significant number of hospitals still do not use a written consent form for an out-patient hysteroscopy. It is a postcode lottery as to whether a patient is offered different options for pain control, or indeed even advised to take a pain killer before the procedure. Put simply, many women across our country are still having to go through this procedure, which is often agonising, without the right information or informed consent.

I implore the Minister to take action to ensure that surgeons must always discuss with patients what will happen before, during and after a hysteroscopy, and that they must obtain formal informed consent for an out-patient hysteroscopy before the procedure. This matter must be tackled. I ask the Minister to use her good offices to make some progress.

I would now like to turn to pancreatic cancer. The diagnosis of pancreatic cancer often comes too late for any effective treatment, meaning that for many the news is abrupt, shocking and, all too often, a death sentence. It is often called the silent cancer, because the early symptoms are hard to detect and it is only later, when more precise and exact symptoms appear, that patients and doctors consider the possibility of pancreatic cancer.

One of my constituents, Norma Giles, wrote to me about the loss of her son Steven to pancreatic cancer in 2010. He was previously a fit and healthy man, happily married and a father, and his death has had a devastating impact on the family. He was just 42, and like many he was diagnosed too late for surgery. His wife, Clair Giles, wrote:

“if I told you pancreatic cancer is a git, I would be lying, as there are no words strong enough to tell you what pancreatic cancer does to the patient and to their family. I have struggled losing my husband, my soul mate.”

She wants me to help get the message out that early diagnosis and surviving pancreatic cancer go hand in hand, and she argues that the lack of funding for the fight against pancreatic cancer is directly responsible for the poor survival rate. Understandably, she wants that to change.

Tragically, Steven was diagnosed only after numerous visits to their GP with a range of symptoms. He had lost 4 stone and had diabetes, but it was only when a locum saw him that he was referred to hospital. Tragically, it was too late. We need to do far more to save people like Steven. Survival rates have remained unchanged over the last 40 years, with 22 people dying every day from pancreatic cancer and only 10% of patients being diagnosed in time for lifesaving curative surgery. Surely we can do better. As Members know, behind each statistic are personal stories and individual and family tragedies.

Pancreatic cancer has the worst survival rate of all cancers, yet it receives only 1% of research spend. Over the last four years, cancer spending has been cut by £800 million in real terms, and I am told that treatment standards are deteriorating and that the national cancer target has been missed in the last three quarters. Hon. Members will share my concern that this is simply not good enough, so I implore the Government to look at the issue afresh. I am sure I speak for all Members in extending our thoughts and prayers to those battling cancer and in expressing our admiration for and thanks to the NHS staff caring for them, especially over the Christmas period.

Madam Deputy Speaker, I wish you, hon. Members and everybody who works on the parliamentary estate the happiest of Christmases and the very best of new years.

--- Later in debate ---

[The Deputy Leader of the House of Commons (Tom Brake)]

It is a pleasure to respond, for what will be the last time in this Parliament, to the pre-recess Adjournment debate. Earlier, we heard that the hon. Member for Rhondda (Chris Bryant), who has previously taken this debate, referred to Members who contributed to the debate as characters from different TV series. I would, perhaps, liken those sitting here today to characters we would all recognise from our local pub. There is the one who always bangs on about how immigrants take our jobs. There is the one who always goes on about medical problems. There is always one who only ever drinks orange juice. There are others who will insist on talking about birds at great length. Finally, there will be another who will always complain about their trains being late—that is me, incidentally.

This debate was, as always, opened very effectively by the hon. Member for Southend West (Mr Amess). As usual, he ran through a large number of issues, and I will try to respond to at least some of them. I think he started by suggesting that, following the renovation works, we might never return to this place. He will be relieved to hear that I suspect his concerns in that respect are unfounded. He referred to the facilities being empty and the prices being too high, and then went through a long list of local issues, including scrap metal, energy prices and the world athletics—and I want to commend his schools, Southend high school for boys and Southend high school for girls, on qualifying to represent England at that event. He also referred to the Music Man project and to Councillor David Stanley, and then proceeded to plug that event. He did not tell us what the ticket prices would be, but he no doubt would have done so if time had allowed, as well as providing us with a link so that we could purchase tickets online. He also referred to the talent show that is being launched as part of the alternative city of culture events in 2017. I think that the House would like to be assured that he will be taking part in that talent show himself.

The hon. Gentleman referred to all-party parliamentary groups. Initially, he described them as “farcical”, but then went on to describe the very significant role that he plays in a number of APPGs. He rightly highlighted the fact that, following the significant loss suffered in the Philippines after the cyclone struck, the authorities there took the necessary action. That shows that, if countries take steps to deal with climate change, mitigation can have an effect, even if it is not always successful in reducing the amount of damage inflicted on the infrastructure of a country. He referred to Bahrain, and I will come back to that subject shortly. He also mentioned Iran.

The hon. Gentleman talked about the all-party parliamentary group on fire safety. My right hon. Friend the Member for Hazel Grove (Sir Andrew Stunell) might want to talk to him, if he has not already done so, about the fire safety issue that he identified. The hon. Gentleman rightly drew attention to something that Members on both sides of the House are concerned about—the issue relating to firefighters. He said that if a firefighter failed a fitness test through no fault of their own and did not qualify for ill-health retirement, they would be redeployed or receive an unreduced pension. That is a significant concession that is worth underlining.

[Lyn Brown]

May I say something to the right hon. Gentleman—very gently, as it is Christmas—about the repeated statement that firefighters in those circumstances will get redeployment or a full pension? If he reads the statutory instrument that was laid today, he will see that the Minister is going to ask the fire and rescue authorities to do that, but that there is no requirement for them to comply. We will not be doing anyone a service by continuing to repeat that there is to be a requirement for jobs and full pensions to be guaranteed.

[Tom Brake]

As I understand it, the situation will then be monitored to ensure that that happens.

The hon. Member for Southend West also referred to his own personal contribution to the work done by maternity wards, in that he has five children. I congratulate him on that. He mentioned the mental health manifesto. He also talked about the all-party parliamentary hepatology group. He started that point with a reference to the season of good will, then referred to obesity, hepatitis and alcohol misuse, which was a bit of a downer. He was making a serious point, however.

If I were to refer to all the other things that the hon. Gentleman mentioned in the debate, I would not have time to refer to anyone else. However, his most important subject was the one he raised at the end of his speech. It is a concern that he has raised repeatedly, and it relates to his local health service. I am sure that the Department of Health, his clinical commissioning group and the trust in his area will have heard his arguments loud and clear.

The hon. Member for Harrow West (Mr Thomas), who is no longer in his place, referred to the estuary airport. I agree with him that that project was never going to happen, because the airlines would not have wanted to pay for it or to pass on the costs to their passengers. He referred to the important role of London assembly members in holding Transport for London to account, and I would like to congratulate Caroline Pidgeon and Stephen Knight on the role that they play in the assembly in that respect. The hon. Gentleman supported the idea of Transport for London being more open to engaging transport users in the system, and I agree with him on that. He referred to local authority funding cuts, which other Members have also raised; that is clearly an issue. Labour Members have accepted that the deficit needs to be addressed, and that is one way of doing it. If they find it unacceptable, they must come up with a financial alternative, but I am afraid that none has been forthcoming.

My right hon. Friend the Member for Tonbridge and Malling (Sir John Stanley) referred to Gatwick, where other aviation proposals have been made, raising concerns about some of the financial aspects and the projection of passenger number increases. If the intention is for an increase from 30 million to 90 million by 2050, clearly there will be a need for significant public transport investment in infrastructure around Gatwick.

The hon. Member for Walsall South (Valerie Vaz) touched on the issue of local government and the tough financial settlement. She referred to the NHS pay rise, where people have been given a minimum of a 1% increase across the board, although I agree that that is not the full pay increase that some had been expecting. She referred to the need for more doctors and nurses. I am pleased to say that there are 9,000 more doctors and 3,000 more nurses. Perhaps more helpfully, she referred to John’s Campaign, which is about allowing carers to stay in hospital. I can confirm that, by means of an exchange of texts, the relevant Minister has confirmed that he would be happy to meet her and campaigners to discuss that issue.

My hon. Friend the Member for Tiverton and Honiton (Neil Parish), who is not in his place, referred to the A303. Anyone who has gone to that part of the country will welcome the investment being made in that road. He referred to the need to accelerate the implementation of rural broadband, on which, again, we would all agree. He also referred to the Devon Freewheelers, talking about bikers who deliver body parts—he paused at that point and we all started to worry about what this meant, but it turned out to be about transplants. We should certainly support such charities. I believe he was calling for NHS funding, but often charities work because they are charitable enterprises. I am sure, however, that anything the Government can do to support them in terms of publicity and ensuring that they can operate effectively will be done.

The hon. Member for West Ham (Lyn Brown) referred to hysteroscopy, as she did last year, and it was equally as uncomfortable for us listening to it as it was 12 months ago. I am pleased to hear that the Minister with responsibility for public health did respond to her, but clearly she has identified that there is an ongoing issue and so I will follow that up again and make sure that she gets a further response, which I hope will clarify that things have moved on and what further can be planned. She also raised the issue of pancreatic cancer, the silent cancer. More needs to be done to raise the profile of that, so that we have a better chance of early diagnosis. I commend her for drawing that to the House’s attention.

My hon. Friend the Member for Congleton (Fiona Bruce) rightly drew attention to North Korea and the horrendous situation there. Anyone who is in any doubt about that can still go on to Google Earth to look at the concentration camps in North Korea. I commend to all Members “Escape from Camp 14” on Shin Dong-hyuk. I have read it and it sets out in the bleakest terms possible exactly the conditions political prisoners and others in North Korean camps are kept in.

The hon. Member for Rochester and Strood (Mark Reckless) referred to the estuary airport. [Interruption.] He is not in his place. He then talked about a housing development of 5,000 homes and he did a very effective job of opposing those plans—it was as effective a job as he did when he was supporting them before he defected to the United Kingdom Independence party. It is Christmas—a time for caring, reflection, forgiveness and good will—and I know he is running a fundraising campaign whereby he is seeking £7.30 contributions from each and everyone to support his legal case against the Conservative party. I am not sure how many people will want to contribute to that appeal fund.

We then heard from my hon. Friend the Member for Colchester (Sir Bob Russell), who will be very relieved to hear that it is perfectly in order for schools within the national curriculum to discuss the 1812 to 1814 war. I will, if he wishes, set out afterwards precisely how that is possible. We have given teachers the flexibility to do that. Clearly I hope that many teachers will have listened to his pleas for them to pick up this issue and will respond accordingly.

We had a contribution from the hon. Member for Islington North (Jeremy Corbyn) on the subject of the base in Bahrain. The Leader of the House responded to that point in some detail this morning, drawing on the knowledge he had gained from his previous role as Foreign Secretary. The hon. Gentleman and I have been lobbied by representatives about the human rights situation in Bahrain. Although the Foreign and Commonwealth Office thinks that some positive steps have been taken, it is clear that there are still areas that need to be addressed. In particular, more needs to be done on the accountability of police personnel and the investigation and sentencing of those alleged to have committed torture and mistreatment. There is a recognition that action needs to be taken.

The hon. Gentleman also referred to local authority funding and the private rented sector, which he does on a regular basis, and I commend him for that. He will be as disappointed as I was—indeed as almost everyone was in this House—that the Bill about revenge evictions put forward by my hon. Friend the Member for Brent Central (Sarah Teather) was talked out.

We then had a positive and informed contribution on the subject of trains and the reliability problems that my right hon. Friend the Member for Chelmsford (Mr Burns) faces on his service. I can commiserate with him on that matter, as the works at London Bridge at the moment are causing chaos on the Southern and Thameslink services, which frustrates me virtually every day of the week when I attempt to get into this place. I will refer to the Secretary of State for Transport his plea for faster electrification of the Felixstowe and Nuneaton line.

I congratulate the hon. Member for Hayes and Harlington (John McDonnell) on again raising the case of Shaker Aamer, to which the Government accord high priority. He again called on the Prime Minister to raise the matter with President Obama, and I will ensure that that request is conveyed to him. The Prime Minister last raised the matter in June 2013, but there have been interventions since from the Deputy Prime Minister and the Foreign Secretary. The hon. Gentlemen is right to continue to raise that particular issue.

I regret the forthcoming departure of the right hon. Member for Uxbridge and South Ruislip (Sir John Randall). Having been on a Select Committee tour to Brazil and Venezuela with him, I can say that he is excessively good company and one of the friendliest, most considerate and courteous Members of this House. We will all miss him, as will the customers of his store. He also thanked the Whips Office, which is probably rather rare in this place.

The hon. Member for Hendon (Dr Offord) talked about sight loss. I commend him for the work he is doing on that issue and draw to his attention the importance of ensuring that sight tests are available for people with learning disabilities, which is an issue I have taken up recently given the high level of prevalence of sight impairment within that group. He raised the matter of sight loss advisers and the need for expanding eye clinic liaison officers, and I will draw these point to the attention of the Department of Health.

My right hon. Friend the Member for Sutton and Cheam (Paul Burstow) raised a number of issues, including that of his constituent, Lauren, and the runaround that he is getting from NHS England in relation to the services or support that will help her to deal with gastroparesis. As he has often done in this place, he referred to a number of issues to do with care, on which he is a real champion, and he referred to the two reports on residential care and home care. He asked me to pursue with Her Majesty’s Revenue and Customs the subject of agencies that pay less than the minimum wage to carers, and of course I will do that. He talked about the need to ensure that there was parity of esteem in relation to the millennium development goals and the role that the Department for International Development is playing. Finally, he referred to the short time frame for the renal consultation. As I understand it, that is necessary because the changes need to be implemented by 1 April next year, and it will be difficult to achieve that if the consultation period is extended. I am sure that he will follow that up with the Department of Health if he does not feel that that is satisfactory.

My right hon. Friend the Member for Hazel Grove referred to the A555, for which he has consistently campaigned along with my hon. Friend the Member for Cheadle (Mark Hunter) since 1997. Phase 2 might be his legacy, but that might be in the next Parliament. I am sure that he will be able to get his name attached to it in some shape or form and I hope that the money for that phase will be forthcoming. He raised the issue of fires in houses, which he could take up with the all-party parliamentary group, but I will ensure that it is drawn to the attention of the appropriate Minister as there is clearly a potentially significant issue that could affect not only that estate but many others around the country.

My hon. Friend the Member for Cleethorpes (Martin Vickers) is a regular attendee at these events and I welcome him again to this one. He referred to a number of significant events in his constituency and the need for a rapprochement between the electorate and Westminster. He also referred to English votes for English laws, which we need to move on quickly. However, I do not think we can rush it and there are issues that need to be considered alongside it, including the devolution of more power below the level of England and, in my view, the need for a constitutional convention.

My hon. Friend the Member for Stafford (Jeremy Lefroy) raised a number of local issues and I commend him for his work in campaigning to improve the NHS in his area as well as the campaign he is running to ensure that his A and E is returned to a 24-hour-a-day service. I wish him well. He also referred to libraries, and I think we collectively support the network of libraries in our constituencies and will want to see them strengthened by the provision of the sorts of things recommended in the recent report, such as wi-fi provision, innovation and ensuring that they can operate as a network. My hon. Friend referred to other issues that affect many Members of Parliament, including nuisance telephone calls and copycat websites, which I think we can all do a lot to campaign against through our use of our own social media, for instance. He also referred to local councillors and I want to take this opportunity to commend them for their work.

The hon. Member for Dunfermline and West Fife (Thomas Docherty) referred to the Recall of MPs Bill. I do not know whether he noticed that Lord Campbell-Savours was rather lacking in festive spirit when he described the changes that the hon. Gentleman had implemented as ones made by boys in short trousers in the shadow Cabinet. Perhaps he can take that up with Dale later.

The hon. Gentleman asked for a debate on foreign policy, which I shall certainly pass on to the Leader of the House, although I think that contrary to the impression that was given we are not a zombie Parliament. We have important business to transact and that might be a matter for the Backbench Business Committee. I thank the hon. Gentleman for thanking members of staff individually, some specifically for what they have achieved in the House.

In conclusion, Mr Deputy Speaker, I thank you and wish you a merry Christmas. I wish all Members in the Chamber, the Clerks, the officers of the Serjeant at Arms, the staff who care for us here and our own staff a merry Christmas.

Let me finish where we started the debate with the final words of the hon. Member for Southend West. I thank the emergency services that will be looking after us over the Christmas period. I thank the ambulance service in St Helier, the fire service in Wallington, the police in Sutton and the NHS staff in all our hospitals, particularly at St Helier hospital. I know that they will be working over the Christmas break to keep us all healthy and safe, so merry Christmas to them all.

Question put and agreed to.

Resolved,

That this House has considered matters to be raised before the forthcoming adjournment.

Business of the House

Lyn Brown Excerpts

Thursday 9th January 2014 Commons Chamber

[Mr Lansley]

As ever, my hon. Friend is assiduous in representing the interests of his constituents. The Government took the decision to link eligibility for the pupil premium to adoptions under the Adoption and Children Act 2002, which was implemented on 30 December 2005, to ensure consistency with the Government’s policy on priority school admissions for children adopted from care, and in the light of the need to balance competing funding priorities during the current difficult economic climate. The criteria for the pupil premium are reviewed annually. As part of that process, the Government will revisit the decision to limit access to the pupil premium to adoptions under the 2002 Act in time for the 2015-16 financial year.

[Lyn Brown (West Ham) (Lab)]

May we have a statement on the use of non-custodial sentences for serious offences? The public are rightly questioning why some people found guilty of very serious and violent crimes are avoiding prison. Victims of crime need confidence that those guilty of serious crimes will be properly punished, but there is growing concern that one reason for the many non-custodial sentences is cost.

[Mr Lansley]

The issue that the hon. Lady raises is one about which we all feel strongly. I remind her, however, that the sentencing regime we had was substantially inherited from the Labour Government. We have taken action to improve the very things people are concerned about. For example, if someone commits a serious crime under this Government, they are nearly 10% more likely to go to prison than in the last full year of the Labour Administration, and the average sentence for sexual offences is nearly one year longer than it was in 2008 under Labour and two years longer than it was in 2002.

Christmas Adjournment

Lyn Brown Excerpts

Thursday 19th December 2013 Commons Chamber

[Lyn Brown (West Ham) (Lab)]

It is an honour to follow the hon. Member for Stafford (Jeremy Lefroy), who has entertained us with a very thoughtful speech this afternoon. I am going to follow up the health theme, but my discussion of it is going to be a little more graphic. If any hon. Ladies or hon. Gentlemen wish to leave, I shall not take it as a personal affront. They might find it more comfortable to go off and get a cup of tea.

I want to talk about hysteroscopy, particularly when undertaken without anaesthetic. This topic was brought to my attention by my constituent, Debbie, who lives in Plaistow. She was diagnosed with womb cancer or uterine cancer last year. She contacted me because the process of diagnosis, rather than the cancer itself, caused her

“the most distressing and painful experience”

of her life. Debbie underwent a procedure called hysteroscopy, which looks inside a patient’s uterus and is used to investigate symptoms such as pelvic pain, abnormal bleeding and infertility. Biopsies are often taken and tissue is often removed. The patient’s vagina is opened with a speculum, as during a cervical smear test, and a hysteroscope is inserted. A hysteroscope is a thin tube with a light and camera on the end, as well as any other instruments that might be needed. As I am sure I need hardly point out, this procedure is highly uncomfortable and clearly has the potential to be very painful indeed.

At present, the NHS Choices website explains

“a hysteroscopy should not hurt, but women may want to take a pain killer such as ibuprofen beforehand”.

As well as a hysteroscopy being an out-patient procedure, the NHS website says that

“the procedure can also be carried out under general anaesthetic, which may be recommended if your surgeon expects to do extensive treatment at the same time or if you request it.”

So far, this sounds fairly reasonable: it will not necessarily be pleasant, but there are options and the procedure can be carried out with or without pain relief and with or without local or general anaesthetic.

Let me tell Debbie’s story in more detail. Through Debbie, I have also heard stories from other women across the country. Debbie told me:

“I was in absolute agony. The consultant who performed my procedure knew I was in pain but carried on regardless. A nurse had to push me back down on the bed as I stiffened like a board. She had to hold me there and had hold of my hands too as I was trying to reach down and stop the procedure. All I could think was that if I made the consultant stop, I would have to come back and endure the whole thing again. This procedure, without anaesthesia, is barbaric. It is absolute torture. It needs to be stopped. At the very least, the patient should be informed that it could be extremely painful and have options explained and open for her. That way, she can make an informed decision as to whether to go ahead without anaesthesia.”

[Bob Stewart]

That sounds absolutely horrific. The hon. Lady did not explain whether Debbie was asked whether she would like a general anaesthetic. I presume that she was not asked and that the procedure went ahead without it.

[Lyn Brown]

Her very next sentence explains that:

“I was given no options. I have complained to the PALS department and to be quite honest I am not happy with their reply. At one point it mentions that the hospital gets more money for the procedure to be done as an outpatient! Is this what it boils down to? Money? Disgusting!”

Jan from Cheshire said:

“I had a hysteroscopy in Cheshire. This hospital is a private hospital but I was there as an NHS patient, as it was the hospital that my doctor could get me into the quickest, for investigations into abnormal bleeding. I saw the consultant in September of 2011, and was given an evening appointment to attend for a hysteroscopy, and was told that the procedure would be done under local anaesthetic. At the evening appointment, I was given a local anaesthetic, but after several attempts at performing the hysteroscopy, the consultant apologised and said that she was unable to perform the procedure and did not want to attempt it again under a local anaesthetic as, in her words, ‘it would be inhumane to continue under a local’. I was sent home and told to take co-codamol for pain relief, and that I was to return the next day for the procedure to be done under a general anaesthetic. I have got to say that even though I had a local anaesthetic”—

if Members have been paying attention, they will know that my constituent Debbie was not offered that—

“the procedure was still very uncomfortable and painful. I have to say that I think offering a hysteroscopy without any form of anaesthetic is barbaric.”

Jo from Chesterfield said:

“I had already had biopsies done in clinic with no anaesthetic, done like a smear with swabs but going through the cervix. I had found this painful but nothing prepared me for what was to come. I had been given a leaflet to outline the procedure but it mentioned nothing about pain or discomfort. I was asked to go behind a make-shift cubicle in the corner, take everything off and put on a gown. I was then asked to sit in a contraption that looked like some Victorian birthing chair, it was very uncomfortable and awkward to sit in. I felt so undignified…I have never felt such pain. I felt like my whole abdomen had been blown up, the pressure was so intense, then sharp prodding pains, I had tears in my eyes, the nurse did come and hold my hand. I just looked at the ceiling and held my breath, praying for it to be over.

When he’d done, the doctor asked ‘did you find that a bit painful?’. I replied ‘no it was excruciating’, he just remarked that most women are fine with it but perhaps I had a low pain threshold and that if I were to need further treatment I would need a General Anaesthetic as I was sensitive. I was quite gob smacked and in so much pain I didn’t really reply. I struggled to my car and drove home, I was in agony for days. I felt almost like I’d been violated, like a piece of meat, but thought perhaps it was just me, perhaps I was being a wuss. It wasn’t till I spoke to other ladies that I discovered it needn’t have been this way. My treatment on a whole I feel was done very wrongly, cutting corners and saving money, at my expense. The hysteroscopy should not have been done this way, it’s almost inhumane.”

Katharine from Bath said:

“My GP referred me for day-case hysteroscopy under local anaesthetic…He told me to pay for a course of Cognitive Behavioural Therapy to lower my Blood Pressure to qualify me for NHS day-care surgery as opposed to more expensive NHS inpatient surgery. During the Cognitive Behavioural Therapy the psychologist told me to go straight to the gynae-oncology surgeon at the hospital and have my persistent inter-menstrual bleeding properly investigated. My GP was furious at this suggestion but eventually gave in. The gynae-oncology surgeon told me that ‘you’ve had it for so long it won’t be anything sinister’. He eventually agreed to an inpatient hysteroscopy under General anaesthetic. I waited months for the operation. It showed late stage womb cancer which had spread to the lymph nodes. I had a radical hysterectomy and a long course of external radiotherapy”.

Jenny from Barnsley said:

“I went into the clinic and was given an ultrasound and very quickly was approached by a senior registrar who said I had a very thick womb but they could do a biopsy there and then.

My GP had mentioned that this procedure can be difficult but they would give me a local anaesthetic.

To be honest I was in such shock. I was led into a room where there was a very nice sister and nurse. I sat in a chair and the senior registrar began by filling my womb with water.

Then the hell began when they inserted whatever and did the biopsy. I have not experienced such pain even in childbirth and I told her so. I also said my GP had said they would give me some local anaesthetic and then she asked if I wanted some. Rather like closing the stable door after the horse has bolted. It was too late then as they were in there.

The sister told me she nearly stopped the doctor. They were very caring then but only offered me one paracetamol. They said to me don’t let the woman who is waiting outside see you or it might put her off.”

The 21-year-old sister of Michelle, from Scotland, went for a hysteroscopy after noticing some bleeding after intercourse. The gynaecologist asked a nurse to assist while he proceeded to perform a rather forceful examination, and then carried out the hysteroscopy with no warning or pain relief. Michelle received a phone call from her distraught sister, who had gone into shock in the car park, had passed out next to her car, and was bleeding.

Gillian in Leeds said:

“Before the procedure, I received a leaflet with my appointment letter—no mention of any general or local anaesthetic, but after what the doctor had told me I wasn’t expecting it to be too bad”.

She said that the nurse

“managed to get the hysteroscope through my cervical opening…when she took each sample—6 in total—my pain level shot through the roof.

“What...infuriates me most is the fact that SOME people are given pain relief as a matter of course at their hospitals…why the hell should I, and others, have to suffer just because of which hospital we went to?”

Patricia from Fife said:

“I was offered no pain relief and the Dr. who did it didn’t get enough in the end so I had to go under general anaesthetic to get it done again.”

The procedure that she experienced, while conscious,

“was very traumatic and painful…I felt them cutting away the biopsy inside…afterwards the nurse who had held me down said to me ‘I wouldn’t have let them do that to me without a general anaesthetic’ so why did she let me go through it?’”

Maureen from Norwich said:

“The letter…advised I took either ibuprofen, or paracetamol about two hours before the appointment. The scan showed something abnormal, so I waited and then saw a very nice lady doctor. I then went on to endure the procedure, it took about fifteen minutes and it was certainly a lot more than uncomfortable.”

She felt very sick, and was in pain, but

“the nurse who was there kept saying how well I was doing. I was at the limit of my endurance, only the thought of having to go back again stopped me from asking the procedure to be stopped.”

I have received so much correspondence about this issue, via my friend Debbie, that I could speak at length and give many more examples, because what I wanted to do today was give those women a voice. However, I think that the House will understand the direction in which I am going.

Some women have received no pain treatment at all—no anaesthetic to dull the pain. Some have received a local anaesthetic, but, given the severity of their conditions, a number of them have found that that is not enough. Others have received a general anaesthetic, either on request or because their doctors were aware that the procedure involved might be more extensive than had been expected. A study of a group of women conducted over five years in Melbourne established that over 10% of the group would not accept a local anaesthetic again, because of the pain and the need for the procedure to be repeated owing to a failure to secure a biopsy sample.

I have found it difficult to obtain information about this issue, but I think that certain facts are clear. Some women are being given no pain relief options at all. That aspect is not being explained to them by the doctor when they get to the hospital. Some feel that they are not being treated with compassion and respect, and that very little or no consideration is given to their dignity or their well-being. Some are experiencing a procedure that fails and needs to be repeated. One has to ask how often that happens, and what the cost is to the NHS.

Some women are clearly receiving treatment that is not in line with the guidelines issued by the Royal College of Obstetricians and Gynaecologists, which acknowledges that

“outpatient hysteroscopy can be associated with significant pain, anxiety and embarrassment”.

While the RCOG’s guidelines emphasise throughout that it is possible for women to have an acceptable out-patient experience, and some women do, there is clearly a serious problem, in that the current standard practice is failing a significant group of women very badly. It is appalling that, in some cases, no pain relief is even offered. I have read a range of the information leaflets that various hospitals offer to support their hysteroscopy out-patient clinics, and I am glad to note that local anaesthetic is mentioned in almost all of them, but they are not open enough about the pain that women may experience during and after the procedure, and there is inadequate reference to the option of undergoing the procedure with a general anaesthetic.

[Bob Stewart]

May I ask what percentage of women feel no pain whatsoever? Is there such a percentage, or does everyone experience pain—in which case, we must sort the matter out?

[Lyn Brown]

I honestly cannot answer that question, although I can say that at the different times in my life when I have had internal examinations the pain has varied, and that as I have got older, the examinations have become more painful. I have been told by some women who have had babies—which, sadly, I have failed to do—that they have found the examinations less painful after their pregnancies. However, some have told me that they become more painful with the menopause. Indeed, when my mother had a similar examination, she told me that it had been excruciating, and that was when she was quite old.

I am not sure that there are any research findings out there that would answer the hon. Gentleman’s very sympathetic question—certainly I have not found any—and I think that this is something that we need to know more about. However, a study published by the British Medical Journal in 2009 concluded that a local anaesthetic injection was the best method of pain control for women undergoing hysteroscopies as out-patients.

I have struggled to decide what I need to ask the Government to do in order to ensure that women receive the best possible care and treatment while undergoing this procedure. It is difficult for me to know that, because I am not a medic. However, I do think it is reasonable to ask the Government to use all the influence they have over policy in this area to require the National Institute for Health and Care Excellence to work with the Royal College of Obstetricians and Gynaecologists to issue authoritative guidelines. I also think the Care Quality Commission may well have a role to play in ensuring that best practice is delivered locally at each hospital.

[Bob Blackman]

I have listened with horror to these terrible experiences suffered by women. Is the hon. Lady aware of any other such treatments to either men or women where anaesthetics are not provided yet people are in such pain on such a general basis? That would clearly be a matter of the whole health service not doing a proper job, compared with a narrow field that we can possibly deal with very quickly.

[Lyn Brown]

I have not heard from others but my guess is that, should this debate be heard outside these walls, we collectively in this Chamber may well hear from our constituents who have endured similar experiences.

[John McDonnell]

A fair amount of survey work was done in respect of the all-party group on endometriosis, which produced very similar findings of inconsistent practices and practices that were incompatible with the well-being of the individuals.

[Lyn Brown]

I am grateful to my hon. Friend for that intervention and I will look at that research if he signposts me towards it.

I promised Debbie that I would make her voice and the voice of other women who have had similar experiences heard today, and I hope I have done that, but merely hearing the voices is not enough. This Government have the mantra of no decisions about me, without me, and that policy needs to be adopted in gynaecological procedures so that I and other hon. Members do not have more Debbies coming to our surgeries to tell us about their horrific experiences. I am hoping that the Deputy Leader of the House will take this to the Department of Health on Debbie’s behalf and on behalf of the other women, and I would hope that I will receive some communication from it in the new year telling me that Debbie, Jan, Jo, Katharine, Jenny, Michelle, Gillian, Patricia, Maureen and the many other women I have heard from will be well and truly heard.

May I thank hon. Members for staying in the Chamber for my contribution this afternoon and may I also wish everyone, including the staff of this House, a happy Christmas and a very happy and prosperous new year?

--- Later in debate ---

[Bob Blackman]

When we were gathering evidence for our report, the Communities and Local Government Committee went to Berlin, where people have much longer tenancies and where a partnership approach is taken between the tenant and the landlord. That is a much more appropriate way of dealing with these matters. Unfortunately, the use of six-month assured shorthold tenancies has grown in this country, more often than not to protect landlords by giving them the right to evict a tenant and recover the property if they so choose. These concerns clearly need to be addressed. We need longer tenancies that give greater assurance to tenants and place greater responsibility on landlords. It would also be helpful if landlords became members of the housing ombudsman service. In that way, they would be more likely to carry out the necessary work and the tenant would have a means of complaining if that did not happen.

I am sure that all hon. Members have houses in multiple occupation in their constituencies. When five or more persons form two or more households in a building, it is a requirement for the landlord to register that property as an HMO. Unfortunately, there can be all sorts of issues involved, including whether fire safety standards are being met. It is a fact of life that, under the terms of the Housing Act 1985, the maximum penalty for operating an unlicensed HMO is currently £20,000. In my borough, there are 89 registered HMOs. I encountered a case three weeks ago in which a three-bedroom semi-detached property was found to be housing no fewer than 11 adults, none of whom was connected in a family sense. They were sharing bedrooms and all the other facilities, and they were each paying £160 a week in rent. That was a nice little earner for the landlord. The property was not registered as an HMO. There are now 100 such cases under investigation in Harrow, and I believe that they represent the tip of a very large iceberg.

[Lyn Brown]

I recognise much of what the hon. Gentleman is saying. Those problems are certainly replicated in Newham. During the last Parliament, I tried to get HMOs reclassified according to the actual occupancy, rather than to the size of the house. Does he agree that such a reclassification would be very helpful?

[Bob Blackman]

I agree completely that that is one remedy we have to take on board.

I cannot speak about what is happening outside London, but in London the charges for HMO applications vary: Harrow council charges £1,200 for an application, which lasts for five years, and then there is an £850 renewal fee; Brent, our near neighbour, charges between £800 and £1,200, depending on the licence length; Ealing charges £970 plus £30 per habitable room; and Lewisham charges £180 per unit of accommodation, up to £1,800. Non-London authorities seem to charge much less. The fee seems to be discretionary and a council could drop it to encourage registrations, thus enabling properties to be examined and tenants to be protected.

As we have seen, we also face a challenge on beds in sheds. The Prime Minister was taken this week to a property in Southall that would have disgraced a third world country, yet a number of individuals were being forced to live in incredible conditions there. The Government have taken some action to try to close down beds in sheds, but often we are talking about illegal immigrants in accommodation tied to a job they are undertaking, which is provided through gangmasters and the equivalent. In addition, service providers such as local authorities and the health service are being forced to provide services without any income coming in; these properties will attract a certain amount of council tax, but not the sort of sum they should, given the number of people living in them.

Last May, £1.8 million was given to nine councils to tackle the problem of beds in shed: Brent, Ealing, Hillingdon, Hounslow, Newham, Peterborough, Redbridge, Slough and Southwark were all given money. The trouble is that that addresses only the tip of the iceberg; it does not address all the other boroughs where the problem is occurring. Ealing subsequently stated that it had carried out 4,500 site inspections in a year, in addition to unannounced fortnightly raids, but unfortunately the landlords were running rings around the officers.

In February, a BBC “Inside Out” investigation found two high street estate agents renting out beds in sheds without residential planning permission, including one in Willesden Green, in Brent. Rent payments of £1,000 per month were being taken. It was noted that the owners often claim that these converted buildings are more than four years old and so cannot have planning enforcement taken against them by the local authority.

Some actions have been taken across England on this issue. Slough borough council spent £24,000 on conducting a heat map across the borough during the early hours of the morning. That identified 6,139 properties where it was believed that beds in sheds were operating—that is just in one borough, which shows the extent of the scandal. The hon. Member for West Ham referred to Newham, and the Communities and Local Government Committee has taken evidence about the action that its mayor and council are taking to identify and take enforcement action against the outhouses that are being put up without planning approval. I believe that that work has been extended to tackle other illegal activities by landlords. I understand that over the past year the council has taken 80 enforcement actions on beds in sheds, but a further 230 are still pending against properties in multiple occupation, which shows the extent of the problem in one London borough. We might have extended negotiations with landlords, but it seems as if these rogue landlords, who give other private landlords a bad name, need to have stringent action taken against them.

We must also consider the fire risk. The London fire brigade has estimated that over the past four years there have been 341 fires in buildings that appear to have had people living in them when they should not have been. Those blazes have caused nine deaths and 58 serious injuries.

I have mentioned the fact that illegal immigrants are often in such properties. We might reason why that would be. Migrants who are not here legally are often given low-paid jobs, are paid in cash and have insufficient income to pay the normal rents for accommodation, so they take accommodation from the employer or gangmaster in order to maintain their presence here. They also want to be able to send money home to their families. They are kept in poor conditions, under threat of being reported to the authorities and sent home. There is a lot of anecdotal evidence of people traffickers accommodating their victims in illegal structures, particularly in the London borough of Ealing. Furthermore, if the trafficked victims escape and get work as undocumented migrants, they may resort to living in illegal structures anyway because the rents are often lower and more affordable from their low earnings.

[Lyn Brown]

I thank the hon. Gentleman for his kind words about Newham. The action that the council has taken over the past couple of years has been important and effective in probably saving lives. We had a death in a shed from a fire way back before 2010. Local schools tell me anecdotally that people who are here legally and who have status are not necessarily aware of their rights. People who have come from abroad and are living here on very low incomes are exploited by the unscrupulous landlords he has been talking about.

[Bob Blackman]

Clearly, as the hon. Lady says, people who are here legally and have the proper status are often not aware of their complete rights and therefore are exploited by unscrupulous individuals acting as landlords.

One of the consequences of the changes in housing benefit has been to encourage young people under the age of 35 to go into shared accommodation because that is the only rate of housing benefit they will qualify for. I welcome that as a move towards ensuring that accommodation is used properly, but as more and more people share housing in the private rented sector, there is the unfortunate consequence of overuse and overcrowding of such properties.

Under the right circumstances a local authority may be able to force a landlord to repay rent or housing benefits if an HMO is unlicensed. Unfortunately, it appears that this is not well known among the public or even among London authorities or councils outside London. If it were known about, it would immediately dissuade landlords from taking in vulnerable people on benefits and exploiting them.

What do we do about the problem? It is up to local authorities to enforce the rules. If a landlord is operating an HMO—I have written to my council about a huge number of properties that I suspect are HMOs but are unlicensed—appropriate and stringent enforcement action needs to be taken to fine the landlord and to make sure that the properties are brought up to a decent standard. A clear attitude should be adopted towards rogue landlords who give good landlords a terrible name.

Proper advice needs to be given to people who rent properties so that they understand their rights, what they can demand and what they can take on. There should be accreditation and licensing for private landlords, particularly those that choose to operate HMOs. It should be for Government and the Department to ensure that tenants and landlords are educated about their rights and responsibilities.

There is hope on the horizon. There was a case in which a landlord, who happens to live in my constituency, was operating a property empire in the neighbouring borough of Brent, where he put 28 flats into four houses. He was prosecuted and ordered to pay £303,112 under the Proceeds of Crime Act 2002. This demonstrates that local authorities can use their power to stop rogue landlords in their tracks and take appropriate action. Rogue landlords will listen to only one thing: losing their income and assets. We must ensure that the people living in those properties are given decent facilities to live in.

Business of the House

Lyn Brown Excerpts

Thursday 31st January 2013 Commons Chamber

[Mr Lansley]

I understand my hon. Friend’s point. It is important that urban areas, which often find it easier to deliver superfast broadband on a commercial or near-commercial basis, recognise that in putting together their schemes they have a responsibility not to marginalise rural areas, where the commercial case for delivering superfast broadband is obviously much harder to make. That is why we are setting such ambitious targets for 2015. Broadband Delivery UK is supporting that, but, as I know from my authority, this requires not only resources from BDUK, but substantial additional funding. My local authority and others are getting together to make that happen.

[Lyn Brown (West Ham) (Lab)]

I am sure that the Leader of the House will recall my asking for a general debate recently on the proliferation of betting shops. May I reiterate that call and request that the debate be framed in the context of the implementation of the Portas review and the Government’s localism agenda?

[Mr Lansley]

The hon. Lady will be aware that, following the Portas pilots funding, we are taking these forward along with additional packages, such as the high street innovation fund and the national markets fortnight campaign. Many of the 300 towns that did not get direct access to the Portas pilots are taking forward elements of their original plans across their high streets. I do not know whether the hon. Lady has taken the opportunity to encourage her colleagues across the House to make a submission to the Backbench Business Committee—as I think we discussed previously—but this seems to be exactly the sort of opportunity it might look for.