Business of the House

Lyn Brown Excerpts

Thursday 10th January 2013 Commons Chamber

[Mr Lansley]

My hon. Friend makes an important point admirably. I hope that in our further debate on the Welfare Benefits Up-rating Bill, people will recognise that the changes to personal tax allowances will take a lot of low-income workers out of tax altogether and reduce the tax bill for many millions of people.

[Lyn Brown (West Ham) (Lab)]

I attended Culture, Media and Sport questions this morning in the hope of asking a question about the gambling prevalence survey, but there was so much interest in that matter that it was oversubscribed. I therefore ask the Leader of the House to consider having a debate in Government time on the proliferation of betting shops on the high street in the hope that the concern will ensure that the Government put into action their rhetoric on localism and allow local authorities the right to control the number of betting shops on their high streets.

[Mr Lansley]

If I may, I will ask my colleagues at the Department for Communities and Local Government to respond. I am aware that it has considered issues relating to the licensing of betting shops in local areas, so it is perhaps best that it replies on that specific matter. Given the comments from across the House, this might be an issue that the hon. Lady and other Members would like to invite the Backbench Business Committee to pursue.

[Lyn Brown]

I am not a Back Bencher.

[Mr Lansley]

Perhaps other Members, with the hon. Lady’s support, would like to ask the Backbench Business Committee whether this issue can be brought forward for discussion.

HEALTH

Lyn Brown Excerpts

Thursday 20th December 2012 Commons Chamber

Simon Hughes (Bermondsey and Old Southwark) (LD)

- Hansard - - Excerpts

Thank you very much, Mr Deputy Speaker, for presiding over our last debate before Christmas. I have one specific subject that I want to raise, and a couple of very little things that I shall mention at the end.

A lot of my constituency casework—about 40%—relates to the Home Office and to the UK Border Agency, and many of the cases involve people who are here legitimately and who want to renew their visas. The process is simply not working, and we need to sort that out. All sorts of people are affected, including people who are working here and need to renew their visa in order to carry on doing their job, and people who came here as spouses and need to renew their status to be able to continue to live with their wife, husband or partner.

People can choose how to apply to renew their visas. They can apply by post, or in person after booking an appointment online. The applications are not free. The minimum cost is about £300 and the maximum is about £2,000, so people are making a significant contribution. Both application systems have problems, and they are causing my constituents, and those of many other colleagues, severe inconvenience. It is possible to use the premium same-day service, and it costs between £300 and £400 more to apply in person than to apply by post.

My constituents tell me that the system often releases new appointments at midnight, which is inconvenient, and because everyone logs on to the website at midnight, the system regularly crashes. The website also has basic technical errors. One constituent, a friend of mine named Selcuk Akinci, found that it was offering appointments only for 2020, which was not particularly useful. There are rarely any appointments available within two months, although that fact is not advertised anywhere. Most people, quite reasonably, think about applying to extend their stay only one or two months before their current visa is due to expire. Many therefore find that they cannot get an appointment before their leave expires. They then have to apply by post, which often means a six-month wait without being able to travel. People will not have expected that, and it can cause real problems for them, especially if they need to visit family regularly or if their work involves frequent travel. This problem can often prevent people from doing their job, if they need to travel for work.

Appointments can be made at any of the seven public inquiry offices in the UK. The system tells people where the next available appointment is, and they might find that they have to go from south London to Glasgow or Birmingham. Many people have to travel a long way for their appointment. When they arrive, even if they have booked the premium same-day service, there is no guarantee that the application will be processed on the same day. If the UKBA decides that further checks are necessary, the application is taken out of the premium service queue and put into the postal applications queue, which means that it could take up to six months to process. There is no refund of the premium fee in those circumstances.

People have no way of knowing whether their case will require further checks, which can be triggered by many different factors. There can be genuinely good reasons for carrying out such checks. For example, the person’s name might generate a hit on the police national computer, they might have used a different identity in the past, or they might have no leave to remain at the time of their application. However, further checks are sometimes triggered for bad reasons. Whatever the reason, the person concerned is not allowed to talk to anyone. They are taken out of the premium application process and told that their case has gone into the postal system and that they have to go home and wait, perhaps for more than three months. The case is placed in a kind of “cannot process it today” queue and sent away to a casework centre.

Cases are sometimes referred for further checks for illegitimate reasons. My senior caseworker, James Harper, deals with such cases every day in our Bermondsey office, and I deal with them often. For example, a person’s records might not have been properly updated on the UKBA database. In a recent case, a Ghanaian couple travelled all the way to Birmingham so that the husband could apply to extend his marriage visa in the normal way. However, Mr Kusi’s records had not been properly updated on the Home Office system to show his existing leave to remain. It therefore appeared to the officers at the inquiry office that he had no right to apply, even though he did, and the couple were turned away and left with only three days to apply by post before his existing visa expired. The couple pleaded with the officers to ring the visa office that had dealt with the original application, but were told that that was not possible and that they would have to leave. This is really unacceptable.

In a further case, an Iranian woman in my constituency was applying to extend her stay as the wife of a British citizen. Her case was referred for further checks because it was believed that she did not have high enough English language test scores: level 4.0 on the IELTS—International English Language Testing System—scale in reading and writing. In fact, this was a misinterpretation of the rules, as level 4.0 is required only in speaking and listening. My constituent qualified and her case was sent on, but it was subject to a long delay; only after we intervened did the UKBA admit that an error had been made and then refund the additional premium fee.

Lyn Brown (West Ham) (Lab)

- Hansard -

This is quite unusual, but I find myself in agreement with the right hon. Gentleman for the second time in two weeks. In the spirit of Christmas, may I offer him another minute?

Simon Hughes

- Hansard - - Excerpts

I am grateful, and I hope there will be a lot of common ground on these issues.

When people apply by post, the system often takes far too long. We need a system whereby people have certainty, because they are trying to organise their lives, and UKBA gets its act together.

I offer some suggestions for a solution. First, if someone has paid the premium fee and gone to the office but a question arises, they should not automatically be told, “It’s going off to the casework centre.” A real person should speak to the individual and seek to resolve the question there and then—it cannot be beyond the wit of people to sort that out—as with any other normal customer service operation.

Secondly, when people have paid a premium fee, they are entitled to expect a quicker service than if they had applied by post without paying the premium fee, even if their case is referred for further checks. That does not happen, but it should do, and I hope UKBA will change it, as such cases should not just go into the same pool as the postal applications. Lastly, if it emerges that somebody’s case has been referred for further checks in error, as is frequently the case, there should at least be a partial refund of the premium fee, if not a total refund.

I hope that this part of the UKBA operation, which is clearly not fit for purpose, can get its act together. I will be grateful to the Deputy Leader of the House of Commons, my right hon. Friend the Member for Carshalton and Wallington (Tom Brake), for taking this matter away with him, passing it to the Home Office and, hopefully, getting it sorted soon.

To finish quickly, I entirely endorse the comments of the hon. Member for Walsall South (Valerie Vaz): the Government should be very careful about reducing the judicial review system. We have developed administrative law in this country for a purpose. There are many more Government decisions so we need to be careful about taking away people’s rights to challenge administrative decisions. I shall certainly put in my submission, and I hope that the Government will pay heed to it.

I join in the congratulations to the Government on at last and belatedly announcing the honour for the Arctic convoys veterans. I have regularly raised the issue with Ministers, and constituents have regularly raised it with me. These brave people, who went through the most difficult circumstances to make sure that the lifeline between us and our Russian allies was kept open, did a phenomenal job. They rightfully deserve to be honoured. Thank God some of them are still alive to enjoy that honour.

This year has been not only jubilee year and a fantastic Olympic and Paralympic year, but the 200th anniversary of the birth of Charles Dickens. I end with a quote from him:

“I will honour Christmas in my heart, and keep it all year.”

Thus said Dickens, who had big Southwark connections. To that, I add greetings to you, Mr Deputy Speaker, and to all my colleagues, and my thanks to House staff for looking after us so well. I also give my particular best wishes to two people: the oldest woman in Britain, a constituent of mine who became 113 on 7 December and who still lives in her own council flat in Bermondsey; and my older brother, who has a significant birthday tomorrow.

Business of the House

Lyn Brown Excerpts

Thursday 22nd November 2012 Commons Chamber

[Mr Lansley]

It is important to recognise that the Government have put in place partnership funding arrangements with local authorities that are contributing to substantial enabling schemes to deter flooding. We expect to exceed our objective of 145,000 households being better protected by March 2015. In addition, I will talk to the Secretary of State for Environment, Food and Rural Affairs because it is important not only that we have adequate flood protection, but that the means by which we provide it are environmentally sensitive. In the wake of the flooding in my constituency in 2001, we were able to recreate some floodplains, which was an environmentally responsible way to provide flood protection.

[Lyn Brown (West Ham) (Lab)]

Given the Government’s 20% cut to policing, which has necessitated a cut in the number of front-line police officers of 15,000 nationally and 100 in Croydon, may I echo the request of my hon. Friend the Member for Westminster North (Ms Buck) for an urgent debate on policing in London so that voters have the unequivocal facts before they go to the polls next week?

[Mr Lansley]

I encourage the hon. Lady to look in the Official Report at the questions that the Home Secretary answered last Monday, because I do not recognise her figures on the number of front-line police officers. Indeed, the proportion of officers on the front line is increasing, as is their effectiveness, as we can see from the further reduction in crime across the country that was reported recently. The first thing we should do is express our appreciation of the effectiveness with which police forces across the country are addressing the necessity of managing within reduced budgets. We should support police and crime commissioners in taking that forward and in responding to local priorities.

Whitsun Recess

Lyn Brown Excerpts

Thursday 24th May 2012 Commons Chamber

[Lyn Brown (West Ham) (Lab)]

I hope that hon. Members will be gentle, because my voice is not as strong as it usually is. I also hope that I can be heard today. It is an honour to follow the hon. Member for Argyll and Bute (Mr Reid), who made an excellent speech about VAT on static caravans. Those of us on the Opposition Benches support much of what he said. I hope that his Government were listening to that speech, which really was rather excellent.

I want to take this opportunity to speak about an issue of increasing concern—breast cancer. I want to focus on three areas: diagnosis, treatment and mortality in my constituency; worrying comparisons with other countries, which raise issues about the effectiveness of cancer services in the UK; and a specific concern about radiotherapy, on which we perform rather badly, compared with other countries.

Let me first set the scene with some facts about breast cancer. As many colleagues will know, it is the most common cancer in the UK, with some 48,000 new cases diagnosed every year. Around 12,000 women and 90 men will die from breast cancer this year. The good news—relatively speaking—is that a generation ago, only half the people with breast cancer survived for five years after diagnosis. Today, eight out of 10 people are still alive after five years or more. That improvement is due to the unprecedented investment made in the NHS, with a shift in emphasis—the right shift—towards prevention and early detection, and the establishment of cancer networks, bringing together specialists to improve the quality of care.

Advances in research, new treatments, earlier diagnosis, breast screening and greater public awareness have all played a part, but it is essential that we keep up the momentum if we are to avoid slipping back. I have spoken in the House before about the inequality in health outcomes that is characteristic of my constituency and other areas with high poverty, poor housing, a poor environment and low educational achievement. Things are improving and health outcomes are getting better, but the gap remains. Although I have a huge hope that the legacy of the Olympic and the Paralympic games will bring an even greater health improvement to my area, as well as economic regeneration, we have to do more, rather than just sitting back and waiting to see whether that happens.

[Claire Perry]

Let me give the hon. Lady a chance to rest her voice. I am grateful to her for bringing this incredibly important subject to the Floor of the House. Would she like to join me in the Race for Life at the beginning of June? We can put on our pink T-shirts, and although I am afraid that I will be walking, she can walk with me and we can raise some money for a worthy cause.

[Lyn Brown]

That is possibly an offer that I cannot refuse. I think that sounds like an excellent thing to do together.

Newham has a lower incidence of cancer than many other areas, but sadly our mortality rate is higher. The London-wide cancer mortality rate is about 112 deaths per 100,000 cases. In Newham it is 123 deaths per 100,000 cases, which is a significantly higher rate than we ought to find. That is clearly unacceptable. The five-year survival rate for women in Newham who have had breast cancer is 75%, which is significantly lower than the UK average of 83.4%. The reason is illustrated, in part, by the take-up rate of breast-screening services. In 2009-10, the take-up rate across England was 73%. Across London it was 62%, but in Newham it was 50%.

Early detection enables treatment in early stages, when the cancer is easier to treat and when women’s chances of survival are higher. In my area, the combination of late presentation and late diagnosis leads to treatment that is, of necessity, more complex and less successful. That is causing the unnecessary deaths of too many women. Those deaths are, frankly, preventable. I will be seeking to ensure that a consequence of the Health and Social Care Act 2012 is not a visible deterioration in health screening services in my constituency. In fact, I will be hoping to see the 50% uptake of screening in Newham increase in the years to come.

I want to turn to international comparisons. I have before me some statistics, which were helpfully provided by the House of Commons Library. These data are drawn from a cancer epidemiology research project on the survival of cancer patients in 24 European countries. The figures need to be treated with some care, given that the most recent are for survival rates for those diagnosed between 1995 and 1999, but they provide a useful snapshot of the five-year survival rate. For England, the survival rate for all cancers at five years was 47.3%, ranking us 17th out of the 24 countries. The survival rate at five years for breast cancer was somewhat better, at 79.7%, but this still ranks us just 13th out of the 24 countries. That international comparison raises some disturbing questions about the effectiveness of our screening, diagnosis and treatment services, and I intend to return to that matter in the future.

One issue that I want to explore further today is the use in treatment of radiotherapy and, specifically, of new and advanced forms of radiotherapy such as intensity-modulated radiation therapy—IMRT. Radiotherapy treatment is more effective in treating all forms of cancer, including breast cancer, especially when the cancer is diagnosed early. It can be targeted on the cancer much more effectively, thus limiting the damage caused to non-cancerous tissue. It is far less invasive than other treatments, it leads to better outcomes and it is a much better experience for the patient.

The use of radiotherapy is more advanced in Scotland and Wales. London is marginally better provided for than the rest of England, but that does not alter the fact that the UK as a whole is woefully behind the best-performing countries in the rest of Europe and the US in using advanced radiotherapy as an effective tool against cancer. Access rates to existing radiotherapy services are already lower than the 50% of cancer patients who it is generally agreed should receive the treatment. We do not even know how many breast cancer patients are able to access the more advanced IMRT.

What assessment have the Government made of the impact of the Health and Social Care Act on the commissioning of radiotherapy, and on the supply of suitably trained radiotherapists? From my perspective, it is entirely unclear where responsibility for the commissioning of radiotherapy will sit in the future arrangements of the NHS. The clinical commissioning groups are far too small effectively to manage it, and the position of the NHS Commissioning Board is obscure.

For radiotherapy, there is no is no equivalent of the big campaigns that we see in our newspapers. It has no equivalent of a big pharmaceutical company to promote it and lobby for new treatments, because there is no profit to be made from it. Radiotherapy is an effective treatment that is widely used in other countries, but it is patchily under-utilised here, to the detriment of cancer patients, and that is likely to be contributing to our relatively poor survival rates. In the absence of an external lobby promoting radiotherapy, I humbly suggest to the House that that responsibility lies here with us.

The issues that I have outlined today go to the heart of the quality of cancer care in this country. They need to be explored in more detail and subjected to more scrutiny so that the service offered across the country can be improved to the level of the very best, and not just the very best in this country, but the very best by international standards.

Sittings of the House (20 and 23 March)

Lyn Brown Excerpts

Thursday 23rd February 2012 Commons Chamber

[Angela Smith]

I think the hon. Gentleman asked that question only a few minutes ago—[Hon. Members: “You didn’t answer.”] The question was answered.

[Lyn Brown (West Ham) (Lab)]

I am moved to suggest to my hon. Friend that one of the reasons that the previous Prime Minister felt able to leave the Wednesday Question Time to his deputy was that he trusted her.

[Angela Smith]

I absolutely agree with my hon. Friend. That is another reason for my right hon. Friend the Member for Kirkcaldy and Cowdenbeath (Mr Brown) finding it impossible, on occasion, to get to the Dispatch Box. He gave global leadership in the credit crunch, and he trusted his deputy. Whether this current Prime Minister trusts his deputy is open to question.

All the evidence suggests the opposite of what we have heard, and that our Prime Minister is a leader who cannot get his facts straight and who is increasingly running scared of being held to account on the detail of his Government’s policies. With your indulgence, Mr Deputy Speaker, I will illustrate this point with examples. Let us take, for instance, what the Prime Minister claimed only the other week:

“The proportion of police officers on the front line is up”.—[Official Report, 8 February 2012; Vol. 540, c. 295.]

That is a misleading claim, if ever there was one. Of course, his reference was to the proportions of front-line officers rather than their overall numbers. Thus, where perhaps 12 front-line officers were assisted in their work by six support staff, there might now be only six front-line officers and only two support staff. The proportion would be higher, but the number of front-line officers would have been cut by 50%. In the end, the Prime Minister will not be able to continue to defend the line that front-line policing is being protected when budgets are being cut by 20%. About 16,000 police officers are likely to lose their jobs, and the Prime Minister knows that he will be called to account for that at Prime Minister’s questions.

The Prime Minister has, of course, already been called to account at the Dispatch Box by the Leader of the Opposition for his Government’s disastrous Health and Social Care Bill. Only yesterday, we witnessed in this Chamber the Prime Minister thrashing around, desperately trying to trade insults and to deploy soundbites in an attempt to deflect attention from his unpopular and unwanted top-down reorganisation of the NHS.

Two weeks earlier, just before the recess, the Prime Minister claimed at Prime Minister’s Question Time that 100,000 more patients are being treated every month. It was possible to make that claim, however, only if one compared May 2010 with November 2011. If one compares May 2010 to May 2011 and November 2010 to November 2011, one finds that the figures are, in fact, static. Equally, the Prime Minister claimed that there were 4,000 extra doctors since the election. That is true, of course, but it is not something that he can take credit for. After all, it takes between five and seven years to train a doctor and the extra numbers are therefore a legacy of the previous Labour Government.

So there we have it—a Prime Minister who knows that his cavalier approach to answering the questions posed to him by this House is under pressure, who knows that his slapdash approach to Prime Minister’s questions is being increasingly exposed, thereby revealing him and his Government as incompetent and not up to the task of taking this country through the very challenging times in which it finds itself. No wonder this Government want to avoid Prime Minister’s questions wherever possible. It is the one occasion every week when the spotlight is on everything they do, and they increasingly worry that they will be found wanting. In the interests of accountability and democracy, we oppose the motion.

Business of the House

Lyn Brown Excerpts

Thursday 22nd July 2010 Commons Chamber

[Lyn Brown (West Ham) (Lab)]

Newham is to have an estimated 1,300 fewer secondary school places, due in part to the loss of 14 Building Schools for the Future projects. I attended yesterday’s Westminster Hall debate to request that the Under-Secretary of State for Education, the hon. Member for East Worthing and Shoreham (Tim Loughton) meet me to discuss the impact of that. Sadly, despite my numerous attempts, he refused to take my intervention. May I ask that we have a debate on this important issue on the Floor of this House? We need an opportunity not only to discuss the impact of that programme, but for the Minister to be more gracious.

[Sir George Young]

As the hon. Lady said, we have just had a 90-minute debate in Westminster Hall on the Building Schools for the Future programme. I will convey her particular request for a meeting with my hon. Friend the Under-Secretary. I know that, as a rule, he is more than happy to meet hon. Members from both sides of the House, and I am sure that he will readily agree, particularly when he reads Hansard tomorrow morning, that a meeting with the hon. Lady would be appropriate.