Food Poverty: Merseyside

Debate between Maria Eagle and Louise Ellman

Tuesday 16th January 2018 Westminster Hall

[Mrs Louise Ellman (Liverpool, Riverside) (Lab/Co-op)]

It is a pleasure to serve under your chairmanship, Sir David. I congratulate my hon. Friend the Member for Liverpool, West Derby (Stephen Twigg) on securing this debate on such an important issue.

We should be clear that it is an absolute disgrace that there are so many people suffering from hunger and poor nutrition in this prosperous country in 2018. Food poverty is, of course, part of more general poverty. People in poverty juggle between providing for essential needs such as eating, keeping warm and keeping housed, and too many people face the impossible choice: heat or eat? How can it be just that so many people, including children, are going hungry?

Let us look at what is happening in Liverpool, where the city council has already lost 58% of its disposable income. That figure will reach a massive 68% by 2020. The Liverpool mayoral action group’s important and groundbreaking report shows the cumulative impact of 20 cuts made to benefits, including benefits for people in work, since 2010. My hon. Friend the Member for Liverpool, West Derby referred to that. Those cuts resulted in a loss of £157 million for Liverpool people by 2016. That means that 55,000 people have been affected by a reduction in their income, which was already too low to meet basic needs. The principal groups of people who have lost out are those who are long-term sick, disabled, in insecure jobs or in jobs with insecure and changing incomes and many families with children. Those problems will be exacerbated by the full roll-out of universal credit across Liverpool this year.

Inadequate income to meet basic needs leads inevitably to food deprivation. People are constantly juggling between having enough to eat, keeping warm and keeping a home. That is intolerable. My hon. Friends have referred to the work of food banks and the disgraceful situation of so many people needing to rely on emergency food supplies to survive. Between October 2016 and September 2017, 8,732 emergency food vouchers had been redeemed at one of the three Trussell Trust food banks in Liverpool, feeding 18,456 people. That is divided between 11,500 adults and 6,900 children. What a terrible situation in 2018. The main reason for this abominable situation is benefit cuts and people on low incomes, in unstable jobs and getting an irregular income.

The fact is that people are suffering. The situation is increasingly disturbing. The Liverpool public health report for 2016-17 makes alarming reading. It records that 27% of children in reception classes in Liverpool are obese, as are 38% of children in year 6. Obesity is closely linked with food deprivation and poor nutrition. That report records a disgraceful and horrendous figure—a significant rise in hospital admissions for malnutrition in women of childbearing age and young people. It is hardly believable that such a thing is happening in our day and age. The report also shows that, in 2016, provisional data demonstrate that there were 39 infant deaths in the city—the highest recorded figure since 2005. What a horrendous situation that, in 2018, in a prosperous country, more people are being admitted to hospital for malnutrition and there are more infant deaths. Those are things that nobody would believe unless they saw those figures in Liverpool’s public health annual report.

What is being done to address this woeful situation? Liverpool City Council must be commended for its efforts. My hon. Friends have referred to a number of steps that the council is taking. The city Mayor’s action group on fairness and tackling poverty has identified food poverty, together with deprivation in fuel, clothing and housing, as a key concern requiring investigation and action. It has implemented a series of practical measures, including issuing crisis financial awards for food and mitigating the impact of Government cuts on the income of vulnerable people by using discretionary funds—funds that are increasingly under pressure.

Many of the people receiving those funds because they are in an emergency and a desperate situation are in work. Let us do away once and for all with the myth that people who are suffering in poverty are in some way feckless or do not want to work. That is an outrageous untruth or, if I am allowed to use the word in Parliament, a lie. That is what that charge is.

Liverpool City Council has also instigated healthy living public health initiatives, which are very important. The basic cause of the problem is a lack of income. It is right that people are given the fullest possible information about how to make best use of an inadequate income and basic information about nutrition and how to access nutritious food. That work is important.

[Maria Eagle]

Does my hon. Friend accept that, no matter how much good work the Trussell Trust food banks do, the food that they hand out is tinned, dried, fatty and full of sugar and salt? That is not the best way to build a healthy diet. Those dependent on food bank usage are automatically getting poor-quality food, through no fault of the people who are helping to hand out that emergency support.

Royal Liverpool University Hospital

Debate between Maria Eagle and Louise Ellman

Wednesday 9th June 2010 Westminster Hall

[Mrs Louise Ellman (Liverpool, Riverside) (Lab/Co-op)]

Thank you, Mr Betts, and let me say that I am glad to serve under your chairmanship. I am pleased to have this opportunity to raise a key concern facing the people of Liverpool—namely, the urgent need to build a new Royal Liverpool University hospital. The Royal is an excellent university teaching hospital and a leading regional centre for diagnosis and treatment, deploying cutting-edge technologies such as digital histopathology, interventionist radiology and PET-CT—positron emission tomography-computed tomography—advanced scanning.

The problem is that the existing hospital, which was built in 1972, has major structural defects. Its mechanical and electrical infrastructure has major faults, it has design flaws and its internal and external fabric is failing. The trust is rated excellent for clinical services and for financial management. It has a gifted and committed staff, but that cannot overcome the problems of a deteriorating building.

In March, following years of intensive scrutiny, the then Secretary of State for Health, my right hon. Friend the Member for Leigh (Andy Burnham) visited the Royal to announce a new £45 million replacement hospital, a private finance initiative, to be built on the same site. The possibilities of refurbishment had been costed and rejected on the grounds that they offered poor value for money. The approval was confirmed in writing by the Treasury and by the Department of Health, which issued an approval letter. The trust is to fund £130 million of the £451 million capital cost, so it is planned that most of the funding should come from the private sector.

The proposal has been assessed for many years. The outlined strategic case was approved in 2006. It has been subjected to intensive scrutiny again and again locally, regionally and nationally, including by the Department of Health and the Treasury. It has met stringent tests for affordability and for value for money. That process has indeed cut costs, by about 32%, and the current proposal for 637 beds constitutes a 34% reduction in the number of beds outlined in earlier plans. Construction at the hospital, which will lessen both the hospital’s energy use and its carbon footprint, is due to start in 2012 and be completed by 2016. A competitive process to identify a suitable private sector partner is now under way. All that planning has now been thrown into doubt by this Government’s current spending review and their threatened draconian cuts.

I want to make it very clear that replacing the Royal is about providing front-line health care for the people of Liverpool and the region.

[Maria Eagle (Garston and Halewood) (Lab)]

I congratulate my hon. Friend on securing this debate. Does she agree with me that many people from south Liverpool also rely on the Royal Liverpool University hospital for acute health services and that a failure, at this late stage, to agree to rebuild the Royal and to let that project go forward will leave the entire city—not just the north of the city—having to obtain its health services in a deteriorating building that is no longer fit for purpose in the 21st century?

[Mrs Ellman]

I agree with my hon. Friend and her intervention shows why this issue is so very important.

The city has taken major steps forward in recent years, yet Liverpool remains the poorest local authority; in total, 67% of its population live in the top 10% most deprived localities in the country. Ill health is related to poverty. Industrial diseases such as asbestosis and mesothelioma, which are connected with the shipping industry of the past, cause deaths and incapacity today.

Although health standards have improved significantly during recent years, there is still an unacceptable gap in life expectancy between Liverpool people and those in the rest of the country. Women in Liverpool, Warrington and Hull have the lowest life expectancy for women in the country, at 78.8 years. Women in England as a whole can expect to live until they are 81.9 years old. The longest-living women in England are to be found in Kensington and Chelsea, reaching 88.9 years—a disparity of 10 years with women in Liverpool. Liverpool men have the fourth lowest life expectancy in the country, at 74.3 years, compared with a life expectancy of 84 years for men in Kensington and Chelsea and of 77 years for men in England as a whole.

Mortality rates are too high. The number of deaths from heart disease in Liverpool is 31% higher than the national average; the number of deaths from cancer-related diseases in Liverpool is 36% higher than the national average; deaths from causes that are amenable to health care in Liverpool are 42% higher than the national average, and deaths from conditions attributable to smoking in Liverpool are 57% higher than the national average. It is a chilling fact that for every 100 new cancers diagnosed in the rest of England, 130 new cancers are diagnosed in Liverpool.

Although that situation is related to long-term poverty, deprivation, the city’s industrial legacy and individual lifestyles, the new hospital, with its proposed high-tech facilities and single rooms, which would help to reduce the spread of infection, is essential to improving people’s health.

Despite its high incidence of cancer, Liverpool is the only major UK city without a comprehensive cancer centre. Following the Cannon and Baker report, a cancer centre linked to Liverpool university’s department of cancer studies should be built at the Royal and that project should be progressed with urgency.

The new hospital will contribute to the alleviation of disease by building on Liverpool’s strengths in the biochemical sector, already a major contributor to the local economy, by adding £1 billion gross value added and employing 6,000 people. In doing so, the new hospital will help regenerate the city. It will enhance important diagnostic research and life sciences, with increased collaboration between the university’s leading medical school, the internationally renowned Liverpool School of Tropical Medicine and the biomedical industry.

Companies such as Eli Lilly, Novartis, MedImmune and Bristol-Myers Squibb already work with the Royal. A new biomedical campus is planned on site and it will be integrated with similar facilities, expanding research, improving diagnosis and developing new health-related products. That campus will create additional jobs in Liverpool, as Liverpool increasingly becomes a global leader in this sector. The new hospital will also make a major economic impact. Building the hospital itself will create 1,600 jobs, with the local economic benefits reaching £240 million.

It is very sad that, with the Government’s draconian spending axe hanging over us, we still await a decision on the Royal’s future. What is at stake? Primarily, the new hospital is about the well-being of the people of Liverpool and the region, too many of whom experience unacceptably poor health. Everyone, irrespective of wealth, is entitled to good health care. There has been a great deal of investment in health services in Liverpool in recent years, which is why we have seen improvements in people’s health. But the key issue of the need to replace this major hospital remains outstanding and it is acutely important. The developmental hospital is important for Liverpool’s ongoing regeneration. Liverpool is a city transformed, but too many of its citizens have not yet reaped the benefits. And now, in this fraught economic climate, new challenges have emerged.

A rebuilt Royal will bring all the people of Liverpool essential state-of-the-art health care, fit for the 21st century. Linked with primary care, it will make a real difference. The current proposal is mainly private finance initiative-funded. It does not lean heavily on the public purse. It has been subject to stringent scrutiny, ensuring value for money, and that process is continuing.

The city council has already made strong representations and I want to praise Councillor Joe Anderson, the leader of the council, and Councillor Paul Brant, an executive member of the council, who have taken the lead in speaking up for the health needs of the city. Any delays, cutbacks or cancellation would deal a major blow to the people of Liverpool, with consequences for the whole region.

On 31 March 2010, the Liverpool Daily Post reported statements made by the then shadow Secretary of State for Health, the right hon. Member for South Cambridgeshire (Mr Lansley). Following some general comments that he made about the proposed scheme at the Royal, the Liverpool Daily Post said:

“And he turned the tables on Labour, by insisting the Tories were committed to protecting NHS budgets, while the Government”—

that is, the Government at that time—

“was plotting to slash capital spending by half.”

Asked about the Royal development, the right hon. Gentleman, now the Secretary of State, replied:

“The Conservatives have been clear about the need to protect NHS budgets, including capital spending, so we can support this project.”

I ask the Minister to confirm that that pledge remains real. I also ask him to implement it without delay, give this front-line service the green light and enable the people of Liverpool to benefit from the first-class health facilities that are so important for their future.