Austerity: Life Expectancy

Debate between Robert Courts and Vicky Foxcroft

Wednesday 18th April 2018 Westminster Hall

[Robert Courts (Witney) (Con)]

It is a pleasure to serve under your chairmanship this afternoon, Mr Paisley. I shall keep my comments brief because many other Members wish to speak. I also take the opportunity to congratulate the hon. Member for Sheffield, Heeley (Louise Haigh) on securing a debate on this important matter.

When people think of the rolling hills of west Oxfordshire, I appreciate that poverty is not one of the things that immediately springs to mind, but that is to ignore some of the very real issues present in my constituency. There are real factors and pockets of deprivation, and rural poverty in particular is a real concern, so the issue is very live for those of us in the green shires, as well as for those in urban environments. I would like the House to bear that in mind.

The hon. Lady made some important points today, but I suggest that it is simplistic to look at a straightforward line between necessary control of public spending and an impact on life expectancy. As we have heard, a whole range of factors affect life expectancy and mortality—quality of life, mental health, obesity, housing, air quality—and simply to draw that straightforward causation line is to make things far too simple, when in fact we are dealing with a complex issue.

[Vicky Foxcroft (Lewisham, Deptford) (Lab)]

The hon. Gentleman talked about it being simplistic to talk about the cuts, austerity and so forth, but let us talk, for example, about the cost of a pupil going to a pupil referral unit being 10 times more expensive, or the cost of someone in prison being £35,000 per year. If we invested such money earlier in education, mental health support or support for our young people, we would save money. Indeed, he is the one coming out with the simplistic argument.

[Robert Courts]

The hon. Lady will not be surprised to hear that I do not agree with her. She made a number of points, but I am simply suggesting that the issue is complex. Saying simply that necessary control of public spending leads to an increase in mortality, as is being suggested, is too simplistic.

Let us look at the example of Scotland—this is a simple and important point—where free adult social care is offered and more is spent on healthcare per head than in England. However, life expectancy there is still lower than in England. That simply underlines my point, which I make in response to the hon. Member for Sheffield, Heeley, that it is too simplistic to say that that link between spending and outcomes is as straightforward as she would make out. That cannot be the case, or the situation in Scotland would not be as it is.

For that matter, let us look at the outcomes across Europe. The Public Health England figures are quite striking, particularly in graph form. They show that not only do we have a slight dip in life expectancy figures over the course of the past year or so, but so too do Italy, Spain and, strikingly, France—a dip almost identical to what we have seen in the UK, despite the fact that I understand the French spend the highest amount in Europe on healthcare. We are clearly dealing with a much more complicated situation, and lifestyle factors are crucial. Those are not restricted to the UK.

I am glad that the hon. Member for Sheffield, Heeley has accepted that life expectancy cannot be expected to increase forever. That is of course common sense and a point that she readily accepts, but the point bears repeating and remembering. For a number of reasons we have had extraordinary success in increasing healthcare over the past few years, but we are now faced with the results of that—an ageing and increasing population, therefore with increased complexity of morbidity factors.

I therefore applaud the approach being taken by the Government. We are not only investing as much as possible within the constraints of sensible Government spending, but ensuring that we address the lifestyle factors that can affect life expectancy in the round. However, as I continue to speak, I can see you looking at me with concern, Mr Paisley, so I will confine myself to those remarks.