February Adjournment

Baroness Winterton of Doncaster Excerpts

Thursday 13th February 2020 Commons Chamber

[Gareth Thomas (Harrow West) (Lab/Co-op)]

It is a pleasure to follow the hon. Member for Filton and Bradley Stoke (Jack Lopresti), not least because of his contribution about education and social mobility, which gives me the opportunity to plug the fourth university fair I have organised for my constituents in the London Borough of Harrow. It will take place on Monday 2 March from 3 pm to 6 pm at the excellent Whitmore High School in my constituency. Every student and parent in the borough thinking about university is extremely welcome to attend. All the leading universities will be there. There will also be options for working abroad. I pay tribute to those universities, including the Oxbridge pair, that will be attending the fair and which, as a result of the success of the previous three fairs, have now stationed a member of staff in the school to work with staff to encourage applications to Russell Group universities and to continue the broader job of trying to increase aspiration among students in my constituency. It is extremely welcome.

I want to concentrate my remarks on the national health service in Harrow and north-west London more generally. Health Ministers will be aware of the collapse, after seven years, of the Shaping a Healthier Future programme, which was designed to plan the future of the NHS across the eight clinical commissioning group areas of north-west London. It originally envisaged the closure of four accident and emergency departments, two of which did take place, but then campaigns, led not least by my hon. Friend the Member for Hammersmith (Andy Slaughter), led to the successful defeat of the proposals to close his A&E department. That, coupled with Treasury concerns about the financing and population estimates, led last June to the Department of Health and Social Care formally cancelling the programme. On the surface, that was a good thing, because it helped to secure another two A&E departments in north-west London, and, at least for my constituents who rely on the A&E department at Northwick Park Hospital, it means there will not be even more pressure on our hospital.

As yet, however, there has not been any replacement strategy for the future of health services in north-west London, which is a particular concern for the future of Northwick Park Hospital, which has a £140 million backlog of essential maintenance, according to a written parliamentary answer from the Department of Health and Social Care; has been starved of substantial investment of late and is certainly short of intensive therapy unit beds; and has not been able to achieve its four-hour A&E target since August 2014. In that time, my partner has managed to have two children and Brad Pitt got married to and divorced from Angelina Jolie, which gives the House a sense of just how long it has been since the A&E department was able to provide a service that meets the key NHS targets.

That is not to decry the talents and dedication of the staff who work at Northwick Park Hospital. I have had to use the paediatric A&E department facilities many times, and the staff there are amazing—that view is widely shared in my constituency—but there is no clarity about the future of the hospital. That is brought into stark focus by the fact that the trust that runs the hospital is set to have one of the biggest deficits in the NHS. It is projected to be £92 million by the end of this financial year. It must be one of the first times in the history of the NHS that a hospital has approached the end of the financial year with close to a £100 million deficit. It raises the question: what is the future in terms of capital investment and funding for Northwick Park Hospital, given the wider problems in the NHS economy in north-west London? The Ealing, Brent and Harrow CCGs, in particular, are widely expected to have the highest deficits in NHS history by the end of the financial year. There is clearly something significantly wrong with the financing—and the formula on which that financing is based—of the NHS in north-west London. I would be grateful if the Minister conveyed those concerns to the Department and encouraged Ministers to get to grips with the challenges in north-west London, particularly those facing my constituency.

As the hon. Member for Harrow East (Bob Blackman) would testify, the future of walk-in services run by local GPs, including the Pinn, Alexandra Avenue and the Belmont health centre was a significant issue at the general election. I am delighted to hear that the last surviving of those three walk-in services, the Pinn, has been saved, albeit it without any extra funding for the CCG. If true, it is genuinely excellent news.

The other two walk-in services at Alexandra Avenue and Belmont serve a more deprived and more economically challenged community than does the Pinn. It would good to hear that there will be funding for walk-in services to be reopened at Alexandra Avenue and Belmont, because without that I fear the pressure on Northwick Park’s accident and emergency department is only going to increase. As the chief executive of Northwick Park made clear to me, the closure particularly of the Alexandra Avenue walk-in centre was being felt very directly both in paediatric A&E and mainstream A&E services.

I should say that I am grateful to the Minister for Health for agreeing to meet me to discuss some of these concerns, but could the Minister on the Front Bench encourage the Department of Health and Social Care to respond? If he could give him a gentle prod to get me a proper briefing, I would be extremely grateful.

I particularly want to raise Mount Vernon cancer centre’s future. Over 1,000 patients from the London Borough of Harrow use Mount Vernon cancer centre annually. Last July, a clinical advisory panel led by Professor Nick Slevin, who is a consultant clinical oncologist at the Christie Hospital, was commissioned to review the quality of services at Mount Vernon cancer centre and to come up with some suggestions for the way forward. It found that the hospital was so dilapidated and short staffed that it could not provide basic elements of treatment.

I understand that it is probably the first time in the NHS’s 71-year history that such a major facility, specialising in what is clearly the country’s second biggest killer disease, has been deemed to pose a risk to patients and been declared unfit for purpose. It was found to be so dilapidated and short staffed that it could not provide basic elements of treatment. Yet if we talk to those who have benefited or who have had relatives who have benefited from the treatment at Mount Vernon Hospital, we find it is a cancer centre that is held in extremely high regard. Again, it is blessed with some remarkably talented doctors and nurses, who have done a tremendous job over the years in saving numerous lives and making a huge difference.

Again, the question is: what is the future of the Mount Vernon cancer centre? Initially, there was a lot of concern, particularly with University College London Hospitals due to take over the running of the cancer centre, that cancer services would move from that site into central London. That does not now appear to be the likely ultimate plan for the cancer centre, but there is no clarity as yet about the cancer centre’s future. It is clear from the review that it does not think, fundamentally, that the cancer centre can continue at the Mount Vernon site. That is creating a lot of concern among those currently undergoing treatment there or those who have benefited from treatment on the site.

Having been operated on at the Mount Vernon site in the dim and distant past when it was an acute hospital, I know the affection in which the hospital is held. As a matter of urgency, I urge NHS England to make sure there is no gap in the attention given to the future of Mount Vernon hospital. It sits in an uneasy place in terms of NHS boundaries, being very close to the boundary that NHS East of England manages, but just within the NHS London region. When UCLH takes over running the facilities on the site next year, apparently in March 2021, NHS East of England will pass over responsibility for working out its long-term future to NHS London. There has to be a concern that there will be some loss of focus on the future of the hospital.

Again, I urge the Minister to brief his colleague the Minister for Health on the concerns about Mount Vernon cancer centre. If it helps to encourage the Minister to take this seriously, Mount Vernon cancer centre serves the constituents of the Prime Minister as well as mine, and I suggest there will be many constituents in Uxbridge and South Ruislip who are very worried about the future of the cancer hospital. On that basis, I look forward to the Minister passing on my concerns.

[Madam Deputy Speaker (Dame Rosie Winterton)]

It is a pleasure to call Luke Evans to make his maiden speech.

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[Catherine West (Hornsey and Wood Green) (Lab)]

I congratulate the hon. Member for Bosworth (Dr Evans) on his excellent peroration, and I wish him all the best in his career and in representing his constituents. I will also draw on some of his words about empowerment and choice, and I hope that as a member of the Health Committee, he will enjoy introducing new ideas and best practice from his recent experience as a GP.

The issue I wish to raise is also health-related. Last weekend in my constituency, some protesters assembled outside the British Pregnancy Advisory Service at Stroud Green, intent on disrupting the clinic’s work and intimidating service users who were attending it. This issue is not new to the House. Indeed, my hon. Friend the Member for Ealing Central and Acton (Dr Huq) has raised it on a number of occasions, imploring the Health Secretary to take more action and create buffer zones around clinics so that women who have to make choices at what is often a stressful time in their lives are able to make those choices without experiencing harassment or degradation.

I was disappointed to see those protests in my constituency. As I follow the excellent speech by the hon. Member for Bosworth, I am sure that we all agree that choice is crucial in this debate, and that women’s rights are human rights. The right for women to do what they choose with their own bodies is an important principle, and I have always stood up for that most basic of human rights.

The protests outside clinics that have been popping up in various constituencies can turn nasty, and I implore the Minister to seek advice from those senior to him about what can be done. As we know from the speech we have just heard, some patients need to make choices at various points in their lives. Women in particular should be supported at a difficult time, not bombarded by protesters who surround clinics, accuse service users of murder, and display graphic images that should not be tolerated while women are taking such a significant step in their lives. Turning a blind eye to such intimidatory tactics is not some- thing that any Member of the House should encourage.

I am grateful to my local authority, Haringey Council, for its sympathetic approach to this issue when it appeared suddenly last weekend, as well as to our excellent borough commander. They immediately passed the issue to local community police officers, who are able to deal with issues of community cohesion that can arise quickly in a matter of hours. I hope I will gain the Government’s support on this. We know that local authorities are hamstrung. The only legal tool currently available is the public spaces protection order, which is not really appropriate for this sort of issue, as a high threshold must be met to obtain a buffer zone.

I understand that such protests are a frequent occurrence. According to experts, over the past 18 months, 44 clinics across the UK have experienced some form of protest activity, including a number of GP surgeries. The hon. Member for Bosworth will know that a protest outside a GP’s surgery could be particularly negative at a time when, as he said, it is important to empower a patient to make a decision. However, only a handful of those protests would meet the threshold for a PSPO.

Given that we are in the third decade of the 21st century, I ask for the law to be updated to protect women who choose to exercise their right to access pregnancy advice services, and in what they choose to do with their bodies. Will the Minister speak to the Home Secretary about the need for legislation to decriminalise abortion and to provide for buffer zones around registered clinics, with proper enforcement measures if those zones are breached?

I will conclude, Madam Deputy Speaker, as I know that lots of Members wish to speak. My hon. Friend the Member for Ealing Central and Acton has already led calls on this issue in the House, and she has long been a champion for buffer zones. I know that the issue is on the Government’s mind—together with a number of other pressing matters—and if it is dealt with quickly, it might lead to a calmer situation. We know that arrangements are in place abroad to prevent disruptive and intimidating protesters from getting near clinics and pressuring women who are already under a great deal of stress and pressure.

Some may argue that buffer zones place a limit on free speech—we could have a debate about that. There is nothing to stop such debates taking place in a calm and measured way, and Members on both sides of the House will have different views. Nevertheless, we can demonstrate our ability to have calm discussions in this House about issues on which we disagree, and we do not need to shout at service users at critical times, show distressing images, or call people murderers outside a perfectly reasonable and well-established clinic.

Finally, may I beg the Minister a third time to take this issue up with the Home Secretary? Providing buffer zones would achieve protection and dignity for women while they make what is often the biggest or most difficult decision of their lives. We cannot let the protests continue and we cannot afford more delay.

Thank you, Madam Deputy Speaker. I wish you a lovely break next week.

[Madam Deputy Speaker (Dame Rosie Winterton)]

It is a pleasure to call Sarah Atherton to make her maiden speech.

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[Jessica Morden (Newport East) (Lab)]

It is a great pleasure to follow the very assured maiden speeches of the hon. Members for Bosworth (Dr Evans) and for Wrexham (Sarah Atherton). I wish them well. As a fellow Welsh woman MP, may I say to the hon. Member for Wrexham that I very much look forward to her contribution to the annual St David’s Day Welsh debate, which will be held after recess? I am also sure that the all-party beer group will be extremely interested to hear the views of a brewster.

The headlines this week have been understandably dominated by the Government’s decision to move ahead with HS2. This will present not only new opportunities, but significant challenges for the Government in seeking to address the imbalance between the economies of the nations and regions of the UK. I will begin with the opportunities that have arisen, particularly as an hon. Member for a constituency and a city that produces steel and trains.

As Ministers will be aware, phases 1 and 2 of the HS2 project combined will require 2 million tonnes of steel, including for tracks, train components, bridges, tunnels, gantries, wire and more. That means there will be huge procurement opportunities for steel producers across the UK, including in south Wales. I hope that the Government will act to ensure that high-quality UK steel products are used for HS2 wherever possible. It is crucial that Ministers use this opportunity to give our steel industry the vote of confidence that it needs and deserves in extremely challenging times. I will re-emphasise that point to the Government with the members of the all-party group on steel, which I co-chair with the hon. Member for Scunthorpe (Holly Mumby-Croft).

I also urge Ministers to look to Newport-based train builders CAF Rail UK to produce the trains that are needed for this major infrastructure project. Train production has been up and running at the site at Llanwern since 2018. I have been fortunate enough to visit the factory to see some of the exceptional units being built for West Midlands trains and Northern. The company has received great support and investment from the Welsh Labour Government and already employs a skilled workforce of around 250 people, which is set to grow to 300 in the near future. CAF has the potential and the capacity to produce trains that are at the cutting edge of modern rail technology and offer travel speeds of over 360 km an hour. That makes CAF a perfect fit for HS2, and winning the contract for this major project would be a real boost to our local economy, which has been hit hard recently by the sad news of job losses at Orb, Liberty, EnerSys and Caldicot Tinmasters.

HS2 provides new opportunities to be grasped and I will continue to raise the points that I have made today with Ministers over the weeks and months ahead. However, it is also important to highlight, as Wales’s First Minister Mark Drakeford rightly did this week, that the announcement to proceed with HS2 brings the Tory Government’s historical under-investment in Welsh rail infrastructure into sharp and unflattering focus. Wales accounts for 11% of the UK rail network, yet since 2010, we have received only 2% of rail enhancement spending. In the meantime, the UK Government have cancelled electrification to Swansea and blocked the Welsh Government from providing much needed additional cross-border services that would benefit my constituents who commute from Newport and Severn Tunnel Junction to Bristol. That disparity in investment needs to be addressed urgently if the Prime Minister’s pledge to “level up” the nations and regions of the UK is to be seen as anything other than grandstanding bluster. Wales has been the forgotten nation on rail infrastructure spending and this must end. We also need a new station for Magor and Undy and I pay tribute to the fabulous Magor rail group for its fantastic campaign. I hope that that progresses shortly.

In this end-of-term Adjournment debate, I will also touch on some other issues affecting my constituents. The system of claiming benefits through the special rules for terminal illnesses is still completely unfit for purpose. As Members across the House may be aware, those living with debilitating terminal conditions such as motor neurone disease still have to prove that they have a life expectancy of six months to access benefits. In the case of an unpredictable condition such as MND, that is almost impossible and it forces vulnerable people to spend the last months of their lives filling in lengthy forms, attending assessments, meeting work coaches and waiting months for payments. Equally degrading and cruel is the three-year benefit award, which means that anyone who lives with a condition like MND for over three years loses their benefits. That means that people who are extremely ill—in some cases, completely paralysed or unable to speak—are receiving letters telling them that their benefits are being stopped unless they make a new claim. We have to ask ourselves if this is the sort of country that we want to live in.

In July last year, the Government announced a review of the benefits system to support people who are terminally ill. Six months later, there is little sign of progress, other than the launch of a survey for clinicians and a claimants’ roundtable. The disruption of a general election may have played a part in the delay, but it is still taking far too long. We owe it to them, their families and everyone living with such awful diseases to reform a benefits system that is currently insulting and inhumane. The former Member for Bridgend, Madeleine Moon, did excellent work on this issue in the last Parliament and I intend to pursue it in this one.

I have also been contacted by constituents about the roll-out of the IR35 off-payroll tax. As hon. Members know, there are huge concerns about what that could mean for contractors around the country. Thousands of workers will be unfairly taxed as employees with no employment benefits, including sickness pay, holiday pay and maternity or paternity rights. During the general election, the then Chancellor promised a review of the IR35 legislation, but instead the Government have decided to go ahead with the off-payroll tax and have announced only a consultation on the implementation of the reforms. Just yesterday, contractors were in Parliament in numbers to protest and lobby. The Financial Secretary to the Treasury, the right hon. Member for Hereford and South Herefordshire (Jesse Norman) , said in reply to a Treasury question that I asked this week that he was not aware of big companies making blanket decisions on IR35—yet I say to him that my Twitter feed says otherwise. Contractors rightly feel that the Government are not engaging with them about how they will be affected by these changes. Ministers need to listen now, which means pausing the process and working with the industry to undertake a proper review.

Thank you, Madam Deputy Speaker, for giving me the chance to take part in this debate. Like other honourable Welsh Members, I look forward to taking part in another debate in about two weeks’ time, and I wish everyone a productive recess.

[Madam Deputy Speaker (Dame Rosie Winterton)]

It is a pleasure to call Angela Richardson to make her maiden speech.

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[Carolyn Harris (Swansea East) (Lab)]

I, too, congratulate the hon. Members for Bosworth (Dr Evans), for Wrexham (Sarah Atherton) and for Guildford (Angela Richardson) on their eloquent and passionate speeches. They all have big shoes to fill, but I am sure that they will do so with integrity and compassion. Let me say to the hon. Member for Wrexham that while I cannot profess to share her love of real ale, if she decides to diversify into gin I shall be more than happy to offer myself as a sampler.

Today I wish to raise the issue of charity lottery reform. Many Members will be familiar with the people’s postcode lottery, the local hospice lottery and the health lottery, but in fact there are 400 charity lotteries operating across Britain, which demonstrates just how crucial this form of fundraising is to the charity sector. The income generated from those lotteries enables charities to fulfil their purpose of helping and supporting many communities and causes across Britain. In my own constituency, charities such as Forest School Swansea Neath Port Talbot and Friends of Primrose Park rely heavily on lotteries.

However, for years these charities have been operating under out-of-date legislation, which is hampering fund raising. Sales limits have a detrimental impact on both the charities and those who rely on the services that they offer. Sadly, it is the smaller local charities that are suffering the most. Ministers should already be aware of the nfpSynergy report “Small Change: How charity lottery limits impact on small charities”, which I helped to launch last year. Alarmingly, the report shows that local charities have lost out on a staggering £45 million of funding, and that, shockingly, only three in 10 applications from small charities could be awarded over two years. I was appalled to learn that as many as five small charities in my constituency had fallen victim to these sales limits, but, unsurprisingly, the report reveals that Swansea East is not alone. Virtually every constituency has been affected, and I urge all Members to read the report to see for themselves how many amazing charities in their own constituencies are losing out.

As someone who recognises the necessity for local charities in communities, I find the Government’s lack of urgent action to address charity lottery reform infuriating. I am not suggesting that this is a party-political issue; I know that Members across the House are as tired and riled about it as I am. However, I must give credit where credit is due—although it is painful! Last month the Government did introduce legislation to update the limits, which should, in theory, be a welcome catalyst for change. I also know that the Gambling Commission is conducting a short technical consultation, which will end on 12 March. I am pleased that charity lottery reform is under the spotlight, but it feels as though the issue has been discussed multiple times before, at length. How many more millions of pounds must charities lose before action is taken?

I hope that Ministers will encourage the Gambling Commission—I frequently challenge the commission on this—not to delay reviewing the responses to the consultation. I propose that a date should be fixed for it to publish the outcomes of its consultation so that reform can at last take place, and I ask Ministers to support me in that proposal.

Finally, in order to offer hope and assurance to the charity sector that change is coming, may I ask Ministers to clarify when exactly they expect the long-awaited charity lottery reform to come into force? Charities and communities alike have waited long enough: it is time to move on.

[Madam Deputy Speaker (Dame Rosie Winterton)]

It is a great pleasure to call Jerome Mayhew to make his maiden speech.