(2 days, 13 hours ago)
Westminster HallWestminster Hall is an alternative Chamber for MPs to hold debates, named after the adjoining Westminster Hall.
Each debate is chaired by an MP from the Panel of Chairs, rather than the Speaker or Deputy Speaker. A Government Minister will give the final speech, and no votes may be called on the debate topic.
This information is provided by Parallel Parliament and does not comprise part of the offical record
It is a genuine pleasure to serve under your guidance this afternoon, Ms Butler. I pay tribute to the hon. Member for Kingswinford and South Staffordshire (Mike Wood) for leading this debate so incredibly well.
It is my great honour to stand here on behalf of the communities of Westmorland and Lonsdale, a huge chunk of the Lake district, much of the western part of the Yorkshire dales, beautiful parts of the Eden valley—Kirkby Stephen, Appleby and so on—that are not in the national park, and Grange and the Cartmel peninsula, which likewise are beautiful places not in a national park. The hospitality and tourism sector is the fourth biggest employer in the United Kingdom, but in Cumbria it is comfortably the biggest, with 29% of the entire workforce of our county earning their living through hospitality and tourism—some 60,000 people, with 46,000 full-time equivalents, and a value to the economy of £4.7 billion a year. Every single year, 20 million people visit the lakes and dales of Cumbria. We think that, after London, that makes us Britain’s biggest visitor destination.
Before I talk specifically about hospitality and tourism, let me say a word about the backdrop to that industry. People come to the lakes and the dales not only because our hotels and our hospitality provision are awesome, but because the backdrop is quite awesome. The Lake district has world heritage site status. It is worth pointing out that when UNESCO granted that status, it gave as much credit to the farmers for creating that landscape over the last several hundred years as it did to the glaciers that gouged them out in the first place. Let me say a word to this Government and the Minister: we need to work tirelessly to protect family farmers, so that they maintain the backdrop to that stunning environment that underpins that important industry.
We have a wonderful relationship with Cumbria Tourism, the representative body that speaks for our industry across the whole of the county. It speaks with great concern about the impact of inheritance tax changes not only on farmers, but on other small businesses. One in four people in the workforce in my constituency work for themselves, and small family businesses are the backbone of our economy. National insurance rises have negatively impacted 73% of Cumbrian tourism businesses. We have already heard about the impact of the business rates changes. In reality, we have seen businesses going from paying 25% of the business rate to 60%—more than a doubling in real terms. It is a reminder that this Government need to get their act together on business rates—and quickly—and rightly shift the burden on to the big online retailers, which pay next to nothing despite taking advantage of Britain’s public services.
Hospitality has also been hit by the apprenticeship levy. We used to have entry-level jobs in hospitality and tourism that gave our young people a chance to skill up, but those are now gone because of decisions on national insurance and the levy. Does the hon. Member agree that that needs to change?
I totally agree that we need to be really careful about piling extra costs, including the apprenticeship levy, on to businesses. I understand why the Government felt that they needed to make the national insurance rise, to increase the tax take to plug the hole that they inherited, whatever size it may be. But if economic activity is reduced, that reduces the tax yield. It is basic economics. Not only have the Government harmed our businesses in the lakes and the dales, and I am sure in Northern Ireland as well, but they have harmed the Exchequer’s take and damaged the economy in the process. The increased costs on our businesses are undoubtedly a major issue, as is the impact of a workforce that is too small for the job it needs to do in the lakes and the dales. Some 34% of Cumbrian tourism businesses say that their inability to recruit staff is undermining their viability.
(4 months, 4 weeks ago)
Westminster HallWestminster Hall is an alternative Chamber for MPs to hold debates, named after the adjoining Westminster Hall.
Each debate is chaired by an MP from the Panel of Chairs, rather than the Speaker or Deputy Speaker. A Government Minister will give the final speech, and no votes may be called on the debate topic.
This information is provided by Parallel Parliament and does not comprise part of the offical record
I completely agree with the hon. Member. Many people watching the debate today, whether physically in the Gallery or on television outside, are part of that outstanding workforce, and we are massively grateful to them. What a career for someone to be in, where you are saving lives every day and alleviating pain. That is a wonderful thing, yet there are not enough of them. The workforce is part of the solution, as well as the challenge, to the problem that we face.
For us in Westmorland, longer journeys mean shorter lives. The answer is clear for us in Westmorland, and that is to build a satellite radiotherapy unit at the Westmorland general hospital in Kendal as part of the Rosemere unit, following the model of the many excellent satellite units around the UK. The number of cancer patients travelling from south Cumbria each year for radiotherapy provides demand for at least one linear accelerator at the Westmorland general hospital. If the experience of other new satellite centres around the country is replicated, such as at the new Hereford site, which is a satellite of Cheltenham, a satellite centre in Kendal would attract at least 20% more patients than existing demand, because people who would not have had radiotherapy treatment at all beforehand would now be able to access it, simply because it is closer to them. That a satellite unit in Kendal has not already happened is an indictment of the lack of responsiveness to the obvious need from NHS England, and of a lack of concern for cancer patients and their families who live in rural communities.
I commend the hon. Member for his advocacy on this subject over a long time. The satellite centres are one thing. I represent Northern Ireland and my constituency of Lagan Valley, and I note that there are people in the Gallery involved in the All-Island Cancer Research Institute. Does he agree that geography is important and that cancer knows no boundaries, so our efforts to tackle it should also know no boundaries?
The hon. Member makes wonderful points, and it is absolutely right that in every corner of the United Kingdom we need to ensure that we have the staffing, the kit and the level of technology to meet need close enough to where people live for people to be kept safe and treated in a convenient way.
In Westmorland, we successfully campaigned to bring chemotherapy, greater amounts of surgery and a new diagnostic hub to Kendal. All of that is welcome, and all of that has saved lives. I am unbelievably grateful to all those in our communities who campaigned alongside us, and to the wonderful NHS professionals who deliver and run those services, but the failure of successive Governments, including the one I was a part of, and NHS management to take the people of Westmorland out of the radiotherapy desert is utterly inexcusable given the multiple opportunities to do so over the last 30 or so years.
So my first ask of the Minister is that he takes a personal interest in the call for a satellite radiotherapy unit at the Westmorland general hospital in Kendal, and that he meets with me and with oncologists, commissioners and patients, to kickstart that bid.
(7 months ago)
Commons ChamberI had better not.
To be fair, no safeguards would be possible, even if we were not going through this hasty process. First, there is the risk of self-coercion. Many of us will have heard older relatives utter words similar to, “I am a burden to you. You would be better off without me.” We all know reasonably instinctively that people will present it as making a sovereign choice, but it will be a choice born out of coercion. Unless there is a clause in the Bill that I have missed to employ mind readers, no amount of doctors, safeguards or bureaucratic mechanisms will prevent those who self-coerce from opting to die simply because they assume that no matter what their loved ones say, everyone would be better off if they were dead.
To add to the stats we just heard from the hon. Member for Cowdenbeath and Kirkcaldy (Melanie Ward), we know that in Canada more than one in three people opting for assisted dying gave as their reason for choosing to die that they felt they were a burden on others. Honestly, I do not see how we need any further discussion to push us into the No Lobby than that clear evidence from where it is legal.
Secondly, there is coercive control. In the last Parliament, we passed groundbreaking and long-overdue legislation on domestic violence. As society’s understanding of that often hidden evil has developed, our eyes have been opened to one horrific factor in particular: that of insidious, manipulative coercive control. Thousands of people have been—and are today—victims of those who seek to manipulate their will, take over their lives and coerce them into believing that their perpetrator’s will is actually their will. We all know through our constituency casework of people who have been victims. One common theme is that victims often did not realise that they were being controlled until long afterwards. It can take years for the penny to drop. I do not need to spell it out, then—do I?—that for those coerced into choosing assisted dying, that penny will never drop. They will no longer be with us.
Thirdly, people will choose assisted dying because of their pain when they would not do if that pain was properly managed. Here is where the evidence from other countries becomes truly disturbing—in fact, terrifying. In the last decade, the countries in Europe without assisted dying increased palliative care investment by over three times more than those that had legalised it. In the United States, those states without assisted dying saw an increase in the size of their palliative care teams that was also three times greater than that in states that had legalised it. That is clearly no accident and no coincidence. Indeed, the group that have contacted me who are most vociferously against the Bill are palliative care doctors.
The discussion we are having—and I pay tribute to the hon. Member for Spen Valley (Kim Leadbeater) for the way that she has conducted it—almost implies that palliative care is of the same excellent standard across the UK. I have to inform the House that it is not, which is a matter of deep regret. I cannot stand by the Bill because many vulnerable, marginalised people will be impacted by it. I want to support and affirm life, and I want that to be with dignity.