Levelling-up and Regeneration Bill

Debate between Baroness Jones of Whitchurch and Lord Hunt of Kings Heath

Committee stage
Monday 27th March 2023 Lords Chamber

[Lord Hunt of Kings Heath (Lab)]

My Lords, I support all the amendments in this group. I particularly want to speak to Amendments 241 and 504GF, which essentially seek to embrace the planning system within wider health and well-being and health-inequality policies. I hope that the noble Earl will be able to be positive in his response.

I must say that the noble Lord, Lord Stevens, rather took me back when he mentioned Herbert Manzoni, who was city engineer in Birmingham from 1935 to 1963.When I became a councillor in Birmingham in 1980, I was reliably informed in the induction programme that the Manzoni plans were kept in the safe in the city engineer’s office, and that policy on roads in the city continued to be dictated not by the political control of the city council but by what Manzoni had drawn in his plans.

I have seen academic arguments that suggest that, by the late 1970s, the city had started to change; but I think it was actually in the 1990s when the proposals to bypass Kings Heath/Moseley with a huge dual carriageway, along the lines of the Aston Expressway, were defeated by a group of people, including my wife Selina Stewart, called Birmingham United Against the Motorway Plans. When the noble Lord described the kind of neighbourhood that he thought we would all want to live in, he was, of course, describing Kings Heath as is, as a result of that campaign. Later in the year, of course, we will see the reopening of Kings Heath railway station, which will be the pièce de resistance of the wonderful community that I live in, in the most beautiful city in this country.

I want to make three points just to echo what the noble Lord, Lord Young, said. We know that the scale of health inequalities in this country is frighteningly large. The work produced by Oxford University and the London School of Tropical Medicine last week showed that, in 1952, the UK had one of the best life-expectancy records of any country. We have now slipped down to the low 20s, and the widening gap between the poorest and the richest people is really quite frightening and extraordinary. In the context of a levelling-up Bill, surely we have to focus on it.

Secondly, we know that local authorities have long had a tradition of seeking to improve public health. Prior to 1974, they were the principal public health bodies; from 2012, they resumed that position. During Covid, the directors of public health in particular showed their mettle when they had to take some very tough decisions at the local level.

Various mechanisms enable local authorities to influence health: health and well-being boards and, under the new arrangements of the integrated care system, integrated care partnerships. Those are all designed to give local government more say in the direction of health and, by definition, in dealing with health inequalities. The issue is whether they have enough beef: do they have the levers to make their potential influence felt? We obviously know their role in planning, air quality, the environment, leisure and various other facets. We know that they can have a really important role for health, but so far that influence has been patchy. We are seeking here to put some levers in place to use the planning system to enhance the promotion of good public health and tackling health inequalities.

There will be discussions between now and Report because it is clear that warmer homes comes within that wider context. In the end, I hope the House can assert itself to ensure that, within the planning system and guidance, a reflection on the need for planning to contribute to overall health will be part of local authorities’ responsibilities in the future.

[Baroness Jones of Whitchurch (Lab)]

My Lords, I support all the amendments in the group and will speak briefly in favour of Amendments 188 and 241, on reducing health inequalities and improving well-being. These excellent amendments pick up the theme of Amendment 28, ably spoken to by the noble Baroness, Lady Willis of Summertown, and to which I added my name. All of these amendments emphasise the importance of walkable neighbourhoods and safe walking and cycling routes in nature to improve health and well-being, which is one of the themes of this debate.

I declare an interest as a member of the South Downs National Park Authority, which is collaborating with local health providers and volunteers to encourage not only disadvantaged groups but individuals with specific health challenges to make better use of the downs.

There is an increasing body of evidence to show that access to nature and green spaces has a positive impact on health and well-being outcomes. It can help to address a range of mental health issues, such as depression, anxiety and loneliness. The Government themselves have accepted the health benefits of access to nature in pursuing the idea of social prescribing pilots, which also have the benefit of cutting back on expensive and often ineffective drug prescriptions. The NHS has supported social prescribing being rolled out on a local basis, but this can work only if there are the facilities and infrastructure to expand access to nature and walking therapies. These amendments would enable joined-up government policies, in a way that is all too often lacking. That would require local planning authorities to have special regard to the desirability of 20-minute neighbourhoods and access to nature.

This is not just an issue of health outcomes; it is also fundamental for inequalities. In her earlier contribution, the noble Baroness, Lady Willis, quoted a Public Health England report which says that

“the most affluent 20% of wards in England have five times the amount of parks or general green space compared with the most deprived 10% of wards”.

We know that those living in the poorest and most nature-depleted areas also suffer the impact of premature death and illness from air pollution.

There is an urgent need to rescue abandoned and neglected community areas to recreate green space and plant more trees. There is also a need to create green pathways and networks that can lead out to larger areas of green parks and waterways. We should encourage communities’ rights to reclaim unused and derelict land for microparks and growing spaces to feed their neighbourhoods. This should be built into the planning system in the way that these amendments require, and I very much hope that the Minister will feel able to support them. If the Government do not feel able to provide that support today, I hope that the noble Lords, Lord Crisp and Lord Young, will return to this on Report.