Planning and Infrastructure Bill

Lord Hunt of Kings Heath Excerpts

Report stage
Monday 3rd November 2025 Lords Chamber

[Baroness Bennett of Manor Castle (GP)]

My Lords, I will speak very briefly at this late hour, having attached my name to Amendments 247 and 248, so ably and clearly introduced by the noble Lord, Lord Crisp. I will make two brief points.

The first point is about the proposed duty to promote health improvement. The UK has a terrible state of public health. We are doing much worse than many other countries that we consider comparable, and that has huge human, social and economic effects. The social determinants of health—so many aspects covered by the Bill—are the major factor in why that is the case. Unless we take action, it will only get worse.

My second point is about the second chief element of the proposed new clause: the Secretary of State’s duty to “reduce health inequalities”. The King’s Fund defines health inequalities as

“avoidable, unfair and systematic differences in health between different groups”.

In assessing this issue, it points to life expectancy, which varies across England by almost a decade, and healthy life expectancy, which varies between the poorest and the richest areas by 18 years.

My question to the Minister and the crowded Benches opposite, is: how can a Labour Government or Labour Peers oppose this amendment?

[Lord Hunt of Kings Heath (Lab)]

My Lords, I will make a couple of comments. Clearly, my noble friend the Minister will no doubt say that this is outwith the intention and focus of this legislation. I sympathise with that; it is the answer to the noble Baroness, Lady Bennett. However, as a former distinguished chief exec of the National Health Service, the noble Lord, Lord Crisp, is right to pinpoint that there are some gaps between the needs of health and healthcare and the planning system. I hope that my noble friend the Minister will be able to give some reassurance that, as we go forward—we have an NHS Bill coming in the next Session—there will be ways to find that some of the noble Lord’s key points will be embraced in both the planning and the National Health Service system.

[Baroness Pinnock (LD)]

My Lords, I was very pleased to attach my name to the amendment in the name of the noble Lord, Lord Crisp. He raised a wider issue in the debate on what became the levelling-up Act about the need for healthy homes, and he was right to do so. I was saddened that that was not accepted by the Government at the time. He has now brought forward a less demanding amendment.

It is important that, when thinking about development, health and housing, we add the idea of ill-health prevention and the social determinants of health. That is what the noble Lord, Lord Crisp, mentioned and defined, and how right he is.

Some 14% of homes in our country—3.5 million—are not up to decent housing standard. In my own district, which has areas of quite considerable deprivation, where people are living in poor accommodation, a report says:

“Children in bad housing conditions are more likely to have mental health problems, have respiratory problems, experience long-term ill health and disability, experience slow physical growth and have delayed cognitive development”.


The noble Lord, Lord Crisp, has made the case: children deserve better. We ought to support him.