Disadvantaged Communities

Alison Hume Excerpts

Wednesday 4th June 2025 Westminster Hall

[Alison Hume (Scarborough and Whitby) (Lab)]

It is a pleasure to serve under your chairship, Sir Roger. I thank my hon. Friend the Member for Wolverhampton North East (Mrs Brackenridge) for securing this important debate; she is a huge champion for disadvantaged communities in her constituency.

I am proud to represent the beautiful constituency of Scarborough and Whitby. However, away from the tourist lens, we have deprivation. My constituents suffer high rates of chronic illnesses like heart disease, and have lower life expectancies. In Scarborough, life expectancy for people living in Ramshill, where child poverty is prevalent, is 10 years less than it is for those living in Ayton, a mere 10-minute drive away.

Despite that, my constituents struggle to access healthcare, and even emergency care, in a timely manner. Since the closure of Scarborough hospital’s stroke service in 2020, patients suffering strokes are sent directly to York, which is well over an hour away—if they have access to a car. Hon. Members will know that the first 60 minutes after a stroke occurs is known as the golden hour: the faster someone can be treated, the more likely they are to survive and recover. Despite that, one constituent told me that their partner’s emergency journey to York, in a blue-lit ambulance, took 90 minutes. That is the everyday reality for people in disadvantaged coastal communities.

The chief medical officer warned in 2021 of a crisis in coastal healthcare, but we still have no national strategy to combat it. So this is my plea to the Government: we need a cross-departmental strategy to deliver better access to healthcare in our disadvantaged coastal communities, and we need it now.

--- Later in debate ---

[David Simmonds]

As Government Members are discovering, having voted to retain the two-child benefit cap as part of the Budget process last year, government is about making very difficult choices. The question becomes: is it fair for those who do not have children and who work in lower-paid jobs to pay additional taxes to cover the costs of other families? All of us who are parents need to face that choice, and I wish the Government luck with resolving that issue as they begin to think about it.

When we look at how Government resources are deployed across the country, it is very clear in our public spending figures—I commend the House of Commons Library for the excellent research papers that it produced on this—that spending is overwhelmingly focused on the relief of poverty. I commend the hon. Member for Blackpool South (Chris Webb) for his contribution. We see in health and social care, for example, that Blackpool has around £2,000 more per capita in public spending than Yorkshire. Governments and local authorities of all parties have prioritised those issues, and that is reflected in spending on all manner of public services. However, we also need to acknowledge that government is about choices and how we go about allocating resources. What we prioritise and the way we spend that will make a significant difference.

On creating opportunity and supporting the long-term delivery of healthcare, I ask the Minister to reflect on whether the cancellation of the level 7 apprenticeships programme, which is what trained specialist nurses for the NHS, has been a good step in creating opportunity for adults who can train to do more higher-paid work, or whether that will—as the NHS and other bodies have highlighted—result in a significant negative impact on the pipeline of specialist nursing and medical staff. Will the Minister reflect on whether the national insurance contributions increase, which leaves councils a net £1.5 billion worse off—a £1.5 billion cut in local government spending by the Labour Government—will contribute to addressing the agenda that many Members have set out?

The winter fuel payment has been touched on. The Prime Minister has hinted that a U-turn is coming; it is clear that many Government Members will welcome that. The same applies to the two-child benefit cap and the Government’s plans around disability. Under the previous Government, there was a programme, which I think the current Government are continuing in a different form, to enable those with a disability who want to work more hours to have that opportunity. But we will all have seen in our inboxes the level of concern that has been triggered among members of the public. Ultimately, it is for Members opposite to decide how they deal with pensioner poverty, the impact of cuts to disability benefits and the impact of the two-child benefit cap, as they are now in government.

There is the fact that rough sleeping has seen a remarkable increase, particularly in England and in London specifically, under this Government—there has been a 27% increase, according to St Mungo’s, since they took office—and there have been widespread reports about the impact of a significant reduction in house building under this Government. Building 1.5 million new homes was always going to be a challenge—I think we acknowledge that across parties—but a recent Guardian investigation highlighted that there has been a collapse in house building since this Government took office.

We are seeing the implementation of all these other policies, which are a choice made by Labour Members and their Government. Will all of those choices help to address and ameliorate the issues that Members have so passionately and eloquently set out? I would argue that that is not the case, and that the negative downward trends in the economy will see more households and families facing significant challenges. I would also argue that the fact, as widely reported, that all of the growth in the UK economy is due to rising household bills—in particular, higher energy costs under this Government—will be a significant headwind for the reduction and addressing of poverty, and that the toxic combination of rising unemployment, debt and taxes will create significant headwinds when it comes to addressing the issues that Members are rightly and passionately concerned about.

[Alison Hume]

The shadow Minister is speaking quite eloquently about the failings, as he sees them, of the Labour Government, who have been in power for 10 months. Does he not accept that the communities that many hon. Members have talked about are disadvantaged because of the profound failure of the past 14 years?

[David Simmonds]

In a word, no. I do not accept that. I do not believe for a moment that we address challenges of long-term poverty and disadvantage in a short-term way, but the purpose of this debate is to ask whether the decisions being made are taking us in a positive direction of travel that will benefit those we are here to talk about or whether they will have a significant negative impact.

I have set out the evidence: the loss of the winter fuel payment, the cuts to disability support, the two-child benefit cap, and the measures in October’s Budget, which all Government Members voted for, that saw every single Department except the NHS receive no extra funding for the duration of this Parliament. Our councils are net £1.5 billion worse off as a result of the unfunded rise in national insurance. All of that will bear down on the capacity of our public sector and public services to respond.

The hon. Member for Leyton and Wanstead (Mr Bailey) talked passionately about housing. I will share an example. My local authority has seen a significant impact, in that 20% of applications for housing are now from approved asylum seekers and Chagossians displaced to the UK by the Government’s deal. All these decisions—I have set out quite a small subset of them—have an impact in the real world in our communities, and it is my contention that that impact is now pushing poverty to a greater degree and making life more challenging for many people in our country.

I will finish with this point—