Improving Air Quality

Debate between Andrew Selous and Kelvin Hopkins

Thursday 28th June 2018 Commons Chamber

[Andrew Selous (South West Bedfordshire) (Con)]

During the inquiry, we learned from Professor Holgate, the lead clinician from the Royal College of Physicians, that poor air quality is the second biggest cause of avoidable mortality in this country, after smoking. It cuts short some 40,000 lives a year, and we know from the British Heart Foundation and others that even a day’s exposure to elevated levels of poor-quality air can increase the likelihood of a heart attack.

Were any of us to go into our local GP surgery, we would very likely see in the leaflet stands or on the walls information on helping us to reduce our alcohol consumption or to cut back smoking or give up altogether, and hopefully we would see some information on coming off illegal substances. All are public health risks that are well known and well understood, and information on them has reached the level of our local surgeries. I challenge any Member present to go into their local GP surgery and see what they can find about what to do about poor air quality, the second biggest cause of avoidable mortality in our country. We need to do more. GPs are under pressure and there is an awful lot that they need to do. We need education in the medical schools, we need the royal colleges to get on top of the issue and we need Public Health England to take a lead in this policy area. I shall say more about the latter shortly.

I occasionally feel that the issue of poor air quality is set up as a battle between the air-quality zealots on one side and on the other those who champion lower-income motorists and people struggling to get around in their ordinary lives. That is a completely false way to look at the issue. Let us consider for a moment a woman who has to drive a van—probably a diesel van—for her living. She is often stuck in traffic but it is the only way that she can earn her living to put bread on the table for the children. It is possible that she lives near a busy road and her children go to a school that is also near a busy road. That lady needs to earn her living. She needs that van—it is probably the only van that she can get hold of to do her work—but at the same time her health is being damaged. So it is not about the people who are concerned about this issue on one side and on the other people who just see it as a bore from well-meaning busybodies who want to interfere and make their lives more difficult. It is a more nuanced and complicated issue than that. We have to help people to live their lives in an affordable manner so that they can earn their incomes without suffering huge damage to their health. I direct the House’s attention to what the California Air Resources Board did with a targeted scheme to help people on lower incomes to move to cleaner and less polluting vehicles.

If one thing comes out of my speech today, for the House and anybody who may be listening to it outside this place, I want it to be the fact, which is almost unknown and unrecognised by the public, that people in their car are up to 10 times worse off in terms of the damage being done to their health than they are outside on the street. It is the complete opposite of what most of our constituents believe. They believe that if they are in their car with the air conditioning on, they are relatively protected from all the horrible fumes outside.

[Kelvin Hopkins (Luton North) (Ind)]

I thank my political neighbour for giving way. I suffered from breathing fumes in traffic jams when driving my car on holiday. I did not know that my chest problems were to do with breathing fumes. The simple technique of making sure that when we use our air conditioning, we press the button that recirculates the air inside the car rather than drawing in polluted air from outside, is very important. It would be helpful if that information was given to people.

[Andrew Selous]

I am grateful to my parliamentary neighbour for giving us that personal example of how he was affected.

I am afraid that the bad news does not stop there. Professor Holgate also told us that even in buses and taxis, for which researchers have done similar measurements, people are two to three times worse off than if they were walking on the street. Of course, we absolutely need to encourage more bus travel, hopefully in clean buses—perhaps electric or hydrogen-powered—but we have to look at how we travel around our big cities, particularly as we arrive in major towns, the traffic slows down and we all get stuck in it. If people knew the facts and were aware, there would be a demand: when people stood for the local council or for Parliament, they would be asked, “What are you going to do to help to make this issue better in my local area when you get on to the council?”, or “What is Parliament going to do about it?”

Social Care

Debate between Andrew Selous and Kelvin Hopkins

Wednesday 25th April 2018 Commons Chamber

[Andrew Selous (South West Bedfordshire) (Con)]

I would like to praise our social care workforce and those who provide care voluntarily. The Government are not in denial about the issues that we face. That is why the Green Paper is being worked on and will be with us within months.

In spite of the huge challenges in this area, the Select Committee on Health and Social Care learned only yesterday that there were 1,700 fewer delayed transfers of care this February compared with the previous February. That is a small bit of progress in the right direction. In evidence to our sustainability and transformation inquiry, the Committee learned about some of the other good things happening around the country, including the passport scheme for care home staff in Wakefield, which allows them to transfer easily around the sector with their qualifications and experience properly registered and recorded. That will lead to an extra 750 jobs in that area by 2025.

In addition, we learned that in the 12 months to quarter 2 in 2017-18, compared with the 12 months to quarter 2 in 2015-16, emergency admissions in enhanced healthcare homes fell by 1.4%, compared with care homes in the rest of England that were not in that scheme, where they rose by 6.7%. We learned that in Buckinghamshire, through joint working between the NHS and local councils responsible for social care, there was a 57% reduction in falls leading to harm. The last example is from Tameside and Glossop, where, we were told, nurse-led telemedicine to care homes reduced hospital admissions from 122 to 75 and resulted in 75 earlier discharges. Those are examples of good practice around the country, but as ever with health and social care the question is how we can mainstream them all over the country.

In my remaining few minutes, I want to discuss what we do about the situation. Germany has introduced a proper nationalised social care insurance scheme, whereby people pay contributions, with adjustments made every few years. It has been in place since 1995 and has settled down. It is not contentious, but has broad agreement, and Japan has a similar scheme. They have been doing it for 23 years, and for me that points to the direction that we need go in.

[Kelvin Hopkins]

Will the hon. Gentleman give way?

[Andrew Selous]

Very briefly.

[Kelvin Hopkins]

It seems to me that the hon. Gentleman, my constituency neighbour, is agreeing with what I was saying. We can debate how it is paid for, but we want a national care service, paid for by everybody.

[Andrew Selous]

I think Germany absolutely has something to teach us, and it has a private insurance scheme on top of that as well.

We need to see weekend discharges in hospitals, on Fridays, Saturdays and Sundays, with local authorities and social care being available over the weekend, so that we do not get a bulge on Monday morning, causing our hospitals huge problems. We need proper pay for care home staff. They have a choice, but there is no choice for us as a country about whether we look after our frail elderly people and those who need social care. We have to do it, but people do not have to choose social care as a profession. Therefore, we need some proper labour market analysis and parity between similar jobs in the NHS and social care. The lowest-paid workers in the NHS have just had a 29% pay rise. If we are to have true parity, we need to treat the social care workforce as well as we treat the NHS workforce. Independent living schemes, which my own local authority of Central Bedfordshire is pioneering, are showing the way, and the Housing, Communities and Local Government Committee was impressed when it went to see Priory View in Dunstable. I gather that in East Sussex there is data to show that this type of extra care scheme—