Christmas Adjournment

Bob Stewart Excerpts

Thursday 21st December 2017 Commons Chamber

[Bob Stewart (Beckenham) (Con)]

Happy Christmas everyone, especially to my friend the hon. and brave Member for West Ham (Lyn Brown), who sometimes speaks in such debates on the subject of hysteroscopy procedures, which far too many women have had to undergo without pain relief. I wish to put on record my full support for her campaign to sort that out.

Personally, I would like today to raise the matter of central Government funding on behalf of my constituency, Beckenham. We live in the London Borough of Bromley, which is represented in this place by three Tories and one Labour MP. In 2017-18, Bromley had the fifth smallest settlement funding of the 32 London boroughs, but it has the seventh highest population. Actually, Bromley is the largest London borough by geographical size. It also has one of the highest proportions of older people and, most certainly, the most extensive road network. Yet the associated cost implications of these factors are not reflected in our settlement funding, which is the second lowest per head in London, despite which Bromley has dealt with its finances extremely efficiently. Our council tax remains relatively low considering the local services provided and our low central Government funding settlement. But it has not been easy.

Bromley Council has been hugely innovative in tackling its tasks: it has created as low a cost base as possible, pioneering many measures to balance cost, value and outcomes; it has outsourced whenever that makes sense and, within reason, where it gets most efficiency at a low cost; and it has created leisure trusts that work. It does all this by maintaining relentless cost control measures on all its activities. However, most of the cost-saving measures that many other boroughs have yet to take have already been implemented in Bromley. The obvious implication is that there is little scope to achieve many more savings. Our flexibility on further cuts is hugely constrained without reducing our statutory requirements.

Bromley’s core finding has been cut more than the London and England average continuously since 2010. This will have been reduced by 75% in real terms over the decade. By 2020, Bromley’s central Government funding will have been reduced in real terms to a quarter of what it was in 2010, although I accept that it has new methods of raising money. Bromley has managed to generate savings of £90 million since 2010, but, as is obvious, the mid and low-hanging fruit cuts have now been taken. Bromley Council, with reluctance, has no choice but to put its statutory requirements in the firing line.

By 2030, Bromley’s population is expected to increase by considerably more than the national average, but future funding is unfortunately not currently assessed on population growth. Using Greater London Authority central estimates, the population of over-65s in Bromley is expected to increase by about 44% between 2017 and 2037, and the population of over-90s is expected to increase by 123%, with an overall population increase in Bromley of 18% during that period. Surely that must be considered when looking at central Government funding.

It is now widely recognised that, in all areas of England, there is an urgent need for a fairer system of central Government funding. It seems that decisions on this issue may be delayed until 2020 or 2021. In the meantime, Bromley could be punished for being an ultra-efficient council. That is not only unfair but wrong.

For their part, councillors in Bromley feel that our efforts at keeping costs down and making efficiencies are largely unrecognised by the Government. The efficient running of local government should be encouraged, not penalised, so I ask the Government to reconsider the situation in Bromley, recognise what has been achieved and ensure that the borough is properly supported in the interim with another transitional grant of the kind the Secretary of State for Communities and Local Government has previously provided to help us out.

I repeat: happy Christmas to everyone—in this Chamber and throughout the land.

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[Lyn Brown (West Ham) (Lab)]

As the hon. Member for Beckenham (Bob Stewart) said, I often use this debate to talk about women’s health matters in a way that can make grown men wince. I have to say that he and other hon. Members on both sides of the House have been very generous in their support for the hysteroscopy campaign. I am very happy to report that, following a meeting this week with the Under-Secretary of State for Health, the hon. Member for Thurrock (Jackie Doyle-Price)—it was a very good meeting—I really hope some progress can be made. I thank him and others for their support.

[Bob Stewart]

Is the progress that the hon. Lady mentions pain-free for ladies who have to undergo this treatment?

[Lyn Brown]

The woman Health Minister I met has read the women’s testimonies I presented to her, and she was horrified by them, as the House has been when I have read them out on previous occasions. She and I are very clear that this is about choice—informed choice—and about making sure that women get what they need, rather than what is cheapest. I do not want to put words in her mouth, but I think we are both on the same page, and it was a very happy meeting. I therefore have only three, not four, issues that I want to raise today.

First, NewVIc—Newham Sixth Form College—is a great further education institution that regularly sends more young people from disadvantaged backgrounds to university, including to Russell Group universities and Oxbridge, than any other sixth-form college in England. Newham is a massively deprived area, and research tells us that 13 out of 20 children in Newham live in poverty, and that it is currently second worst of all local authorities in England for social mobility. The fact that our young people are doing massively well at our FE institution is therefore testimony to them, their teachers and their parents. However, NewVIc’s budget has been cut by £770 per student, and that includes £200 per student from the deprivation allocation. How on earth can that be justified?

I would be very grateful to the Minister if he liaised with the Department for Education on my behalf to secure a meeting about this with NewVIc and me so that we can help NewVIc to continue to be a much-needed engine of social mobility in my community and that of my right hon. Friend the Member for East Ham (Stephen Timms).

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[Jeremy Lefroy (Stafford) (Con)]

It is an honour to follow the hon. Member for Ilford South (Mike Gapes), and I will come on to the point he made a little later in my remarks.

I also extend to all those working on our behalf over Christmas and the new year, whether in the private sector or public services, my grateful thanks. They give up their family time on our behalf. In my constituency of Stafford, I particularly think of the workers at General Electric, some of whom are facing an uncertain future, with a consultation going on over the loss of 500 jobs. I assure them of my commitment to see that, if there are other opportunities locally or regionally, they are made aware of them and that all support possible is given to them.

I want to tackle three subjects, the first of which is health and social care. I have spoken often on this subject, particularly in respect of Stafford Hospital, now County Hospital. It is great to be able to say that the care at County Hospital, formerly the Stafford Hospital, has improved tremendously over the past few years. I pay tribute to the workers there, who have gone through a very difficult period, both at the time of the Francis public inquiry and then at the time of the trust special administration—the only trust special administration under the Health and Social Care Act 2012.

[Bob Stewart]

I should like to pay tribute to my hon. Friend. He has worked tirelessly to sort out that hospital, and he has been a great advocate of getting it fixed.

[Jeremy Lefroy]

I am most grateful, but I think my hon. Friend perhaps exaggerates my own part in this. It is really the workforce at the hospital who have done it, but I accept his thanks on behalf of all those at the County hospital and in Stafford who have fought for it.

I want to talk about the forthcoming Green Paper on social care, and my remarks will include both health and social care. It will provide a really important opportunity for us to change things in health and social care for the better and for the long term, but it will need cross-party working. The area of social care and health has been blighted too often by infighting between the parties. We also need to take an integrated approach.

We score highly, internationally, in regard to people’s opinion of their access to good healthcare. In a survey carried out not so long ago, 35% of people in the USA said that they did not have good access to good quality healthcare. In France, the figure was 18%, in Germany it was 15%, and in the UK it was only 4%. That is the glory of our national health service: by and large, it gives people access to high-quality healthcare, whatever their income and wherever they live in the United Kingdom. However, it is also generally accepted that more money is required. I do not have time to go into the detailed figures, but something between 1% and 2% more GDP needs to be spent on health and social care. The question that needs to be asked in our contributions to the Green Paper next year is: how is that money to be raised?

I have always said that we need a ring-fenced health and social care levy, on top of our present budgeted expenditure on health and social care. It needs to be a broad-based levy, and it needs to be income based, so that it is fair across the country and the population. Such a levy would not provide for everything that we need to do, but it would help to ensure that the £10 billion to £20 billion of additional resources that we need to put into the health and social care system as a minimum in the coming years, on top of what we already spend, was available. What is more, I think that it would be accepted by the general population. If the money were ring-fenced for health and social care, they would know that it would be spent on things that they really cared about and needed. Let us not forget that the national health service is one of the biggest sources of cohesion in our country; it is something that we all rely on.

I want briefly to touch on the European Union negotiations, which are incredibly important to all of us. The Prime Minister has said that she wants the best possible deal, and I absolutely support her in that. We need a unique, long-term deal that is the best possible for our jobs and tax revenues, and also for bringing back control to this country in certain areas. The deal must include goods and services—not just goods—and it must be frictionless. It must fully respect the Belfast agreement. It must also respect the people of Gibraltar. It must cover security, aviation, data and many other areas, including agreements with other countries, of which there are dozens.

There has been discussion over whether we should be closer to Norway or Canada—mention has been made of “Canada plus-plus-plus”—but I simply make the observation that geographically, and probably in spirit, we are closer to Norway than to Canada when it comes to this type of agreement. I urge the Government to look closely at that matter. I also suggest that we look at the European Free Trade Association. It is not perfect, and it might not be something for the near term, but I believe that in the medium term we cannot stand on our own. We need to work together with other like-minded nations, which might include Iceland, Norway, Switzerland, Liechtenstein and perhaps others. When it comes to negotiating agreements and working together on trade, it is better to work with a number of countries rather than just on our own.

We also need to consider the idea of associate European citizenship, on a voluntary basis, for all those United Kingdom citizens who want to retain strong, close allegiances with our friends and neighbours in the European Union. It has been raised as a possibility by Guy Verhofstadt in the European Parliament and by others. Let us take it into consideration in the negotiations.

Finally, but in some ways most importantly of all, I want to touch on humanitarian work. There are possibly more refugees across the world now than at any other time since the end of the second world war. Whether from Syria, Yemen, South Sudan, the Democratic Republic of the Congo, Somalia, Burma or Burundi, there are possibly up to 50 million refugees, not including the people who are suffering within their own countries.

I welcome the recent news about Hodeidah in Yemen, and the fact that the port has been opened up for a minimum of 30 days for humanitarian and relief supplies. I pay tribute to Her Majesty’s Government for their work on that, but we must keep an eagle eye on the situation over this Christmas and new year recess. In the Democratic Republic of the Congo, 1.7 million have had to flee their homes this year—more than in any other country in the world—yet it sadly receives hardly a mention in the news and even in this place. Four million people have been displaced, and 7 million people are struggling to feed themselves. In 2018, it is absolutely vital that the UK maintains the work that it is doing all over the world on humanitarian affairs, in which we lead in so many cases. With that, Mr Speaker, I wish you a very happy Christmas.