Local Roads: Funding and Maintenance

Debate between Jim Shannon and Lilian Greenwood

Thursday 4th July 2019 Commons Chamber

[Lilian Greenwood]

The condition of our roads is an important part of road safety, and vulnerable pedestrians, cyclists and motorcyclists are put at risk when roads are not properly maintained. Our report focused on the local road network rather than the strategic road network, which is managed by Highways England. I cannot comment on whether the road mentioned by my hon. Friend is rightly allocated, but a large amount of funding has been put into the strategic road network, and we must place the same focus on our local road network, which is, as the Minister said, part of our national infrastructure and hugely important. Our local road network is a national asset, and we must take care of it.

[Jim Shannon (Strangford) (DUP)]

I commend the hon. Lady for the report, which included input from my hon. Friend the Member for South Antrim (Paul Girvan), and the Government have set aside additional money to address potholes in Northern Ireland. Potholes are a daily nuisance in all our constituencies, not just because of their inconvenience, but because they pose a danger to cyclists, motorcyclists and those who drive cars. The Government refer to a 5 million pothole strategy by 2020-21. Does the Committee consider that strategy to be fully funded and a priority, because it is important to have a proactive response rather than a reactive one?

[Lilian Greenwood]

The hon. Gentleman is absolutely right, and we want to move from a reactive to a proactive approach to mending our roads, so that local authorities can plan ahead. The pothole action fund has undoubtedly allowed local authorities to fill some roads and undertake work, but that often gets agreed within the year and is time-limited, so it must be implemented by the end of the financial year. That is not the most efficient and effective way to deal with the funding and maintenance of our local roads, and that issue lies at the heart of the Committee’s report.

Bill Presented

Northern Ireland (Executive Formation) Bill

Presentation and First Reading (Standing Order No.57)

Secretary Karen Bradley, supported by the Prime Minister, the Chancellor of the Duchy of Lancaster, Secretary David Gauke, Secretary David Mundell, Secretary Alun Cairns, John Penrose and Kevin Foster, presented a Bill to extend the period for forming and Executive under section 1(1) of the Northern Ireland (Executive Formation and Exercise of Functions) Act 2018 and to impose a duty on the Secretary of State to report on progress towards the formation of an Executive in Northern Ireland.

Bill read the first time; to be read a Second time on Monday 8 July, and to be printed (Bill 417), with explanatory notes (Bill 417-EN).

Local Housing Allowance: Nottingham

Debate between Jim Shannon and Lilian Greenwood

Monday 17th June 2019 Commons Chamber

[Lilian Greenwood (Nottingham South) (Lab)]

It is just over nine years since I became the Member of Parliament for Nottingham South and in that time, I have secured a number of debates on housing and homelessness. I wish I could say that my contributions had led to an improvement in the situation for some of my constituency’s most vulnerable citizens, but I am afraid that things have got worse, rather than better. I suggest that every one of us here will have witnessed a sharp rise in the most visible form of homelessness: rough sleeping.

Back in 2010, the official count for rough sleepers in Nottingham was three. I first raised the issue in Parliament in December 2011, because it had risen sixfold in a year. Andrew Redfern, the chief executive of local homelessness charity, Framework, was warning that cuts to services and welfare changes were undermining years of success in tackling homelessness. Earlier this year, the number of rough sleepers in Nottingham reached a record high of 55. In eight years it was no better; it was much, much worse.

In March 2013, I secured an Adjournment debate on the under-occupancy penalty. Despite the best efforts of the coalition Government, the official title never stuck, and we all know it as the bedroom tax. That measure left 6,000 of our city’s poorest households with “nowhere to go” as the Nottingham Post put it.

In March 2015, I led a Westminster Hall debate on affordable housing, and in 2018 I used another Adjournment debate to highlight an Opportunity Nottingham report into persistent rough sleeping. The thing I find most shocking, looking back on those debates, is that on each occasion I was drawing attention to the problems faced by people in the city I represent, not as a result of lack of effort or even just bad luck, but as a direct result of Government policy. What is most shameful is that on each occasion Ministers were warned that their policies would cause hardship, poverty and debt but pursued them anyway.

Last week, the Minister assured us that he wanted everyone to have security in their home and a roof over their head. I hope that he is serious, because if he is, he will not want to continue with policies that he knows will make the lives of people in my city and this country harder and poorer.

[Jim Shannon (Strangford) (DUP)]

The hon. Lady and I came into the House at the same time, in 2010, and these are issues that we are both very interested in. Does she agree that it is nigh impossible for people to find a private rented property within the LHA even in what are often known as council estates and that this must be urgently reviewed in areas where the number of houses does not tally with housing need? This causes landlords to push for more to cover their overheads, to the detriment of our vulnerable constituents on housing benefit living on the breadline and having to make up the difference.

[Lilian Greenwood]

The hon. Gentleman pre-empts much of my speech, but he is entirely right.

Today’s debate was prompted by research undertaken by Hannah Clemson, policy and communications officer at Advice Nottingham, into the availability and affordability of private rented accommodation in Nottingham city, specifically property within the local housing allowance rate. Advice Nottingham is a consortium of six advice agencies based in Nottingham and providing free, confidential and impartial advice on a range of issues, including benefit, debt, employment and housing. They do an incredible job supporting people who are often in desperate circumstances, and I am glad to have the opportunity to put on the record my thanks to them for the work they do.

The availability of affordable homes to rent is clearly an issue of importance to many of my constituents in Nottingham, but it is not only an issue in our city. This debate is particularly timely, given last Thursday’s urgent question on the Supreme Court ruling in the case of Samuels v. Birmingham City Council led by my hon. Friend the Member for Battersea (Marsha De Cordova). That case highlighted the impact of the growing gap between actual rents and the amount of rent covered by local housing allowance, following the Government’s decision to freeze LHA rates from April 2016.

Analysis by Shelter has revealed that there is now a shortfall between LHA rents at the 30th percentile in 97% of broad market rental areas in England. As the hon. Member for Strangford (Jim Shannon) said, people cannot find affordable rents, and that is true almost everywhere in this country. Nottingham is one such area, where the freeze on local housing allowance is leaving people homeless and in poverty. Many of my constituents simply cannot afford a home in the private rented sector, yet that is the only choice they have. The Government’s outdated LHA rates from 2016 show rents in Nottingham to be as low as £42.54 per week. In reality, Advice Nottingham has found the cheapest property is now at least £63 per week.

Advice Nottingham knew that LHA was not meeting local needs from the work it did with its clients. It knew that rents were too high and that local people were struggling to find affordable accommodation, but it decided to do its own research to find out exactly how many properties were available in the city within the LHA rates. It undertook this research last November within a one-week period. Using Rightmove, Zoopla and Gumtree, it searched the city to find properties. It found only 12 properties at or below the rate for shared accommodation, and many of those were specifically marketed as student properties—I will explain the significance of that later in my speech. It found just five one-bedroom flats in the city at or below the LHA rate. Family homes proved even harder to find: there were only two two-bedroom properties at or below LHA rate; three three-bedroom properties; and one four-bedroom house, in the whole of the city, at a rent covered by LHA.

More recent work by Nottingham City Council confirms Advice Nottingham’s findings. The LHA rate is intended to reflect the bottom 30th percentile of local rents, but it found that it actually covered less than 7% of one-bedroom flats, less than 3% of two-bedroom properties and less than 5% of three-bedroom homes. With a shortage of council or housing association properties available, many families are forced to rent properties that they cannot really afford, forgoing other essential household expenditure, including food, heating and clothing, simply to put a roof over their heads.

--- Later in debate ---

[Lilian Greenwood]

My hon. Friend makes a very important point, and I will seek to explain precisely the problem our constituents are facing. The problem is that the gap they are seeking to fill between the LHA they receive and the rent they need to pay is not trivial but significant. According to Shelter, the gap between 30th percentile rents and the LHA rate in Nottingham is £15.17 a month for a room in a shared house; £55.01 for a one-bedroom flat; £54.57 for a two-bedroom property; £56.61 for a three-bedroom property; and £121.93 per month for a four-bedroom house. These are not trivial amounts. Trying to cover the shortfall is leaving people in a very vulnerable and insecure position and, as my hon. Friend has said, in poverty.

[Jim Shannon]

I am sure the hon. Lady, like others, will know from her constituency experience that whenever people’s income is reduced because of rental accommodation or benefit changes, more often than not they are pushed towards food banks. In my constituency, the Thriving Life food bank has been extremely busy due to benefit changes, rental accommodation not being available and being unable to pay the money. As a result, they are falling back on food banks—which we are very glad to have, by the way—with dismaying regularity.

[Lilian Greenwood]

The hon. Gentleman makes a really important point, and I cannot imagine how many people would get by without food banks, but some people will not go to a food bank—perhaps because they are too proud—and so will be going hungry, sitting in a cold house because they have not turned the heating on or sending their children to school in clothing that is too small or simply not appropriate. I have heard of children going to school in their pyjamas because they do not have proper clothing. It is shameful.

Martyn Neal, a senior adviser at the Meadows Advice Group, spoke to Advice Nottingham’s researcher about his experiences trying to support clients with local housing allowance. He described meeting two clients, one already homeless and one threatened with homelessness. The housing plans given by Housing Aid were almost identical and contained instructions to the client to look for affordable accommodation in the private sector. The LHA was quoted as a guide to affordability, but absolutely no other guidance was given about how the client should go about this or what difficulties, if any, they would likely encounter. No other support was offered, at least for the next few weeks.

Both Martyn’s clients were or had been living in the Meadows area of Nottingham and understandably preferred to remain local to be near schools for their children. Martyn says:

“Under the LHA, both clients were entitled to a three-bedroom home. I logged onto Rightmove and using a 3-mile radius as a start, which would fit in with school transport rules, I began my search. There was not a single property available for rent less than £50.00 a month above the local housing allowance.

I extended the radius to 5 miles, which revealed one property, in Bulwell”

—which is in the constituency of my hon. Friend the Member for Nottingham North (Alex Norris)—

“this met the local housing allowance.”

The Minister may or may not know Nottingham well. Bulwell and the Meadows are at opposite ends of the city, a tram ride or two bus rides away from each other. The journey is time-consuming and costly, especially for a large family.

Sally Denton, from Nottingham Law Centre, has described the problems that she has witnessed. She said:

“In the current rental market where there is a shortage of social housing there is an increased demand on the private sector. This means that landlords can charge more due to the demand.”

She said that tenants

“cannot do anything to challenge the level of rent and cannot move to cheaper accommodation as it does not exist.”

She added:

“We see clients regularly who are struggling to pay for unaffordable rents. If an unexpected expense occurs, or there is a change in income (like the 5-week wait under Universal Credit), people can very easily fall into rent arrears and risk losing their homes.”

Nottingham Law Centre is not alone in identifying this problem. Terry Alafat, the chief executive of the Chartered Institute of Housing, has said:

“Our research makes it clear just how far housing benefit for private renters has failed to keep pace with even the cheapest private rents.

We fear this policy is putting thousands of private renters on low incomes at risk of poverty and homelessness.”

How can the Minister preside over a system that forces people to put themselves at risk of debt and eviction? I am sure that when he responds to the debate he will talk about the Government’s targeted affordability funding, but while that is of course welcome, it is nowhere near enough to address the problem. In Nottingham, the targeted affordability funding means that the LHA rate for three and four-bedroom houses has increased by 3% in the last year. The monthly shortfall for an LHA claimant renting a three-bedroom house at the 30th percentile is now £56.61 rather than £60.22, and for a four-bedroom house it is £121.59 rather than £126.14. Yes, that is an improvement, but does the Minister really think that it is sufficient?

While the freezing of LHA rates is creating this issue, a much bigger problem is the lack of affordable housing. Since 1980 Nottingham has lost 22,010 social homes through Right to Buy, and although Nottingham City Council, Nottingham City Homes and other local housing associations have built new homes, there are nowhere near enough to make up for those that have been lost. Indeed, the problem has accelerated since discounts were increased in 2012. In the last year there were 664 applications to Nottingham City Council for Right to Buy, whereas 134 homes were bought in 2012-13. There is a huge gap between the demand for and the supply of social housing. Nottingham City Homes made 1,431 new lets in the last year, but the housing register stood at 8,393.

Of course, some of those on the housing register are in permanent accommodation, but I know from my constituency casework that too many are inadequately housed, such as young families living with their parents in overcrowded conditions or in properties that are unsuitable for their needs—perhaps forced to live in high-rise housing. According to a survey carried out by Inside Housing in 2017, nearly 40% of council homes sold under Right to Buy have been resold and are being let in the private rented sector, at higher rents and, even with LHA restrictions, at a higher cost to the taxpayer. What discussions has the Minister had with his colleagues in the Ministry of Housing, Communities and Local Government about this ludicrous situation?

I am proud to represent a vibrant and extremely popular university city, but the rise in the city’s student population has also contributed to the lack of affordable family housing. Landlords have sought to capitalise on the student market by converting family homes into highly profitable shared accommodation. That increase in the number of houses in multiple occupation does not even help the under-35s whose LHA rate is restricted to the shared room rate. Many private rented properties in Nottingham are student-only lets. As students make up the majority of tenants, if someone entitled to LHA lived in a student let, the whole cost of the council tax would probably fall on the non-student tenant. Even when there appears to be an abundance of private rented accommodation, much of it is closed off to my constituents who receive LHA.

Unfortunately, however, that is not the only reason property is closed off. Shelter has revealed that many landlords discriminate against people on universal credit, and the position is no different for other LHA claimants. With the cost of renting so high and the rates so low, private landlords are reluctant to let to LHA claimants; 43% bar them completely, while a further 18% prefer not to let to them. What plans do the Government have to ensure that landlords cannot discriminate in that way?

The struggles that my constituents are facing are being replicated across the country. Last week the Supreme Court ruled in favour of Mrs Samuels, a single mum with four children, who was found to be “intentionally homeless” by Birmingham City Council because she did not use the subsistence benefits, intended for essential living costs, to pay the shortfall between her LHA and her rent. Shelter estimates that the majority of LHA households—65%—in private rented accommodation also face a monthly shortfall. Its survey of private renters detailed some of the impossible trade-offs that families receiving LHA are having to make. For example, one in three renters has cut back on food for either themselves or their partner, and 37% have been forced to borrow money to pay their rent in the last year.

This cannot go on, but last week the Minister seemed unwilling to address the issue. Can he tell me what assessment he has made of the hardship suffered by households as a result of the freezing of LHA rates? Does he accept that the freeze has increased homelessness in Nottingham and across the country? Is he really saying that families should be forced to live below the breadline and use subsistence benefits to pay their rent? The Supreme Court ruling in favour of Mrs Samuels set a precedent, and his Department needs to respond urgently.

There is a very clear solution: 92% of local authorities responding to the Local Government Association’s LHA survey thought that lifting the freeze on LHA rates, and better aligning them with rents, would help to reduce homelessness in their areas. The Residential Landlords Association has said:

“The LHA has a ‘double whammy’ effect that is driving homelessness. This double whammy means that; first, tenants in receipt of Housing Benefit are more likely other tenants to have their tenancy ended by their landlord; and, secondly, these households are finding it increasingly difficult to find suitable, affordable accommodation in the private rented sector.”

The Chartered Institute of Housing has said:

“We are calling on the government to conduct an immediate review and to look at ending the freeze on Local Housing Allowance.”

Shelter, the Child Poverty Action Group, and many other housing and homelessness charities are saying the same thing. It is time to act and lift LHA rates, so that housing benefit covers the true cost of renting in the private sector.

The Government have pledged to halve rough sleeping in this Parliament, and to end it by 2027. I’m afraid that that shows a real lack of urgency, but how can I take the commitment seriously when Ministers have repeatedly ignored warnings over the past nine years, and have pursued the very policies that have caused homelessness to rise? They have cut Supporting People funds, changed the basis on which LHA rates are set from the median to the 30th percentile of market rents, restricted people aged 26 to 35 to the shared room rate, introduced the bedroom tax, subjected families to the benefit cap, and restricted and then frozen LHA rates.

I do not hold the Minister responsible for things that happened before he was even a Member of Parliament, but I will hold him accountable for his actions now. Before he became a Minister, he chaired the all-party group on ending homelessness. Now that he is in a position to make a real difference, will he do so?

Matt Downie, director of policy and external affairs at Crisis, said recently:

“Homelessness is not inevitable—there is clear evidence that it can be ended with the right policies in place. The government must urgently reform housing benefits for private renters, so they not only match the true cost of renting but also keep pace with future rent changes.”

Will the Minister end the freeze on local housing allowance, and if so, when? Will he provide additional targeted affordability funding to help those who are struggling to pay their rent right now? Will he ensure that LHA rates are restored to at least the 30th percentile of local rents? Given that this is a housing crisis, will he call on his colleagues at the Ministry for Housing, Communities and Local Government to act now to provide more social housing and controls on rent rises? Now that he is in a position to help to end one of the causes of homelessness, will he do the right thing?

Leaving the EU: Aviation Sector

Debate between Jim Shannon and Lilian Greenwood

Wednesday 31st October 2018 Westminster Hall

[Jim Shannon (Strangford) (DUP)]

Thank you, Mr Hollobone. It is not often that I get called first, so I appreciate the opportunity. I congratulate the hon. Member for Wythenshawe and Sale East (Mike Kane) on securing the debate, and I thank him for the cohesive way in which he put forward his point of view. His speech was constructive, and he looked forward with some positivity to our exit from the EU on 29 March next year.

I am delighted to have the opportunity to speak on this matter. In my constituency, I have Bombardier, which is involved in the production of planes, and Belfast City airport is not that far away, so domestic connectivity is very important to us. The hon. Member for Nottingham South (Lilian Greenwood) referred to air freight. We have some of the largest air freight connections in the domestic market through Belfast International airport. It is surprising how much air freight goes through the airports of the United Kingdom, and Northern Ireland in particular.

I hope I will be able to bring a bit more positivity to the debate. Of course, the ongoing Brexit negotiations are complex and difficult, but leaving the EU was never going to be quick and simple. If only that were the case. It will not come as a surprise to hon. Members that I think Brexit is a fantastic opportunity, including for our aviation sector, and I hope to expand on that point of view.

Although hon. Members have different points of view about Brexit, we are united by the need to have a thriving aviation sector in the UK after we leave the EU. I believe that it will thrive. The hon. Member for Wythenshawe and Sale East put forward that view very eloquently, and I support that.

The UK has the second largest aerospace sector in the world, behind that of the United States, and the largest in Europe. We must not underestimate the importance of our aviation sector to the EU or the importance of the EU’s sector to the UK. We both need each other. I often say in this House that we are better together. In this case, we are parting, but there is no reason why we should not be able to work together.

It is in both our interests to secure the best deal to allow the liberalisation of air transport to continue. The UK is currently a member of the European common aviation area, which allows registered airlines to have a base in one member state and operate on a cabotage basis—to use the terminology that they use—in other member states. It is an arrangement that works well.

The latest European Council negotiating guidelines aim to maintain connectivity between the UK and the EU through an air transport agreement. The Minister will respond to this debate in some detail, and we look forward to his comments. Naturally, at this stage it is unclear what that agreement might be. It might involve an open skies arrangement like the one the UK currently has with the US, or it might involve negotiating a single bilateral agreement with the EU as a whole, if member states give it a mandate to negotiate on their behalf.

Given the value of the industry to the United Kingdom and the EU, I am confident that we will get a good deal for our aviation sector and for future air travel between the UK and the EU. We need each other to succeed in this sector. London remains the world’s best connected and most attractive destination.

Although it is a while off, and there are hurdles to overcome, the third runway at Heathrow should be an even greater draw to London. It will improve our connectivity across Europe and with the rest of the world. My party and I fully support the third runway at Heathrow, and we would like to see it happen sooner rather than later.

In 2016, the chief executive of the Civil Aviation Authority said that the UK is a key player in aviation, and he was not wrong. We have the third best developed aviation network in the world, just behind the US and China. The figures show why the UK is such a vital player in the sector. It is not surprising that some airlines are already applying for licences to operate in the UK in the event of no deal. I suggest that that shows the confidence that people outside the United Kingdom have in the UK’s aviation sector. Although I am confident that we will secure a good deal—it has always been my intention that we will, and hopefully the Prime Minister will be successful in that—it is good that airlines are preparing for any eventuality. It is also welcome that, despite people’s warnings, airlines have every intention of continuing to fly to and from the UK. Life will not end when we leave the EU on 29 March. Indeed, it will get better. That has got to be good.

As well as liberalisation, we should also consider our membership of the European Aviation Safety Agency, which develops common safety and environmental rules at the European level. The Government have explicitly stated that they want to negotiate some sort of ongoing membership of EASA after Brexit, and there is widespread agreement that continued membership would benefit both the UK and the EU.

In a speech in 2016, Andrew Haines highlighted that the UK and France provide two thirds of the rule-making input on European safety regulation, and that together we undertake close to 90% of EASA’s outsourced activities. Again, that indicates EASA’s importance to the United Kingdom. Mr Haines set out four principles for the UK to consider during the Brexit negotiations. The third principle, which relates to competition, could present a real opportunity for the UK post Brexit. It relates to airline ownership rules, which are currently very outdated. Perhaps the Minister will comment on that. If the UK relaxed the ownership arrangements that UK-registered airlines currently have to comply with, that could present an opportunity to attract new equity from non-EU investors, which could improve choice and competitiveness for consumers.

Haines also referred to the EU slot regime, which requires that 50% of new slots are allocated to new competitors at a particular airport. I believe, however, that restricting such a large proportion to new entrants has been a barrier to strong competition, and changing our rules could be one advantage of leaving. That shows a lack of future planning from the EU, which could be to our benefit. The UK will have the opportunity to develop a new and more competitive slot regime—there are enormous possibilities.

As negotiations continue, there will be difficulties and we must plan for every eventuality, but it is also important to see the potential opportunities that Brexit could bring to the industry, especially regarding competition, which can drive prices down and keep air fares low. We should also consider the way that the industry has responded to date; according to ADS Group’s 2017 figures, the sector directly employed 120,000 people, with a further 118,000 employed indirectly—enormous employment figures. In 2017, the sector had a turnover of £31.8 billion, which was up 39% in five years. If a sector is growing, and probably outgrowing every other sector, it is the aviation sector of the United Kingdom of Great Britain and Northern Ireland.

While productivity growth in the general economy between 2010 and 2016 was just 3%, it was 19% in the aviation industry. Not only that, but so far, the UK's decision to leave the EU appears to have had no financial impact on the industry, which is perhaps another positive indication of where we are. In fact, according to ADS Group’s 2017 figures, 73% of companies were planning to increase investment—an indication of their confidence in the future. In Northern Ireland, Bombardier secured a deal in May this year with the Latvian carrier airBaltic, for up to 60 Belfast-made jets, which is another indication of how well our aviation sector is doing and how it benefits all regions of the United Kingdom.

Of course, airlines are concerned and, given the uncertainty, that is not surprising. It is important to consider the value of the sector to the UK and to the EU; to realise that Brexit can provide positive change and opportunity for the UK; and to realise that little has changed since the referendum. Moreover, aerospace is an important part of the Government’s industrial strategy: a number of initiatives have been set up to boost research and investment, and to guarantee exports. The Aerospace Growth Partnership and the Aerospace Technology Institute have both been set up in recent years as a collaboration between Government and the industry, to build on past success and look forward to the future success.

[Lilian Greenwood]

Like the hon. Gentleman, I am very concerned about the implications of leaving the European Union for our aerospace sector. The chief executive of Airbus said that there will be “severe negative consequences” to withdrawing from the European Union, and that they will be particularly severe if there is a hard or no-deal Brexit. Does he agree that it is essential that the Government address those issues to protect high-skilled and high-paid engineering jobs in our aerospace industry?

[Jim Shannon]

I thank the hon. Lady, but for the record, I do not share her concerns about leaving the EU in relation to the aviation sector. Maybe I did not make that clear enough, so let me make it quite clear: I believe that we should look forward to a very positive future. That has been demonstrated in my own constituency, where Bombardier have secured a fairly substantial and significant contract, and by aviation authorities and the airlines, which have indicated their confidence in the direction of the country over the last five years. It has been a fact that we are going to leave the EU for a year and a half of that time, and that has not slowed the industry. Government’s central theme of support, focus and strategy for the aviation sector indicates to me that good times are just around the corner. Hopefully, after 29 March 2019, the good times will come back, and those who have doubts about that just have to look at how the aviation sector is growing in anticipation. I put on record that I hope that the Prime Minister secures a deal for the UK, but in the event that she does not, the aviation authorities are well aware of their options in that scenario.

Persistent Rough Sleeping in Nottingham

Debate between Jim Shannon and Lilian Greenwood

Monday 2nd July 2018 Commons Chamber

[Lilian Greenwood (Nottingham South) (Lab)]

May I begin by sending my best wishes to the Under-Secretary of State for Housing, Communities and Local Government, the hon. Member for South Derbyshire (Mrs Wheeler), and her husband? I know that the Under-Secretary of State for Housing, Communities and Local Government, the hon. Member for Selby and Ainsty (Nigel Adams), is supporting her at present, and I am sure that he will share the information from this debate with her when she returns.

According to homelessness charity St Mungo’s, the average age of death for a man who dies while homeless is 47; for a woman it is just 43. Rough sleeping is the most dangerous form of homelessness. It can be lonely, frightening and violent. For some, it is quite literally a death sentence. Holly Dagnall, Nottingham Community Housing Association’s director of homes and wellbeing, describes homelessness as a human emergency and who could disagree?

Until 2015, the snapshot figure of people sleeping rough in Nottingham was almost never in double figures, but the latest official estimate, in November last year, was of 43 rough sleepers. Six months on, that figure has not fallen. Nottingham is not an exception; the city ranks 56th of all local authorities for the rate of rough sleeping. Official figures recording a 169% rise in rough sleeping in England since 2010 will surprise no one. We have all seen the evidence of the growing crisis with our own eyes on the streets of Westminster and in many of our constituencies every night.

[Jim Shannon (Strangford) (DUP)]

The hon. Lady is absolutely right that we have homelessness across the whole of the United Kingdom of Great Britain and Northern Ireland. Does she agree that perhaps it is time for a dual strategy that addresses not only homelessness, but the issue of helping people to get employment? We have to give them vision, we have to give them hope and we have to give them a future. The Government need to look at both things together.

[Lilian Greenwood]

The hon. Gentleman is quite right that this is about providing people with not just a home, but the means by which they can sustain themselves in a home.

The reasons for the increased numbers are far from a mystery. Crisis cites the impact of welfare reform, rising rents and the housing crisis. People become homeless and sleep rough for many reasons, but the single biggest cause of statutory homelessness is now the end of an assured shorthold tenancy. The cost of private rented accommodation has risen three times faster than earnings in England since 2010, and real earnings are still lagging behind 2008 levels a decade on.

Although I firmly believe that the Government bear a great deal of responsibility for the rise in homelessness and fear that their target of halving rough sleeping over the course of the Parliament and eliminating it altogether by 2027 lacks the urgency that the situation demands, I do very much welcome the Homelessness Reduction Act 2018 and the Government’s decision to develop the national rough sleeping strategy. My reason for seeking tonight’s debate is to address the content of that strategy.

Concern about rising levels of rough sleeping in Nottingham was one of the drivers behind a new investigation commissioned jointly by Framework Housing Association and Opportunity Nottingham, the Big Lottery-funded programme supporting people with multiple needs. “No Way Out: A Study of Persistent Rough Sleeping in Nottingham” was produced by Dr Graham Bowpitt from Nottingham Trent University and Karan Kaur from Opportunity Nottingham, with help from Nottingham’s street outreach team.

The study sought to discover how far the recent increase in rough sleeping might have arisen

“not just from more people coming on to the streets, but also from people remaining there longer or repeatedly”.

It sought to identify

“the characteristics that distinguish persistent rough sleepers from the wider street homeless population, and any common features in their circumstances that might help to explain persistence.”

In the remainder of my speech, I will focus on the study’s key findings before commenting on wider issues in Nottingham and at a national level.

For the purposes of the report, and therefore this debate, the definition of persistent rough sleeper is

“someone who was recorded sleeping rough on at least 10% of nights between 1st April 2016 and 31st March 2017, i.e. 36 nights (the ‘sustained’), or who has been seen sleeping rough in at least three out of the six years between 2012 and 2017 (the ‘recurrent’).”

The report says:

“There were 72 persistent rough sleepers who met the above definition…7 who were both sustained and recurrent, 33 who were sustained and 32 who were recurrent. Of these…10 were women…and 62 men…58 were recorded as of White British ethnicity...most of the others being White (Other)…13 were recorded as having a disability (18%).”

According to the report, Opportunity Nottingham’s beneficiaries are recruited to the programme because they are assessed as having

“at least three of the four prescribed complex needs: homelessness, substance misuse, mental ill-health and offending.”

Of the 72 persistent rough sleepers, 67—that is 93%—had problems with substance misuse. Some 49 were offenders or at risk of offending, and more than half had mental health problems.

Community Policing

Debate between Jim Shannon and Lilian Greenwood

Tuesday 7th November 2017 Westminster Hall

[Jim Shannon (Strangford) (DUP)]

It is a pleasure to speak in this debate. I congratulate the right hon. Member for Kingston and Surbiton (Sir Edward Davey) on bringing it forward and setting the scene.

I want to bring a Northern Ireland perspective to this issue to give a flavour of what is happening elsewhere, although I know that Northern Ireland policing is not the Minister’s responsibility. I also want to back up what the right hon. Gentleman said, which I believe is correct. I will give some examples of what we are doing in Northern Ireland—or perhaps of what we are not doing in Northern Ireland; that is a better way of putting it—and thereby underline the importance of community policing.

I have always been a strong advocate of community policing. Seeing police on the beat helps people to feel safe. When a police officer is able to come to a school, youth group or event, that helps young people to create bonds of respect and appreciation, and to build up a rapport with officers. On many occasions in the past, people came to be on first name terms with officers, as I found before I came here during my time in local politics as a councillor and a Member of the Northern Ireland Assembly. It is also useful for people who are intent on doing wrong to be aware that there are police officers on the streets who are able to respond in short order. There is a twofold purpose to community policing: building up relationships and reminding people of police officers’ role.

Our local Police Service of Northern Ireland officers used to be able to attend youth groups, church groups and mums and toddlers groups, they used to be well-known figures in local residents’ associations, and they were accessible, but funding cuts have left us with a community policing team that simply does not possess the time to be part of the community. That is a central theme, which almost everyone who speaks in the debate will mention. Relationships with the local PSNI meant that more people felt able to give anonymous information. That was one of the great things about such relationships in Northern Ireland; on many occasions, young people and adults were able anonymously and confidentially to pass on information to the police that was important to catching people who were involved in criminal activity, because they knew the officers and were happy to trust them. That is one of those things that takes a bit of time to build up; it is hard to do when contact is by phone and someone is unsure about their anonymity.

There really can be no reasoned argument against community policing. The issue is not the need for community policing but how to fund it. If we revert to direct rule—there is the spectre of that happening, if I may use that terminology—the general issue of police funding in Northern Ireland may well be before us all soon. Back in May, the news was full of reports that the PSNI was to lose 238 officers over the next two years due to severe budget cuts of £20 million. We cannot ignore the financial reality.

To give an example of how that issue was portrayed, one news article stated that those cuts are the equivalent of the annual cost of all the region’s neighbourhood policing teams. Why did the newspaper mention the issue in that way? It was because people needed to understand the impact. Every one of us in Northern Ireland and, I suspect, across the whole of the United Kingdom of Great Britain and Northern Ireland understands what a neighbourhood or community policing team is and the presence and availability that it provides on the ground. Community policing is vital to most people. Funding cuts that mean less community policing get a reaction in the media and across the board. It was therefore important for the media back home to give that explanation.

The number of officers in Northern Ireland will drop by 138 in the next year to 6,700, and the resilience level will fall to 6,600 the following year. That is in direct opposition to the review of police strength in 2014 that concluded that a minimum of 7,000 officers were needed for a resilient and effective PSNI. The community policing team will be the first thing to go; community police will feel the brunt early on. It is easy to say that we should do away with them or cut their numbers without knowing the full implications of doing so.

The hon. Member for South Suffolk (James Cartlidge) referred to the need for officers who are able to respond to rural theft. My community has a mixture of urban and rural areas, but I live in a rural area, so I understand the issues of agricultural and rural crime. The crime prevention officers in my constituency have a good scheme for marking vehicles such as tractors. He might suggest that traceability method to his police, if he has not done so already. That has been effective in my constituency, and other Members might consider it if they do not already have it.

I am blessed in my constituency with a fantastic police team who seek to attend the meetings they are called to and who seek to build rapport, but all too often I am told, “Jim, I simply don’t have the manpower to attend, but please let me know how the meeting goes and what the outcome is, and then I can respond to that.” I do not believe for a second that officers cannot be bothered to attend an annual general meeting of a community group; they just are not able to. That does not foster good relations. Too many communities feel ignored and unable to access police help and guidance. That alienation means that there is less possibility of compromise in scenarios where there is tension, and more communities feel that they have to take things into their own hands. I am not sure whether that scenario occurs on the mainland, but in some of my communities in Northern Ireland it sometimes falls to others to take action. I do not condone or support that in any way, but people are frustrated whenever things are not seen to happen.

[Lilian Greenwood]

The hon. Gentleman makes an important point that in many ways goes to the heart of the debate. Of course we do not want people to start resorting to vigilante action, but that is what can happen when we face the loss of legitimacy of community policing. It is deeply worrying, and he is right to raise it.

[Jim Shannon]

I thank the hon. Lady for that intervention. She understands the point clearly and what can happen whenever police are not available to respond in the way that perhaps they should.

The people who are losing out are the police officers, who want to do what they are capable of doing in the communities but are prevented from doing so, to the detriment of all. While this debate is specific to England and Wales, it is clear that community policing does work if it is funded and allowed to work. The situation in Northern Ireland shows that.

Ms Dorries, I am conscious that you are looking at me in relation to time, so I will try to come to a conclusion as quickly as I can. To bring us back to England and Wales, I read a report that highlighted that the police workforce has reduced by some 36,800, with workforce reductions ranging from 23% in Cleveland to 1% in Surrey. It is clear that, no matter what the postcode, the sweeping cuts must be reconsidered. The cuts are not sustainable and cannot continue.

While we must cut our cloth to suit our needs, and I am all for trimming the fat, the cuts are not trimming the fat or the excess of the cloth; they are comparable to making a hat with no head covering. For me, as someone who is follicly challenged, it would be a great disappointment to have a hat with nothing on the top. A police force that has no community links does not possess the ability to police properly.

Quite simply, with respect, I ask the Minister that the matter be looked at. I will continue to address the issue with the Secretary of State for Northern Ireland, as I have in the past. It is a matter of ring-fencing additional funding both on the mainland and in Northern Ireland. For the safety and security not only of the community but of the police officers themselves, I urge the Minister to pledge to undertake a real and serious review of community policing funding as a matter of urgency.

Forced Organ Removal: China

Debate between Jim Shannon and Lilian Greenwood

Tuesday 11th October 2016 Westminster Hall

[Jim Shannon (Strangford) (DUP)]

I beg to move,

That this House has considered forced organ removal in China.

This is a very difficult subject to talk about, but there are those of us who have followed this issue in China and listened to people who have come to the House to present petitions and speak to us about it. We have watched the film on the issue and had a briefing in the House as well. Many Members of the House have been vociferous and outspoken on the issue. I commend the hon. Member for Congleton (Fiona Bruce) for the hard work that she has done on it in the House. We admire her courage, tenacity and commitment to the issue. The rest of us will add our contribution. I know that her contribution will be as important as everyone else’s. I thank every hon. Member who has come today to participate. The abstract nature of the debate may have precluded many from attending. I am grateful to those who are here for acknowledging that the issue is worthy of time and attention from Members of the House.

My boys like to watch crime dramas, as many of us do. Some of them are so far-fetched that I scoff along with them. However, others are too chillingly real. The idea of someone having organs cut out of them and waking up in a bath of ice has long been an urban legend. However, today’s debate is not based on a horror story as we approach Halloween; it is not make-believe. It is a horror that is all too real in China. As it has been brought to our attention, I feel that we have a role to play in returning this scenario to the realms of urban legend. That is why the debate is so important.

This story, which is almost too dreadful to believe, was first revealed in March 2006, when a woman stated that as many as 4,000 Falun Gong had been killed for their organs at the hospital in which she had worked. I had the privilege of meeting some of the families of those people in this House, and a charitable organisation was also involved, so we know some of the stories at first hand. That lady said that her husband, a surgeon at the same hospital outside the north-eastern city of Shenyang, had disclosed to her that he had removed corneas from the living bodies of 2,000 Falun Gong adherents. A week later, a Chinese military doctor not only corroborated the woman’s account but claimed that such atrocities were taking place in 36 different concentration camps throughout the country. He said that he had also witnessed Falun Gong being transported in massive numbers across the country in cattle trains, at night and under the cover of tight security. People may think that that is something from the history of the second world war, but the transportation of people in cattle trains is all too real. As I said, it happens at night and under the cover of tight security.

In 2006, two prominent Canadians—David Kilgour, a former MP, and David Matas, a human rights lawyer—published a report for the Coalition to Investigate the Persecution of Falun Gong in China, in which they gave credibility to claims that the Chinese authorities were harvesting organs from executed members of the group. Victims were held in concentration camps prior to dissection, after which the remains were immediately cremated, as if the authorities could get rid of the evidence of their ill deeds by cremating them so quickly.

It was in July 2006 that Kilgour and Matas published their 140-page report. It drew

“the regrettable conclusion that these allegations are true.”

The investigation uncovered the on-demand nature of organ transplants in China; there is an abundance of organs despite the lack of a functional donation system. Ten years later, on 22 June 2016, they published an update to their report. It shows the continued expansion of transplantation capacity—organ harvesting first came to light in 2006—the driving factors behind the industry’s growth, and the role of the ruling party, Government agencies and individual officials in implementing and perpetuating the systematic killing of prisoners of conscience for their organs. We are talking about those of the Falun Gong belief, those of Christian beliefs, who have been persecuted, people serving time in jail and those from other ethnic groups.

The harvesting is done on an industrial scale, as some of the figures illustrate very well. Although Chinese officials typically say that China transplants about 10,000 organs a year, the update to the report shows that that figure is surpassed by just a few hospitals alone. We can say, based on Government-imposed minimum capacity requirements for transplant centres, that the total system-wide capacity since 2000 would have easily reached more than 1 million transplants. Given that the vast majority of those hospitals far exceed the minimum requirements, the number of transplants performed in China is staggering. As I said, it is on an industrial scale.

The Conservative Party Human Rights Commission heard from at least two witnesses on the harrowing practice of forced organ harvesting. Notably, it heard from Ethan Gutmann, who has spent several years investigating this appalling practice—the forced removal of internal organs from live individuals for transplant. It also notes the information provided on behalf of UK Falun Gong practitioners in the written submission. Ms Lin stated:

“There have been persistent allegations that large numbers of Falun Gong prisoners of conscience have been killed to supply China’s lucrative trade in vital organs. Uyghurs and other prisoners of conscience may have been victimised in a similar way.”

Former Falun Gong prisoners report being subjected to targeted medical examinations and blood tests in custody that appear designed to assess the health and compatibility for potential transplant of their organs, Ms Lin claimed. She told the commission:

“Concern stems in part from the significant discrepancy between the number of organ transplants performed and the known sources of organs: even when we include death row inmates, the number of transplants performed in China is far too high. The short wait times achieved by transplant hospitals suggest that people are killed on demand for their organs.”

That is the horror of what is taking place in China. The House must today illustrate the issues clearly and ensure that we speak on behalf of those who cannot speak for themselves—those with no voice.

Ethan Gutmann has stated, based on meticulous research into individual hospital accommodations for transplant recipients, occupancy rates and a full accounting of the overall number of hospitals in China carrying out organ transplants, that the claims by the Chinese of performing 10,000 organ transplants a year are intentionally low; they are keeping them low on purpose. The new report estimates that a minimum of 56,000 and perhaps as many as 110,000 organ transplants are being conducted a year, leading to an estimated overall total of 1.8 million organ transplants since 2001. Previous speculation that approximately 40,000 to 65,000 organs were extracted from prisoners of conscience is now seen as a serious underestimate, particularly as the number of Chinese hospitals that have informally confirmed the use of Falun Gong prisoners as a primary organ source continues to grow.

I am very concerned and I have tabled questions in the House, as other hon. Members have, on the issue. Organ tourism to China takes place. People in western countries find out about an organ that may be available in China at short notice. Given how quickly these things happen, there has to be an organised, established method of harvesting the organs so that those who come from the west can come across and get the transplant that they need so much. I urge the Government to take action on that issue as well. I know that that is not exactly in the portfolio of the Minister who is here to respond, but I am very pleased to see him. I know that all hon. Members will get a positive response from him.

[Lilian Greenwood (Nottingham South) (Lab)]

I congratulate the hon. Gentleman on putting the case and raising this important issue in so eloquent a manner. Does he agree that nations should not allow their citizens to travel to China for organs until we know that China meets the World Health Organisation guiding principles on transplantation and ethical standards?

[Jim Shannon]

I thank the hon. Lady for her intervention and for wisely putting the thoughts of everyone in this Chamber today on record. I totally agree with her—I think we all do—and that is one of the things we hope the Minister will respond to, because those going to China cannot close their eyes or ears to what is happening and to the question of whom the organ is coming from. The recipient cannot say, “I don’t know, but I need the organ transplant.” I am not taking away from the fact that they need the organ transplant, but there must be rules in place and China must be part of that.

Hearing Loss in Adulthood

Debate between Jim Shannon and Lilian Greenwood

Tuesday 12th November 2013 Commons Chamber

[Lilian Greenwood (Nottingham South) (Lab)]

I am glad that we are debating an issue that affects all our constituencies, and I know that it is a matter of real concern to many Members in this House and in the other place.

I would like to begin by paying tribute to the work of the Ear Foundation, a cochlear implant support charity in my constituency. I was glad to secure the debate, and I hope that it will draw attention to the vital work it does to support adults and children with hearing loss.

One in six people in the UK experience hearing loss, and seven in 10 can expect to be affected by the time they reach their 70th birthday. That means that 10 million people live with hearing loss, and an ageing population means that that number will rise in the years ahead. To communicate is to be part of society. Losing one’s hearing is not just about the absence of sound—if not addressed, hearing loss can result in the loss of our social life, cutting us off from family, friends and work.

Deafness in adulthood is linked to depression, unemployment, poor mental and physical health and an increased risk of other conditions, including dementia. Hearing loss is a constant condition, and in most cases there is no cure. It is no exaggeration to say that it can destroy lives. People with hearing loss can find it difficult to negotiate everyday challenges in the workplace, on the bus, at the supermarket, or in the local doctor’s surgery, leading to isolation, exclusion and frustration.

Research carried out by Action on Hearing Loss has found that adults who lose their hearing are likely to withdraw from social activities. When they do take part, communication difficulties can result in feelings of loneliness. Hearing loss can also damage personal relationships. Many deaf people find it difficult to join in with family conversations and jokes. Couples say that they feel more distant from their friends, and partners of people with a hearing problem describe feelings of loneliness and frustration. Travelling on public transport becomes a challenge, and a platform alteration or a delayed connection can be a major problem if someone misses the announcement. That can leave deaf people feeling anxious and vulnerable when travelling, and worried about being stranded or lost. The debate among policy makers focuses mainly on quality-of-life issues, but failure to address hearing problems has implications for society as a whole.

[Jim Shannon (Strangford) (DUP)]

I have sought the hon. Lady’s permission to intervene in the debate. In Northern Ireland, 300,000 adults experience deafness or tinnitus—a sixth of the population, which is similar to the rest of the United Kingdom. Does she agree that a UK-wide strategy—and perhaps the Minister would respond to this—would benefit the core of the community across the United Kingdom, especially people with deafness?

[Lilian Greenwood]

I thank the hon. Gentleman for his intervention. He is quite right: these are issues that affect the whole of society, and I hope that the Minister will respond positively to his suggestion.

A 2006 study estimated that unemployment resulting from hearing loss cost the UK economy £13 billion a year. Too many people are forced to resign, retire or face redundancy as a result of their disability. People with hearing impairment report that their employers often have a passive attitude, providing adjustments and support only when prompted, and a significant number face outright discrimination.

Of the 300,000 people of working age with severe hearing impairment, 20% report that they are unemployed and are seeking work. Another 10% report that they cannot seek work as a result of their condition. As the state pension age rises and more jobs depend on communication skills than was the case 20 or 30 years ago, that vulnerability to unemployment is a growing problem. It represents a worrying underuse of the economic capacity of the nation.

Despite the scale and impact of hearing loss in the UK, adults with profound and severe hearing problems face major challenges when accessing health services. For many people, even seeing their GP can be a challenge, especially when surgeries rely on telephone booking systems and do not use visual display screens. One in seven respondents to an Action on Hearing Loss survey reported missing the call for their appointment while sitting in the waiting room. Poor deaf awareness among health professionals, such as not looking directly at a patient to allow for lip-reading, can lead to patients with hearing loss feeling unclear about the medical advice or information provided. According to the same survey, 28% of people with hearing loss have been unclear about a medical diagnosis and 19% have been unclear about their medication.

Diagnosis of hearing loss among adults is too often down to chance. Many are reluctant to seek help, and evidence suggests that people wait an average of 10 years before doing so. Stigma is a key factor in this delay in taking up hearing aids, which makes some people unwilling to tell others about their hearing loss. An Action on Hearing Loss report found that one element of stigma is the fear that deaf people are seen as less capable. A 2005 MORI poll of more than 20,000 people showed that one in five expressed concern about being treated differently.

Earlier diagnosis is essential to ensuring that people with hearing loss can access the support and services that can help them best manage their condition. A hearing screening programme for people aged 65 would help to overcome some of the barriers that prevent people from addressing their hearing loss. I pay tribute to the hon. Member for Eastbourne (Stephen Lloyd), who has led the Hearing Screening for Life campaign. Research by the consultancy London Economics suggests that such a programme would represent good value for money, so will the Minister consider establishing a pilot hearing screening programme?

There are approximately 4 million people with undiagnosed hearing loss in the UK who could benefit from hearing aids or, in a smaller number of cases, a cochlear implant. However, research suggests that GPs are often reluctant to refer patients for assessment or lack the knowledge to do so. Forty-five per cent. of patients presenting hearing loss symptoms are not referred, so something is clearly amiss. GPs’ lack of awareness of the impacts of deafness in general and a lack of knowledge of the benefits of cochlear implantation in particular give rise to concern. Greater education of GPs and audiologists on hearing technologies and the potential benefits of cochlear implantation for adult patients is therefore vital. I would be grateful if the Minister updated the House on the Government’s plans to ensure that training and updating on hearing technologies is provided consistently across the country.

Despite the obvious need, there is relatively little recognition of the impact of hearing loss or of the latest technologies that can improve hearing. We know that hearing aids improve adults’ health-related quality of life by reducing the psychological, social and emotional effects of hearing loss. For those who are severely or profoundly deaf, and for whom hearing aids offer little benefit, cochlear implants offer the chance of useful hearing.

[Jim Shannon]

I thank the hon. Lady for giving way; she is being very gracious. One of the issues that have come to my attention as an elected representative is that hearing aids are sometimes thought of as a big thing attached to the ear, but thanks to the advance of technology hearing aids are very small now. Perhaps that means that cosmetically they are less noticeable, and people can have the implant and lead a normal life. Is that one of the things that the hon. Lady feels should happen?

[Lilian Greenwood]

My hon. Friend is right. There is a need to increase awareness of what a cochlear implant is, how it operates and even what it looks like.

Despite the digital revolution in the NHS, in which high-quality hearing aids are now routinely fitted, there remains an under-utilisation of implants for adults, notwithstanding comparable advances in implant technology. One person who has benefited is Abigail from Nottingham, who found her implant an enormous benefit to her life. She was born deaf and grew up wearing two hearing aids until her hearing deteriorated, and doctors told her that hearing aids were no longer of benefit to her. Following detailed and intensive assessment she was approved for an implant, and when this was switched on it gave her new-found confidence. It rebuilt her self-esteem, enabling her to communicate more comfortably with her husband, family, friends and colleagues. Having a cochlear implant has given her a new lease of life, without having to rely on others to help her with communication, such as by telephone. It has also helped her immensely at work, where she can now communicate with colleagues on an easier level. It has helped her gain promotion and do a job that she enjoys. The cochlear implant has enabled her to get on with life at home, at work and socially, and with her hobbies, including music. She also does volunteering work in the community.

A cochlear implant stimulates the hearing nerve by means of rapid electrical impulses, which bypass the non-functional inner ear in people who are severely or profoundly deaf. Sounds heard with a cochlear implant are not the same as those heard with a human ear, but with the right support a person with a cochlear implant can adapt to the novel signal and use their implant to understand speech and other sounds, much like normal listening. One cochlear implant recipient said:

“I feel that so much of my previous life and true self has been restored, regaining my pride and ability to contribute actively in society on an equal basis.”

The late Lord Ashley, who is remembered and was rightly held in extremely high regard by many in this place, was known to call his cochlear implant a miracle. Surely it is time that everyone who needs a cochlear implant had access to their own miracle. There are an estimated 100,000 people with profound hearing loss, and 360,000 with severe loss. Although it is difficult to determine the exact number of adults who need an implant, on any of the current measures of profound deafness the current level of provision for cochlear implantation would appear to be significantly below any predictions of need.

The Ear Foundation suggests that as few as 5% of adults who might be able to benefit from an implant are currently getting one, and the UK is fitting only half the number of implants in adults as Germany and Austria. Speaking at last month’s Westminster launch of the Ear Foundation report “Adult Cochlear Implantation”, Dr Andrew Dunlop, a GP who suffered sudden hearing loss himself, described his own experience of deafness, undergoing assessment and receiving a cochlear implant. He said:

“I was fortunate, that as a healthcare professional, I knew my way around the system and was not overwhelmed when dealing with fellow doctors, audiologists and consultants. Sadly, the story for less informed individuals is not quite the same. My return to Practice emphasized to me just how much of an iceberg of unmet need is within the community at large, with many very able individuals assuming wrongly that they have no options after optimal provision of hearing aids and seem reduced to a second class life of social isolation, loss of self-esteem and frequently unemployment.”

Today’s debate is my attempt to chip away at that iceberg.

The criteria for implants are set by the National Institute for Health and Care Excellence, with guidance last reviewed in 2011. However, the criteria are based on evidence from patients who were predominantly wearing technology from the late 1990s, and since then there have been significant advances in cochlear implant technology. Many clinicians would argue that the criteria do not reflect real world listening, and that more realistic tests should be deployed instead.

Since the last review, there have been supportive studies on the effectiveness of bilateral implants—one implant for each ear—which NICE believes provide too little benefit for adults to justify NHS funding. One patient who was refused implantation described the process as follows:

“The conditions they did the testing in were ideal. It was perfect but they made no allowance for the difficulties you get if somebody is talking from the side, or if there is any background noise…and of course under those circumstances you do very well and it makes no allowances for the problems you run into in real life.”

In addition, the use of sentence tests, rather than monosyllabic words, enables deafened adults to use their previous linguistic knowledge to complete the test, thus appearing to have hearing that is too good for cochlear implantation. Brian Lam and Sue Archbold, authors of the Ear Foundation report, conclude that there is an urgent need to look at the deployment of a wider range of tests. They also argue that testing in noise and assessment of performance with monosyllabic words would be more appropriate. This would reflect current practice in Germany, where criteria are more flexible.

A growing body of evidence indicates that bilateral implants provide added improvements in speech perception in noisy environments over unilateral implantation, and better sound localisation, leading to improved quality of life. The Ear Foundation has recommended that NICE review its current guidance on cochlear implantation, and in particular on the criteria for unilateral and bilateral implants for adults. Will the Minister look into this matter and consider asking NICE to conduct such a review? Does he agree that where a clinician believes that it is in the best interests of an individual patient, there should be some discretion in applying these guidelines?

Charities in the field have welcomed the Department of Health’s development of a national hearing loss action plan, but they are disappointed that it has been delayed by a year. I join those charities in urging the Government to prioritise its publication. Last month the noble Baroness Jolly stated in the other place that the Government aim to publish the action plan as soon as possible. I would be grateful if the Minister updated the House on when it will be published and how its implementation will be monitored. Has he assessed the suggestion of establishing a lead commissioner for audiology so that there is greater focus on good commissioning across all clinical commissioning groups?

The right hon. Member for Gordon (Sir Malcolm Bruce), who chairs the all-party group on deafness, last month challenged the Government, and any Government who come after them, no longer to leave deaf people behind. Today I echo those words. I hope that the Government can help move this issue, which affects all our constituencies, beyond debate and ensure that action is taken to address it.

Under-occupancy Penalty (Nottingham)

Debate between Jim Shannon and Lilian Greenwood

Monday 18th March 2013 Commons Chamber

[Lilian Greenwood (Nottingham South) (Lab)]

“Nowhere to go”—that is how today’s Nottingham Post describes the crisis facing thousands of social tenants in our city. Why? Because two weeks today the Government are set to play the cruellest joke on more than 6,000 of our city’s poorest households. On the same day as they deliver a huge tax cut to the UK’s highest earners, they plan to take £4.23 million from the pockets of those people in our city who are least able to afford it. Whether we call it the bedroom tax, the under-occupancy penalty or the spare-room subsidy, it is a heartless policy that, the Cambridge Centre for Housing and Planning Research concluded, will create “severe hardship” for affected households.

Let us look at the households affected. Two thirds of them include someone who is disabled, one third are families with children, more than a fifth are working households on low wages, and many of them do not have a spare room at all. They include families whose children have their own rooms. Let us face it, some bedrooms are so small that they are barely big enough for one child, let alone two. Many families do not think it is fair to expect their teenage son or daughter to share with a toddler, even if they are the same sex, and children’s education can suffer if they do not have somewhere quiet to study.

So-called spare bedrooms are also needed where couples sleep separately, especially where a husband or wife cares for their disabled partner and desperately needs a decent night’s sleep. Some are used to store disability-related equipment. Where parents are separated, these bedrooms are needed for when their children visit at weekends. Are the Government really saying that people who live in a council or housing association home cannot have a spare room for their children or grandchildren to sleep in when they come to visit? It seems so. People who have lived in the same house for decades and spent time and money making it their home all face the same impossible situation: move out or find the extra money.

For people in Nottingham, that means on average an extra £11 a week if they have one room more than they are allowed, or £22 a week if they have two rooms. That may not sound like very much to the Minister, but for someone on jobseeker’s allowance of £71 a week, it is the difference between eating or going hungry, turning on the heating or sitting in the cold, borrowing money to pay your rent or going into arrears. This morning on Radio Nottingham, a local Tory Member of Parliament did not know what the fuss was about. She had explained to her constituent that she should simply move house. But of course, it is not that easy.

[Jim Shannon (Strangford) (DUP)]

The bedroom tax and the under-occupancy terminology will affect people throughout the United Kingdom. In Northern Ireland, we will be £10 million shy in the money available, and 32,000 households will be affected. Is not one of the greatest discrepancies of the whole process that there are not the smaller occupancy houses to move to, so all these people will have to find the extra money?

Public Forest Estate (England)

Debate between Jim Shannon and Lilian Greenwood

Wednesday 2nd February 2011 Commons Chamber

[Lilian Greenwood (Nottingham South) (Lab)]

I have been prompted to speak in today’s debate by the tremendous anxiety expressed by so many of my constituents about the Government’s proposals. I know that this is not a concern peculiar to residents in my city, but perhaps Nottingham folk feel it even more keenly because they regard themselves as the descendants of our great hero Robin Hood, who made his home in nearby Sherwood forest. I was going to say that Robin’s hiding place, the 1,000-year-old Major oak in Sherwood forest country park, is safe from the proposals, because it is in a national nature reserve managed by Nottinghamshire county council and because even the council’s aptly named leader, Kay Cutts, would not dare to take her axe to our famous forest. However, I read earlier today that the Government are shortly to begin a consultation on divesting themselves of the country’s national nature reserves too, so, perhaps like many of our Forestry Commission local woodlands, the Major oak’s future is not secure either.

Nottinghamshire has nine Forestry Commission woodlands, including the east midlands’ largest tract of forest open to the public, Sherwood Pines forest park, which is just a few miles north of Nottingham. Sherwood Pines is a large mixed conifer and broad-leaf woodland with open spaces, heathland and pond, providing space for timber production, wildlife and recreation. I have been a regular visitor to Sherwood Pines since my children were small, and in that time I have witnessed the tremendous work that the Forestry Commission has done to encourage local people to get out and enjoy our beautiful countryside. There is a new café and visitor’s centre, children’s play areas, walking and cycling trails, a mountain biking area, an adventure course with ropes and zip wires, and, away from the centre, miles of peaceful woodland habitat and wildlife to enjoy. The forest is also used by many local schools, and the education service at Sherwood Pines was one of the first to be awarded a Learning Outside the Classroom quality badge.

Sherwood Pines is well developed as a visitor attraction, so perhaps public access would be secure, but what of the local woods that so many people enjoy, such as Blidworth woods, Haywood oaks, Silverhill wood, Boundary wood, Thieves wood, Oxclose wood and the Birklands? The Government tell us not to worry. The Secretary of State says that public rights of way and access will be unaffected, but can we trust this Government? My constituent Dr Chris Edwards certainly does not, saying that he has

“no faith in the promises being made to preserve access…this is the government that’s broken every election promise it made”.

This is the Government who promised to keep the education maintenance allowance and told us that there would be no more top-down reorganisations of the NHS—a Government who include Ministers who signed pledges saying that they would scrap tuition fees, but then voted to treble them. I would say that their promises are not worth the paper they are written on.

The Countryside and Rights of Way Act 2000 guarantees public access on foot, but as I have explained, the Forestry Commission has done much more than that, providing car parking, signage, visitor centres and leisure opportunities. The Government proposals contain no safeguards to guarantee that they will continue in the future.

[Jim Shannon (Strangford) (DUP)]

Is there not something obscene about the sale of English woods and forests when the other regions of the United Kingdom—Scotland, Wales and Northern Ireland—have all decided to retain their forests, keeping rights of access and the right to roam for ever?

[Lilian Greenwood]

The hon. Gentleman is absolutely right: those are things that we should protect. We should seek to learn from countries that appreciate the value of those public assets. Indeed, recent experience tells us that we are right to be wary. Rigg wood near Coniston water was sold off last autumn.