Financial Risk Checks for Gambling

Peter Aldous Excerpts
Monday 26th February 2024

(2 months, 1 week ago)

Westminster Hall
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Peter Aldous Portrait Peter Aldous (Waveney) (Con)
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It is a pleasure to serve with you in the Chair, Sir George.

I congratulate the hon. Member for Neath (Christina Rees) on leading this debate. She and I usually have discussions about squash, but I am here to talk about another of my hobbies: horseracing. I have a lifelong interest in and passion for racing. In the past, I have owned legs and hairs of racehorses—not very successfully. At the moment on the farm at home we have a brood mare and we have youngstock, and my ambition—as crazy as it may sound—is to get those horses on to the racecourse. At the moment, the greater problem than affordability checks is dealing with mud fever, but affordability checks are very important. Like everyone else, I know that problem gambling is a major problem, but there is concern that there will be a severe unintended impact on the funding of horseracing if the affordability checks go forward in their existing form.

Horseracing is largely funded through the levy. In recent years additional funding has come in through media rights and sponsorship, but largely it comes from the horserace betting levy, which came in in the early 1960s. I personally think that the Government went down the wrong road with horseracing. It would have been better if we had what is known as a parimutuel form of gambling. As we heard from my hon. Friend the Member for Tewkesbury (Mr Robertson), that is why the prize money is so much higher in places like Hong Kong and Japan, which have incredibly well-regulated industries too.

Horseracing depends to a dramatic extent on the levy. It is quite clear from what I see and the feedback I get that the affordability checks in their current form will have a serious impact on the takings from the levy. Looking at the prize money, horseracing and its funding is facing a real crisis in the UK. My hon. Friend the Member for Shipley (Philip Davies) said that we have the best horseracing in the world, and we do, but that is increasing in risk and becoming an anachronism. There is a real worry that if we let this go on horseracing, will wither on the vine in this country.

Look at the horses in training sales from Tattersalls at Newmarket last autumn. A lot of those horses would have traditionally come out of flat racing, gone into national hunt racing and remained in the UK for racing. They are now going all around the world, to the US or Australia, and there are emerging new industries—in Dubai with the Meydan, and in places such as Bahrain and Saudi Arabia, which are making a real impact. A lot of horses are going to those places and a lot of British owners are racing out there. Members may have watched the racing on Saturday afternoon. The very well-known racing figure Sir Alex Ferguson—where was he? He was at Meydan, not watching his horses run at Kempton. I am worried that that is where we may be heading.

We have heard great stories today; everyone has plugged the racecourses we have all around the UK, and we have heard how important they are for their local economies. That is very true, but there is one point I would highlight, which I picked up in the Racing Post over the weekend. An article said that the Grand National meeting every year puts more money into the Liverpool economy than the Eurovision song contest did last year. We see that repeated at Cheltenham, York and Goodwood and at the festivals that take place all around the country. That is at risk.

The racing supply chain extends far beyond that. It extends into the training centres and into the countryside and on to the studs. There are places where horses are pre-trained, and, importantly, there are places where horses are retrained. When horses have finished their racing lives, they are retrained for alternative uses and activities. The tentacles of racing extend a long way, not just into the countryside but into the towns and the licensed betting offices on the high street. I know that the hon. Member for Swansea East (Carolyn Harris) has a concern about those, but certainly in the town that I represent, there has not been a dramatic increase in LBOs. They are a very important part—

Carolyn Harris Portrait Carolyn Harris
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No, I do not.

Peter Aldous Portrait Peter Aldous
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If I have misinterpreted the hon. Lady, I apologise profusely. LBOs are very important on the high streets. They also tend to have a family feel about them in that the staff, many of whom now are women, have a good family relationship with the punters. If people start getting out of control, they very quickly say, “Hang on, do you know where you are going on that?” There is a long supply chain.

We have also heard about unintrusive and frictionless checks. The feedback that I get is that they are very difficult to put into practice. We will either see the rise of the black market—the large article on the front of the Racing Post indicates that that is a reality—or a lot of small punters will say, “Well, I give up. I’m not going to do it.” That then impacts on the levy and it spirals down to the impact on racing.

Finally, there is an element of hypocrisy about this in that the lottery is not included. The lottery is great and it is probably one of the best legacies of the Major Government. Its impact has been profound and positive. When I was growing up, very rarely did we win Olympic gold medals. I remember listening to David Hemery when he won in 1968 in Mexico. We now win in so many different sports, and that is the direct result of the lottery. The lottery is a great thing, but it is a game of chance rather than a game of skill. It is random betting and it can take over people’s lives. I remember one statistic put to me that if I gambled on the national lottery every year since Moses was pulled out of the bulrushes, I still would not have won. We need to look at all forms of gambling and betting together.

In conclusion, I was reading the Racing Post a few months ago. One of its leading journalists, Chris Cook, son of the former Labour Foreign Secretary Robin Cook, made a comment that left me thinking. He said that you would not have expected a Conservative Government to do this to horseracing. I agree with him. On that point, I urge the Minister, who is listening very intently to the great speeches that we have had—

Wera Hobhouse Portrait Wera Hobhouse
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I have followed the whole of the debate, and I want to say quickly that this is not a party political issue. It is an issue for all those who feel that horseracing gives us so much across all communities. I sincerely hope that the Minister believes it is a cross-party issue that we all must address.

Peter Aldous Portrait Peter Aldous
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The hon. Lady is right that it is not party political, but it is a point that Chris Cook made. If we look back, we all remember seeing Robin Cook at the racecourse in his Barbour jacket, down by the final fence. Alex Salmond is actually a great punter as well. It is not party political but at the moment, we have a Conservative Government, so I urge the Minister to take on board what he is hearing this afternoon.

Oral Answers to Questions

Peter Aldous Excerpts
Thursday 25th January 2024

(3 months, 1 week ago)

Commons Chamber
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The Secretary of State was asked—
Peter Aldous Portrait Peter Aldous (Waveney) (Con)
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1. What steps she is taking with the Chancellor of the Exchequer to help increase access to finance for small and medium-sized enterprises.

Kevin Hollinrake Portrait The Parliamentary Under-Secretary of State for Business and Trade (Kevin Hollinrake)
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Please may I take this opportunity, Mr Speaker, to pay tribute to Tony Lloyd? I worked with him very closely on the all-party groups on poverty and fair business banking. He was a thoroughly decent man. On behalf of myself and the Department, I pass on our deep condolences to his friends and family.

The Government work with the British Business Bank to improve access to finance for smaller businesses through targeted programmes, such as the £12.4 billion of finance that is backing more than 90,000 businesses across the UK and the £1 billion in start-up loans for 105,000 small businesses since 2012.

Peter Aldous Portrait Peter Aldous
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I am grateful to my hon. Friend for that reply. Many SMEs and new businesses are finding it increasingly difficult to open a bank account and to then obtain the support and services that used to be available in the rapidly diminishing branch network. What steps is he taking to address those challenges that SMEs are facing?

Kevin Hollinrake Portrait Kevin Hollinrake
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My hon. Friend raises an important point. Leading banks and alternative lenders are committed to the SME finance charter to help small businesses and start-ups. We continue to work with the UK finance and banking industry to make sure that SMEs have the support from banking services that they require. Many leading challenger banks, such as Metro, Aldermore and Starling, provide additional application support. Banking hubs are also available for those without a bank on their high street to offer face-to-face support. Thirty have already opened, and 70 more are in the pipeline.

Horizon: Compensation and Convictions

Peter Aldous Excerpts
Monday 8th January 2024

(3 months, 3 weeks ago)

Commons Chamber
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Kevin Hollinrake Portrait Kevin Hollinrake
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The hon. Lady is absolutely right. These are complex matters, and there are two ends to the compensation journey. One is the compilation of a claim by the claimant, which may include legal advice and assessments of health conditions, for example, so it can take time to compile a claim.

Under the GLO scheme, which is the most recent scheme, we have committed to responding to 90% of claims within 40 days. We believe we have the right level of resources at our end to make sure we can respond fairly and quickly. The assessments are made on the compensation side by independent individuals and panels. We think it is a good process and we think it is resourced properly but, of course, we will continue to give it proper oversight.

Peter Aldous Portrait Peter Aldous (Waveney) (Con)
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No current or former sub-postmaster in the Waveney constituency had been in touch with me before today, but I have received two emails today from constituents whose lives have effectively been destroyed. This raises two questions. How many people were simply bullied and intimidated into keeping quiet and paying up? And what justice and recompense will be available to them?

Kevin Hollinrake Portrait Kevin Hollinrake
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Although it is tragic to hear that anybody has been involved in these kinds of cases, it is good to hear that people are coming forward. Again, one of the added benefits of the dramatisation is that people are more willing to come forward, and we have seen a good number coming forward. I am very happy to make sure that my hon. Friend’s constituents are pointed in the right direction and that they have access to the appropriate scheme to get compensation, because they should be compensated to the degree of both their non-pecuniary losses, for any impacts on, for example, their health or any distress or reputational issues, and of their financial situation, as we return them to the position they were in prior to the episode taking place. We are keen that his constituents get access to those schemes.

Future of Horseracing

Peter Aldous Excerpts
Wednesday 25th October 2023

(6 months, 1 week ago)

Westminster Hall
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Jerome Mayhew Portrait Jerome Mayhew (Broadland) (Con)
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Thank you, Mr Hosie, for chairing this debate, which has been fascinating. I have learned a huge amount about British racing. I declare an interest: I do not represent Newmarket or Cheltenham, but Fakenham—a fantastically formed, albeit small, national hunt course—is in my constituency. The topography is such that one can see the entire race from the stands. It is a really lovely place, and it employs 132 people on race days, all from Fakenham and the surrounding area. It is not just about the direct employment; the beneficial impact of having a course like Fakenham in my constituency is more widely felt like that in the town—

Peter Aldous Portrait Peter Aldous (Waveney) (Con)
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I have a confession to make: Fakenham was the first racecourse I ever went to. When I went, it had a chase course that went out beyond the point. Would my hon. Friend agree that the supply chain for British racing extends out of training centres and the courses we know about, into the countryside and studs? Its tentacles go right through towns in this country into those licenced betting offices that are features of all our towns. There are people employed in that wider industry on high streets everywhere around this country.

Jerome Mayhew Portrait Jerome Mayhew
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I am grateful to my hon. Friend. He is quite right. It is not just about the betting offices in towns, but the restaurants and hotels that are supported by Fakenham race days. I declare an interest: I have enjoyed a day’s racing at Fakenham courtesy of the racecourse’s trustees. I think they threw in a sandwich as well. That should be included on the record. It was delicious. I hope to go again later this year—[Laughter]—depending on the outcome of this debate.

Many Members have spoken about the benefits to the national economy of racing. I will not repeat them; they have been well rehearsed. I want to focus on the local benefits of racing to rural communities like mine. The Gambling Act review is causing Fakenham huge concern. The proposed enhanced checks for problem gamblers will be incredibly important for two communities: problem gamblers—they must be assisted, not hurt, by this decision—and the racing industry. It is a truism that, like any important decision, it should be based on best evidence, not ideology.

Judging by this debate, which I have listened to, there appears to be a massive conflict of evidence. It depends on who one listens to. According to the racing industry, the existing checks to reduce problem gamblers have not had a minimal impact and have not been taken in the industry’s stride. In fact, they have cost it about £1 billion. It is argued that as a result of this withdrawal of cash from the industry, about 1,000 racehorses have been taken out of training, bringing the number in training comfortably below 15,000 for the first time in a long time. That is a very heavy impact on the industry.

Perhaps it is worth it. Perhaps the benefits of the current checks on problem gamblers are so positive that it is worth imposing a cost of £1 billion on the racing industry. But they have been in place for two years now. What does the evidence show us? There were nine characteristics of harm from gambling that were associated with the assessment of the efficacy of these new rules. Have they changed? I am sorry to say that despite costing the industry £1 billion, of those nine measures of gambling-related harm, not a single one has improved during that period.

At the very least, this should cause the Government to pause for consideration, rather than doubling down on yet more of the same seemingly failed approach. Losing £1 billion for no measurable impact on the nine metrics that the Gambling Commission considered were the right ones to measure is not a result that would lead one to think, “Oh yes, we need to go further in the same direction.” The Gambling Commission tells us that the current proposals will also have very little, or minimal, impact on the industry. As one of the other contributors has mentioned, it says that about 3% of the accounts will be affected. But the evidence from the industry is that this is already incorrect. Somebody only has to read the front page of the Racing Post, of which I hope many Members here are subscribers, to see the multiple accounts of people changing their betting habits even before the new restrictions come in.

Just this month, there was a survey in which 15,000 racing gamblers took part—so a very substantial survey. More than 50% said they would stop betting or significantly reduce their betting because of these personally intrusive checks, which include one’s job title and postcode, while 40% of them said that they would consider moving towards black market betting, which 10% have already done. What outcome are the Government seeking to achieve for those with problems in gambling? Is it to drive and increase the size and scope of the black market industry, where there is no regulation at all, and where problem gambling is actively encouraged because it maximises profitability? If that is what they want to do, just the threat of this consultation review is already causing that to happen.

Oral Answers to Questions

Peter Aldous Excerpts
Thursday 14th September 2023

(7 months, 3 weeks ago)

Commons Chamber
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Nusrat Ghani Portrait Ms Ghani
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I welcome the hon. Member to her post, but I suggest that leading on stories in the paper is not a good way forward. That is all speculation; we do not comment on commercial decisions. The reality is that there is £730 million in support with energy costs and more than £1 billion of support with decarbonisation. She talks about plans. Well, I am not sure if the Labour party’s plan stands for anything because it flip-flops so often. It is not just me who says that; let us reflect on a statement made by a union leader. They said that Labour was not only just an ’80s tribute act, but that it tends to sit on a “wobbly fence”. Who knows what Labour will say tomorrow after a statement made today?

Peter Aldous Portrait Peter Aldous (Waveney) (Con)
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3. What steps her Department is taking to support the shipbuilding sector.

Nusrat Ghani Portrait The Minister for Industry and Economic Security (Ms Nusrat Ghani)
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My hon. Friend asks a timely question, because this is London International Shipping Week, and I have engaged with the UK Chamber of Shipping and Maritime UK. This week, I was at the International Maritime Organisation, which was hosting an exhibition called “Rewriting women into maritime history”, sponsored by the Lloyd’s Register Foundation—I mention in particular Nicola Good and Erne Janine, who made me this scarf reflecting on women in maritime. We are doing a huge amount, including launching the shipbuilding credit guarantee scheme to support our shipyards here in the UK.

Peter Aldous Portrait Peter Aldous
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I am most grateful to my hon. Friend for that answer. The disappointing outcome of last week’s contracts for difference auction in respect of offshore wind was a wake-up call that clear strategies are required if we are to retain our position as a global leader in that industry. That includes support for the supply chain, of which service operation vessels are a vital component. Can she confirm that the national shipbuilding strategy will be reviewed to fully take into account this great opportunity?

Nusrat Ghani Portrait Ms Ghani
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We are proud of the UK’s reputation as a leader in the offshore wind sector. Together with industry, we have delivered the four largest operational wind farms in the world. The National Shipbuilding Office has done a huge amount of work in that area and will do even more with the new shipbuilding guarantee scheme. I think my hon. Friend’s other question relates to the Department for Energy Security and Net Zero. This is London International Shipping Week, and our offshore wind farms and all our vessels are being promoted heavily.

--- Later in debate ---
Kevin Hollinrake Portrait Kevin Hollinrake
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The hon. Member raises an important point about the cost of living impact on businesses. These are global issues, not domestic issues, and she should be clear on that with her businesses. As I said in response to the question from her hon. Friend, the hon. Member for Edinburgh North and Leith (Deidre Brock), the Scottish Government might look at increasing the generosity of the business rates relief scheme, as the rest of the UK has.

Peter Aldous Portrait Peter Aldous (Waveney) (Con)
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In the period leading up to 2021, sector deals were a very effective means of boosting productivity, innovation and skills in such sectors as aerospace, AI and offshore wind. What plans are there to review, revitalise and extend those effective public-private sector partnerships?

Kemi Badenoch Portrait Kemi Badenoch
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My hon. Friend raises a good point. Those sectors are critical for the UK economy. While we did have plans around sector deals, I would focus on the Chancellor’s five sectors that he thinks will drive growth in the UK. I am happy to write to my hon. Friend specifically about what impact those sectors will have in his constituency.

Oral Answers to Questions

Peter Aldous Excerpts
Thursday 20th July 2023

(9 months, 2 weeks ago)

Commons Chamber
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The Secretary of State was asked—
Peter Aldous Portrait Peter Aldous (Waveney) (Con)
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2. Whether she plans to support the uptake of outdoor swimming.

Stuart Andrew Portrait The Parliamentary Under-Secretary of State for Culture, Media and Sport (Stuart Andrew)
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Outdoor swimming represents one of the many ways to stay active. Through the together fund, Sport England has provided over £80,000 for outdoor swimming projects. Swimming and water safety forms a mandatory part of the primary PE national curriculum.

Peter Aldous Portrait Peter Aldous
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The Beccles lido does great work in promoting outdoor swimming in the Waveney area, but it and other lidos have been particularly hard hit by high energy costs and long-term fixed-price contracts, often arranged by rogue energy brokers. The swimming pool fund is extremely welcome, but I urge my right hon. Friend to work with lidos to put in place a long-term plan for their future.

Stuart Andrew Portrait Stuart Andrew
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My hon. Friend is absolutely right to highlight the importance of swimming pools and lidos. We announced the swimming pool fund to help those that have been particularly struggling with high energy costs. Sport England also plays a vital role in working with local authorities on managing sustainable facilities, and we will shortly publish our new sports strategy, which will set continued commitments in this area.

Local Radio: BBC Proposals

Peter Aldous Excerpts
Thursday 22nd June 2023

(10 months, 2 weeks ago)

Commons Chamber
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Peter Aldous Portrait Peter Aldous (Waveney) (Con)
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I congratulate my right hon. Friend the Member for Hemel Hempstead (Sir Mike Penning) on securing this debate, and I thank the Backbench Business Committee for granting it.

Times are changing—often at a rapid pace—so I can understand the rationale behind the BBC’s plans. However, I am worried that its proposals have not been properly thought through, have not been fully researched, consulted upon or scrutinised, and risk isolating particular groups and communities that the BBC is obliged to serve. It is in that context that I make the following observations.

My first point is that if these proposals go through, at certain times Radio Suffolk will share content not only with Radio Norfolk, but with Radio Cambridgeshire, Three Counties Radio, which covers Bedfordshire, Hertfordshire and Buckinghamshire, and Radio Northampton and Radio Essex. The total population of all those counties is higher than that of Denmark and they cover an area three quarters the size of Belgium.

Secondly, it is necessary to bear in mind that older people are often living on their own without advanced digital skills. For them, local radio is a vital link to the outside world. In many respects, the need for such a service has been reinforced and restated by the covid lockdowns. The need to meet the needs of older people is very much relevant in East Anglia, where we have a particularly high proportion of older people living in the region.

Thirdly, it is vital that policy changes of this nature are subject to a rurality test to ensure that they do not unfairly impact on those living in rural areas, such as Suffolk. It is also important to highlight the role that BBC local radio has played at times of emergency and crisis. On the night of 5 December 2013, a storm surge hit the east coast of the UK. Radio Suffolk, led by presenter Mark Murphy, played a key role in keeping local communities and those responsible for co-ordinating support and rescue services informed about the progress of the storm surge down the Suffolk coast. The information provided may well have saved lives and prevented injury. It was a spontaneous and local decision by Radio Suffolk to alter its programming to provide that service. It has been suggested that local newspapers can take on this role, but it should be pointed out that many of them have embarked on the same journey that the BBC is now pursuing of moving their services on to digital platforms.

My final point is that it is important to emphasise that the BBC is not the only provider of local radio. East Suffolk One is emerging as an exciting new local radio station based in Lowestoft and covering the Suffolk coast. However, it is currently constrained from growing and developing by not being able to broadcast on a DAB frequency, by poor local DAB infrastructure, and by a time-consuming, bureaucratic and expensive commercial radio licensing structure. On 29 March, the Government published the draft Media Bill, which has the objective of reducing the regulatory burdens and costs on commercial radio stations. There is now an urgent need for this Bill to start its progress through Parliament, and I would welcome an update on the Government’s plans when my right hon. Friend the Minister replies.

In conclusion, I urge the BBC to pause and review its plans, and I ask the Government to liaise closely with the BBC to ensure that its proposals fit in with and complement a properly co-ordinated local media strategy.

Oral Answers to Questions

Peter Aldous Excerpts
Thursday 18th May 2023

(11 months, 3 weeks ago)

Commons Chamber
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Kevin Hollinrake Portrait Kevin Hollinrake
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Paying the national living wage is the law, and failing to pay workers the correct wage can result in significant fines, public naming and, for the most serious offences, criminal prosecution. The national living wage applies to all those who are classified as employees or limb (b) workers. If an individual feels that their employment status has been misclassified, they have the right to go to an employment tribunal.

Peter Aldous Portrait Peter Aldous (Waveney) (Con)
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T1. If she will make a statement on her departmental responsibilities.

Kemi Badenoch Portrait The Secretary of State for Business and Trade (Kemi Badenoch)
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As Secretary of State for Business and Trade, my priority is to support UK companies to thrive at home and abroad, which is why this week I launched negotiations for an enhanced UK-Swiss free trade agreement alongside my counterpart, Federal Councillor Guy Parmelin. Trade between us is worth almost £53 billion and, as two service economies, a modernised agreement presents huge opportunities for the UK and Switzerland. I met representatives from SIX Swiss Exchange, the backbone of Swiss financial services, and several innovative start-ups at the fintech accelerator Tenity.

Peter Aldous Portrait Peter Aldous
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Fish and chip shops have been part of the fabric of British life for generations and should be the cornerstone of a revived domestic fishing industry. However, shops in the Lowestoft and Waveney area continue to face an ongoing triple whammy of high energy costs, high fish prices and the high cost of cooking oil. Will my right hon. Friend work proactively with the sector to agree a strategy that ensures the survival and subsequent flourishing of fish and chip shops?

Kemi Badenoch Portrait Kemi Badenoch
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My hon. Friend is a doughty champion for his local fish and chip shops. We recognise the importance of fish and chip shops to local communities and the challenges they face. We have introduced a range of support measures to address the specific issues he raises, including changes to business rates that, across the country, are worth a total of £13.6 billion in lower bills. We are also supporting non-domestic energy customers through the energy bill relief scheme, and we recently introduced the energy bills discount scheme, which runs until March 2024. We will keep working closely with the sector as part of the Hospitality Sector Council to improve the resilience of businesses, including the fish and chip shops in Lowestoft.

Norfolk and Suffolk NHS Foundation Trust

Peter Aldous Excerpts
Tuesday 7th March 2023

(1 year, 1 month ago)

Commons Chamber
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Dan Poulter Portrait Dr Dan Poulter (Central Suffolk and North Ipswich) (Con)
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It is a pleasure to bring some positive news and, I hope, some reasonable asks to the Minister regarding Norfolk and Suffolk NHS Foundation Trust. May I first declare an interest as a practising psychiatrist? I do not work for the trust, but I think it important to bring the House’s attention to that point.

Over the past few years, we have had many debates in this place and many meetings with Ministers about Norfolk and Suffolk Foundation Trust. The good news is that in the last few days, the trust has been taken off special measures and is no longer rated “inadequate”. The tremendous effort of the board and the staff has paid off, and, as a result, we have seen in the latest Care Quality Commission report a considerable improvement in the quality of patient care.

The background is, as we know, that Norfolk and Suffolk Foundation Trust, which serves roughly 1.6 million people across Norfolk and Suffolk, and has about 87,000 patient contacts a year, has been in difficulties for a number of years. Over the past eight years, the trust has been rated “inadequate” four times, which I think probably places it not just as an outlier but as historically the worst-performing trust in the country for both physical and mental health.

A tremendous amount of work has needed to be put in to turn things around. I am optimistic that the new leadership team at the trust, the board and the staff have done the necessary work and that they will now continue that work to ensure that the people of Norfolk and Suffolk with mental ill health receive the improved care that they need.

In its most recent inspection, the CQC conducted an unannounced comprehensive inspection of two core services: child and adolescent mental health wards and community-based mental health wards. That inspection took place towards the end of last year. The CQC highlighted in its report, which was published on 24 February, a number of areas of improvement. It awarded NSFT an improved overall rating. It still requires improvement as a trust, but that is much better than being inadequate. The trust is now rated “requires improvement” rather than “inadequate” across all CQC domains, with the exception of the caring domain, in which the trust continues to be rated “good”. On individual services, 60% of those inspected are now rated “good”, and the trust no longer has a legal warning notice relating to concerns about the quality and safety of its patient care.

The CQC reported:

“The trust has moved at pace to make the necessary changes and significant improvements could be seen at all levels”.

It also described largely positive feedback from patients and service users, who said that they

“felt safe and well cared for...staff were supportive of their needs and friendly and approachable…staff were kind, they felt listened to…staff helped them when they needed it”

and that

“they were fully involved in their care”.

That is positive feedback from patients.

Key areas of good care highlighted by the CQC included the NSFT’s child and adolescent mental health ward, Dragonfly, which achieved a significantly improved overall rating of “good”; acute wards and community-based mental health services, which support working-age adults and achieved positive improvements in overall ratings; and the community-based mental health services for adults of working age, whose Bury St Edmunds pilot programme for dialectical behavioural therapy—a type of therapy generally provided to people with personality disorders—was recognised for outstanding practice.

Peter Aldous Portrait Peter Aldous (Waveney) (Con)
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I congratulate my hon. Friend on securing the debate. He mentioned improvements on the acute wards, and I wanted to highlight that a recurring theme of my 13 years as an MP has been the lack of acute beds in the region, and how for so many people with real challenges beds have to be sourced out of region, which causes them a lot of stress and their families a great deal of anguish as well. I am aware that the trust has plans to address the deficit, but does he agree that this issue must be addressed as a high priority?

Dan Poulter Portrait Dr Poulter
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My hon. Friend is absolutely right. He has been a strong advocate for patients in his constituency receiving the care they need locally, which is something we all want for mental health patients. The trust has identified that out-of-area placements have been a problem, which is now being addressed at board level and throughout all services. Part of that work will be about improving and developing the mental health estate, improving the in-patient facilities available locally in Norfolk and Suffolk, and part of it will be about transforming the model of care, moving away from inappropriate in-patient admissions where people can be better cared for in the community. I will return to that subject, but my hon. Friend is right to say that the trust must continue to focus on reducing out-of-area placement, which is not good for patients or for their families, who want to support them while they are being cared for in hospital.

A key point that the CQC highlighted was strengthened leadership across the organisation, in individual services and particularly at board level. That was reflected in the trust now having a rate of mandatory training compliance among staff of at least 90%, and the trust rolling out accredited training in the prevention and management of violence and aggression, following a case in which restraint had been carried out incorrectly.

There has been significant change at board level, which I believe has been vital in driving the improvements in the quality of patient care. There has been a number of new appointments: trust chair Zoe Billingham, non-executive directors Dr Roger Hall and Sally Hardy, chief executive Stuart Richardson, deputy chief executive and chief people officer Cath Byford, chief medical officer Dr Alex Lewis, who is particularly impressive, and chief operating officer Thandie Matambanadzo have all brought significant experience and qualifications to the trust. It is by bringing in that external expertise that the trust has been able to understand what good looks like, and to begin to transform services and patient care.

The trust’s clinical and other governance processes have been strengthened. The number of board sub-committees has been reduced to streamline systems of assurance. External stakeholders have become more active participants through committee memberships. An evidence assurance group has been introduced to ensure that progress-monitoring data is accurate. The strengthening of a ward visit quality assurance team has also been important to driving up standards; this team carried out 100 comprehensive visits between March and October 2022. The introduction of a new digitised and simple method of completing clinical audits is another key element of driving up standards at the trust.