(3Â years, 8Â months ago)
Commons ChamberThe promise of levelling-up funding rings hollow in many areas. The Governmentâs decision to overlook local projects in Axminster and Seaton in Devon, where I live, and also in Gloucestershire and Shropshire reminds people in these counties that they continue to be taken for granted. I know that Army personnel at Catterick garrison in the Prime Ministerâs constituency would prefer to have homes fit for heroes rather than funding for a new glass pavilion in that town. What assurances can the Minister give the House that the Governmentâs method for assessing rural bids was objective?
It is very important that we level up in Devon. We absolutely do not take it for granted. I know that the hon. Gentlemanâs constituency recently received funding for a new school in Tiverton and that East Devon secured ÂŁ15 million through this fund.
(3Â years, 11Â months ago)
Westminster HallWestminster Hall is an alternative Chamber for MPs to hold debates, named after the adjoining Westminster Hall.
Each debate is chaired by an MP from the Panel of Chairs, rather than the Speaker or Deputy Speaker. A Government Minister will give the final speech, and no votes may be called on the debate topic.
This information is provided by Parallel Parliament and does not comprise part of the offical record
I beg to move,
That this House has considered the role of homes and buildings in levelling up health and wellbeing.
As always, it is a pleasure to serve under your chairmanship, Mr Hollobone. This is a very important issue. I understand from others that some other statements are being made at this moment in time, or thereaboutsâwell, people cannot always be in this Chamber when other things are perhaps more engaging.
We have not had a debate on this issue in Westminster Hall or, indeed, in Westminster for a year and a half, maybe even two. I chair the all-party parliamentary group on healthy homes and buildings and we wanted to refresh the Houseâs awareness of the issue, so Westminster Hall seemed the obvious place to come to do just that. I thank the Backbench Business Committee for agreeing to my application and I am delighted to have secured a debate to discuss the very important role homes and buildings play in levelling up health and wellbeing.
I came into the House in 2010, when the independent Marmot review was taking place. Let me set the scene with a quote from a House of Commons Library paper:
âThe causal link between poor housing conditions and poor health outcomes is long established. The independent Marmot Review (2010) said housing is a âsocial determinant of healthâ meaning it can affect physical and mental health inequalities throughout life. The Marmot Review 10 Years OnâHealth Equity in England, recorded an expansion in research on the relationship between poor housing and healthâ.
We cannot divorce the two. Quite simply, wellbeing, health and housing are intertwined. Todayâs debate is important because, as the Government move forward with their policies and strategies, we need a clear strategy that takes up the issue of housing and health. The 10-year review of Marmot said:
âPoor-quality housing harms health and evidence shows that exposure to poor housing conditions (including damp, cold, mould, noise) is strongly associated with poor health, both physical and mental. The longer the exposure to poor conditions, including cold, the greater the impact on mental and physical health. Specific physical effects are morbidity including respiratory conditions, cardiovascular disease and communicable disease transmission, and increased mortality. In terms of mental health impacts, living in non-decent, cold or overcrowded housing and in unaffordable housing has been associated with increased stress and a reduction in a sense of empowerment and control over oneâs life and with depression and anxiety. Children living in overcrowded homes are more likely to be stressed, anxious and depressed, have poorer physical health, attain less well at school and have a greater risk of behavioural problems than those in uncrowded homes.â
I also chair the all-party parliamentary group on respiratory healthâI am wearing my two chairsâ hats. Furthermore, of the many all-party parliamentary groups on which we all serve, I also chair the all-party parliamentary group on vascular and venous disease. Again, these issues are key. That is why the debate is so important.
Let me spend some time on the hazards. Across England, Yorkshire and the Humber are the regions with the highest proportion of homes with category 1 hazards, at 15%. The east had pretty damning figures as well. The figure for Northern Ireland, which concerned me greatly, was that 9% of homes had a problem. The midlands was at 13%, the north-west 12% and the south-east and London had the lowest proportion. I find that hard to believe, considering some of the information I am aware of. I see that the hon. Member for Luton North (Sarah Owen) is present to speak on behalf of the Labour party, and some figures from othersâ constituencies may contradict what is being said. An estimated 18% of homes in Wales had a category 1 hazard. Given the busy job that I do in my office as an elected MP, I know that mould growth in housesâbe they Housing Executive houses back home, housing associations or private rentalsâaffects peopleâs health.
The hon. Member for Wansbeck (Ian Lavery) asked how the Governmentâs levelling-up policy planned to tackle
âillnesses directly linked to living in cold, damp and dangerous conditions.â
The then Parliamentary Under-Secretary of State for Health and Social Care, the hon. Member for Erewash (Maggie Throup), replied that it was an important issue and that a
âdecent home can promote good health and protect from illness and harm.ââ[Official Report, 19 April 2022; Vol. 712, c. 12.]
All those things set the scene for where we are today and why it is so important that we move forward in a constructive and positive fashion. Most of us spend over 90% of our time indoors, so the nationâs homes and buildings should positively contribute to our physical and mental health and wellbeing, and not in any way diminish it.
The covid-19 pandemic highlighted prevailing health inequalities in our society. The most vulnerable are more likely to live in unhealthy homes that are damp, energy-inefficient, noisy, poorly ventilated and crowded. The inextricable link between our health and wellbeing, and the homes and buildings where we work, rest and play, is clearânever more so than during the pandemic. There were a great many negatives to the pandemic, and it emphasised some of the areas where improvement can take place. Having to spend more time in our homes, with many more people working remotely, emphasised the impact that our homes and buildings have on our health. Unhealthy housing impacts on economic growth, business performance, educational attainment, life chances, climate change and our nationâs health and wellbeing. Therefore, it makes sense to join up policy thinking, frameworks and standards and to ensure that all future housing, net zero and health policies do not contribute to, cause or exacerbate poor health and wellbeing.
The current energy and cost of living crises will only increase the problems caused by unhealthy homes and buildings. It is like a double whammy, because as the energy crisis hits and prices increase, that puts pressure on landlords, tenants and families from sides that they were perhaps not expecting. Many charities and other bodies across the United Kingdom of Great Britain and Northern Ireland predictâI hope they are wrongâa record number of excess winter deaths this year linked to thermal inefficiency in the housing stock. We must try to prevent deaths and ensure that they do not become a critical issue, although all the pointers seem to indicate that that will happen. There is strong evidence to support the idea that poor-quality and unhealthy homes cause or exacerbate poor health, thereby placing more pressure on our NHS.
Like others in this Chamber, I believe that if we can have early diagnosis and stop things happening in homes, we can improve further down the line when we do not have the major health problems that come off the back of poor housing. The Building Research Establishment, or BRE, estimated that in 2010 poor housing cost the NHS ÂŁ2.5 billion in first-year treatment costsâit is a big figure. Again, that indicates exactly where the issues are and why it is so important that every step is taken to address them. Building design, the retrofitting of buildings and the renovation of the current housing stock should adopt a holistic approach.
I thank the hon. Member for securing this important debate. I agree with him that the places we call home can have a huge impact on our health and wellbeing, particularly given the amount of time that we spend in them. In rural areas such as my part of Devon, that is even more pronounced, as buildings tend to be older, which means that they are often less energy-efficient and lack modern insulation. Does the hon. Member agree that the key to protecting peopleâs health and wellbeing is to ensure that buildings, and particularly our homes, are properly insulated?
I fully support that. I am probably of a greater age than nearly everybody in this Chamber, and I remember when we had not heard of insulation. We know about it today, and it is clearly part of having healthy homes. I thank the hon. Gentleman for that intervention, which sets the scene for what we need to do. I look to the Minister for a positive response.
Energy efficiency, indoor air quality, ventilation, lighting and acoustics are all clearly big issues, and the health, comfort and wellbeing of residents should be placed at the heart of good building and infrastructure planning. I understand that the Government have a policy to ensure that new builds adhere to those conditions to ensure the betterment that we want to see, but we must also address the question of homes that do not have those things, which brings me to insulation. There must be a plan of action. Will the Minister give us some indication of what the Government are doing to help buildings that do not come up to that standard?
I am very pleased to see the shadow Minister in her place, and I look forward to her contribution. I also look forward to the Ministerâs contribution, and I wish him well in his new role.
UK Green Building Council research found that 75% of new developments have poor thermal quality and performanceâthe very issue that the hon. Gentleman raised. To level up and reduce health inequalities, the Government must commit to deliver higher standards, and performance must be measured rather than just designed. It is very easyâI say this respectfullyâto have a plan of action, but we also need the action. Again, I look forward to the Ministerâs response.
We need to futureproof the built environment. New building and planning law must be designed and reformed to be fit for our long-term future. Some 85% of our homes will still exist in 2050. It is a sobering thought that the homes that are built today are there for a long time, so let us make sure energy efficiency, wellbeing and health implications are all part of an intricate system.
To level up, we need a national retrofitting strategy focused on delivering health and wellbeing. The Building Research Establishment estimates that poor housing in England costs ÂŁ18.6 billion per annum. That affects the health of thousands of people. Again, that is really worrying.
The subject of the debate is critical for peopleâs health. Health and wellbeing must now be placed at the heart of Government housing, environment, skills, planning and energy policy in order to level up and reduce the UKâs health inequalities. There is a collateral burden on our healthcare, education and public services.
I thank the Library staff for their background notes, which greatly enhance my knowledge of the subject and add to the debate. They refer to a number of things, including housing and covid-19, which we all, as elected representatives, know about. We must also look at housing and dementia. I am sure it is no different for other Members, but I have more constituents than ever being diagnosed with dementia and Alzheimerâs. The population is living longer. That does not always mean that people with Alzheimerâs or dementia are of a certain age, of course, but the fact is that most of them are. There are some things that we need to do about housing and dementia. I have also never seen so many people with mental health issues. Covid-19, dementia and mental health are three things that need to be correlated with housing and health.
The all-party parliamentary group for healthy homes and buildings is calling on the Government and the Minister to take forward its recommendations in its âBuilding our Future: Laying the Foundations for Healthy Homes and Buildingsâ white paper, to adopt a more holistic and joined-up approach to tackle the problem of unhealthy homes and buildings in Britain, and to adopt Lord Crispâs Healthy Homes Bill. I am sure that the Minister is very aware of that. He might wish to comment now. The white paper sets a clear direction and has a clear focus, which is helpful. I always make my comments in a constructive fashion; I am in the business, as we all are, of solutions, not negativity. If we highlight the issues, we can highlight the solutions.
Lord Crisp has called for a joined-up, holistic approach to healthy homes, health and wellbeing in the context of the Governmentâs levelling-up agendaâwhich I know the Government are committed to and which I welcomeâthe Governmentâs heat and buildings strategy, the decent homes standard review, the Building Safety Act 2022 and updated planning reforms. Those are five things into which the Government have a direct input.
We must also recognise the cost benefits of improving and levelling up our homes and communities, to remove health inequalities and positively contribute to the climate agenda. We cannot ignore climate change; it is a reality. When we build our homes, we must recognise that we need more energy efficiency. We want to meet the Governmentâs net zero 2050 target, to which this United Kingdom is committed.
We also want to commit to introduce legislation that addresses the growing health problems caused or exacerbated by the UKâs unhealthy homes and buildings. I watched a news story on flats in London. I just could not believe that anybody could ever live healthily in some of those properties, with the decay and mould growth. The danger to people was quite real.
We must also act to reduce health inequalities right across this great United Kingdom of Great Britain and Northern IrelandâI am ever mindful that the Minister is directly responsible only for Englandâand ensure that Britainâs homes and buildings do not cause or exacerbate poor health and wellbeing. The cost to society and the NHS is far too vast, and it is the poorest in our society who are particularly affected; it always is. I have a dutyâwe all doâto help those who need help most, and those are often the poorest in our society.
We must also enshrine a clear definition of health and wellbeing in future legislation. The healthy homes and buildings APPG white paper referenced the World Health Organisationâs definition of health as
âa state of complete physical, mental and social well-beingâ.
A healthy home is a safe home. However, at present, many homes are unsafe. I have some information from a group that I work with back home, Electrical Safety First, which gave me some stats for England. In England alone, there are five fires every week caused by electrical installations in homes. Electricity causes the majority of house fires, accounting for 53.4% of all accidental dwelling fires. I have also worked with a good friend, a fella called Michael Hilland, who was an electrical contractor. He no longer has his business, but he advises. I thank him and his organisation for the information.
Electrical Safety First believes that house fires can be reduced by mandating periodic electrical safety checks in homes across the United Kingdom. That is already the case for the private rented sector, and it should be for all housing associations, and indeed for the Housing Executive, which we have back home. However, enforcement measures do not go far enough. In the social rented sector, tenants will soon be protected. However, clarity is needed about whether electrical safety checks will cover installations and appliances, and also whether landlords will be given statutory powers to undertake electrical safety checks. I look to the Minister for some direction on that.
In the owner-occupier sector, there are currently no electrical safety protections. That is concerning, given that owner-occupied housing is likely to have the most dated electrical wiring, and houses a greater proportion of the elderly population, who are more vulnerable to electrical safety risks. The fact is, our mobility decreases as we get older. If we are living in a house that may be outdated or, indeed, where it takes time to get up and down the stairs or time to get out of the house, then, when it comes to electrical safety, more action needs to be taken.
The issue is particularly concerning because the owner-occupier sector makes up the largest housing tenure, accounting for some 65% of all households in England. As a result, the majority of households have no statutory protections from electrical safety risks. Again, I ask the Minister: what can be done? I know he will be positive in his response, and I appreciate that in advance, but I need to have the assurance in Hansard that the Government will take on board the things we are outlining. In total, across England, that means that some 15 million households have no statutory protection from electrical safety risks. That is a concerning figure. Data from the London Fire Brigade found that a greater number of owner-occupiers had experienced a fire than social and private renters combined. Again, that indicates a greater onus to try to sort out owner-occupiers and give them some guidance over what can be done to ensure they are safe and in no danger.
Separately, while there are provisions for vulnerable customers to receive free gas safety checks, no analogous provisions exist for electrical safety checks. I suggest that it is time to put electrical safety checks on the same level as gas safety checks for the simple reason of the number of fires and the dangers that are caused. I believe this must all be taken into consideration.
Health and housing are and always have been linked. That is why this debate is important. If we are to move forward and improve the health of our nationâwhich, as my partyâs health spokesperson, I am happy to promoteâhousing must be an integral part of that. I do not think we can divorce the two issues; they come intertwined, hand in hand, together. If one defines a personâs basic needs, the right to a healthy home is surely fundamental.
Healthy homes and buildings are not simply those where there is a lack of ill health; a healthy home should mean homes and buildings that maximise the occupantsâ physical, mental and social wellbeing. In a nation where mental health, anxiety, covid and advancing diseases have all grown in number, the focus of future housing policy must now shift to health creation. That is why this is an important debate. I hope the Minister will be able to give us some reassurance. We must not look at ill health prevention alone. Ill health prevention must become part of the strategy.
Delivering healthy homes and places is vital to levelling up our communities, towns and cities. This must be integrated together. Health and Housingâthe two Departments must work constructively together in a positive fashion. Healthy homes and buildings will make Britain healthier, save money and contribute to increased educational attainment and wealth creation.
In conclusion, I urge the Minister to support the White Paper and the recommendations put forward by the APPG on healthy homes and buildings, and to place healthy housing at the heart of the Governmentâs levelling-up agenda. I know that the Minister will have had a chance to look at the recommendations made back in 2018; they are as relevant today as they were then. Those recommendations show a strategy and a way forward. I look forward to hearing from the Minister, the shadow Minister, the hon. Member for Luton North, and others contributing.
(3Â years, 11Â months ago)
Commons ChamberRound 1 of the levelling-up fund saw a total ÂŁ1.7 billion awarded to 85 lead applicants across 105 bids from the UK. Of this, my Department has awarded ÂŁ1.24 billion, with ÂŁ187 million paid out to date. We expect that figure to increase significantly as these projects move through the delivery phases. I expect to announce the outcome of round 2 by the end of this year, with funding decisions based on the framework set out in our levelling-up fund guidance.
I am always happy to meet my hon. Friend, who is such a fantastic advocate for his constituency, which I think he has made iconic through his work. As I have just said to my hon. Friend the Member for Dover (Mrs Elphicke), I cannot comment on a specific bid, but I am always happy to talk about the issues affecting places such as Eastwood.
Please could I remind the right hon. Gentleman that levelling-up funding was a pivotal part of this Governmentâs general election manifesto in 2019? Could I also remind him that round 2 of the levelling-up funding was expected by now? We are now in mid-October. Could he let me and my constituents know when we might see an answer on round 2, such that we might fund the Cullompton relief road?
I thank the hon. Gentleman for his reminder, but I need no reminder of the importance on the need for levelling up. That is indeed why my colleagues and I were elected in 2019, and we will bring forward our answers on round 2 by the end of this year.