Mr David Lammy
MP for Tottenham · Labour · United Kingdom
“I am delighted to welcome the shadow Housing Secretary to the Dispatch Box. He, of course, could have been doing that job every week if he were better with numbers.”
“The right hon. Gentleman has not proposed what the Conservatives would do if they were in office. They released 10,000 under four different schemes, with no impact assessment when they released them, no victim contact when they released them, and no warning. They did it on the sly.”
“This is a very serious issue and the right hon. Gentleman is experienced in this House. He knows that while he was Home Secretary, the Conservative Government had an early release scheme that let out 10,000 offenders—10,000. They had six schemes within a year.”
“I have been asked to reply on behalf of the Prime Minister, who is attending the NATO summit. Working with our allies, we are strengthening Europe’s role in the alliance, which remains the cornerstone of our national security.”
“The right hon. Gentleman insists on proving that he cannot count. We lost 16,000 police officers when the Conservatives were in power. The British people have not forgotten what they did to our country. After two years of this Labour Government, I will compare our record with theirs every day of the week.”
“I am grateful to my hon. Friend. I have the honour to say that His Majesty the King has accepted our advice to grant Ruth Ellis, the last woman to be hanged in the United Kingdom, a conditional pardon. [Hon.”
The complete record
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“That plan involved wheat, raw materials and industrialisation that was needed across Europe, and that money came through aid from the United States and birthed much of the current aid debate. It is important to preserve the 0.7%, which we put in statute, but also to have deep discussions about and scrutiny of where those funds go. Let us remember that this debate is not isolated. A long history ties us to these countries, which we now stand beside. We must remember our position in the Commonwealth, but also a history that carved up Africa with arbitrary borders and created lots of strife because of different tribal wars. For that reason, this is not the time to walk away from the important aid discussion.”
“However, we should always remember that constituents such as mine give far more in remittances to the developing world than is given in aid by the British taxpayer. The money is from people from all corners of the world who are working hard and paying their taxes, but also from those sending small amounts of money—indeed, I am one of those people—to relatives who barely have shoes on their feet. It is important to put that firmly on the table. I remind the House that one of the biggest aid programmes was the Marshall plan. That was, in a sense, the birth of aid. It came at a time when this country was in rubble. We got $3 billion from the United States of America.”
“I do agree with that point, and that is why I stand by the 0.7%. That target was first established in 1970 by Jan Tinbergen, a Nobel prize-winning economist, and he came to that figure because he believed it was the amount that would allow developing countries to get into growth. That is why Britain should stand firmly in a leadership role. I represent a north London constituency that has seen two riots in a generation and that has deep pockets of poverty. Many of us in this House have talked richly today of travelling to developing countries; it is important that we understand that that is a privilege that many of our constituents do not have, and for that reason we play a leadership role in this debate. We lead and explain; we do not simply follow those who act understandably, given that they face poverty.”
“I, too, welcome the Secretary of State’s historic decision to make diversity a public purpose; I congratulate him on that. It is something I felt the Labour Government should have done when we were in power. The truth is that, at that time, we rightly made the important decisions to extend the scope of the BBC fully to grip the nations. The move to Salford has been part of that. Does the Secretary of State agree, however, that diversity will need funds? I hope that the BBC will allocate the appropriate funds to ensure that diversity is delivered, both on and off screen.”
“I have heard what the Secretary of State has had to say about the BBC’s independence, but does he recognise that there is just one ethnic minority member on the current board and that it would be a great travesty if the same old people in the same old Westminster village occupy the same old roles?”
“Let us think about context. There is a housing crisis. So many Londoners speak English as a second language. Real deprivation still exists right across London. There are the concerns, which we talk about in this place, about guns, knives and gangs in this city. Given all that, I say to the Minister that he should tread very carefully when it comes to making the sort of reductions to London’s funding over the next period that we have been hearing about. We will see a slip back. We will slip down the tables nationally, and our competitors in other countries will overtake us. The Government have to look again and find ways to level up the picture. They should remember that the real conversation about education in this country is not within the state sector, but between the state sector and the private sector.”
“It is wonderful that we have seen a reduction in the number of young people attending young offenders institutions in this country, but there has been no reduction for black, Asian and minority ethnic young people—a lion’s share of them from London. In fact, things have gone the other way. Look, too, at our pupil referral units; there is a lot to do here in London. Alongside all the issues that have been mentioned, there is the real issue of churn in our communities, because of the major housing crisis affecting the city. Housing is overcrowded. The vast majority of the young people we are concerned about are in private accommodation and move somewhere else every six months, across borough boundaries. A funding formula that does not take that mobility into account is in real danger of compounding problems, not alleviating them.”
“In respect of young people with English as a second language and families who have real needs because they are newly arrived in this country, if we change the formula just a bit we can see a huge slip-back in performance. I was at school in the 1970s and ’80s as part of the African-Caribbean community in this country, and I think it is largely agreed that there were significant failures in education for that minority community. We now see the repercussions of that ricocheting across our country. We also ought to remember the review that the Prime Minister asked me to undertake over the year. More details were published recently.”
“I was proud to support the London Challenge when it started, and we have certainly seen advances in London, including in my borough, but let us not go too far. Some 60% of young people in London on free school meals do not get five A to C grades in their GCSEs, and there is still a lot of work to do. This city represents a larger share of our country’s GDP than at any time since 1911, and its competition is with Shanghai, Bombay, Berlin and Bonn. It is with a lot of countries that are investing in their education systems, not raiding schools’ funds. I know that when the Minister looks at the programme for international student assessment league tables, he will see where London stands—he will see that if we muck up the alchemy in London, my God will we undermine education in this country!”
“There are also many cities beyond London where there are real concerns about the educational picture and the league tables show that there is a lot to do. However, the real challenge in our education system is not the gaps between state schools but the gap between state schools and private schools. That is why we have heard a lot about levelling up. The funding per pupil for students attending private schools is still double and more—[Hon. Members: “Triple!”] Indeed, it is triple the funding for young people attending state schools. The ambition of all Governments, of whatever party, ought to be to reduce that gap, not to raid the budget of state schools. A lot has been said about the success of education here in London, and it has indeed been a success story in the recent period.”
“My hon. Friend the Member for Hornsey and Wood Green (Catherine West) said a lot about education in Haringey, and I do not want to repeat it, but I want to speak briefly as a former Higher Education Minister. I have great respect for the Minister and consider him a friend—I have doubts about his politics, but I know that he is an intelligent and intellectual man who applies rigour to his job. The Minister has heard a lot today about the need to level up funding. All Members recognise that there are real challenges for young people growing up in what would traditionally be described as white working-class environments—certainly in the seaside towns, and also in rural parts of the country.”
“The Minister has made a lot of “affordable”. Can he define it? Is it right that an affordable starter home in London will be round about £450,000?”
“I am grateful to my hon. Friend for giving way on that brilliant point. Does he agree with some commentators that this Bill—this sounds very dramatic but it is very serious—marks the end of mixed communities in a number of London boroughs?”
“Why are they proposing to push that through? They are stretching councils to breaking point but are not even prepared to publish an impact assessment. Homelessness will increase and more families will end up in temporary accommodation. More families on low incomes will be reliant on the private rented sector. Of course, if they are reliant on the private rented sector, who will pick up the bill for that? We the taxpayers will, because housing benefit will increase.”
“The overwhelming majority of that money—some £176 million —was spent in London; 10% of the total figure—some £20 million—was spent in my home borough, the London borough of Haringey. We have heard from my hon. Friend the Member for Hackney South and Shoreditch (Meg Hillier), who chairs the Public Accounts Committee, which has looked into the extension of the right to buy. Its report makes sobering reading. The Government have not published a proper impact assessment on the full extent of the right to buy. In fact, my hon. Friend said: “The Government should be embarrassed by the findings of this Report.” I could not agree more. I ask the Government why they are planning to push through changes that would reduce social housing stock by 370,000 by 2020. That figure is not from the Labour party; it is from the Chartered Institute of Housing.”
“I am grateful to you, Madam Deputy Speaker, for calling me to speak, because I know that many other Members wish to. I will therefore not take any interventions. The Government’s own figures show that rough sleeping has increased by 30% over the past year, and it has almost doubled since they came to power back in 2010. The Mayor of London promised to tackle homelessness in the capital, but it has doubled over his period in City Hall. The Combined Homelessness and Information Network found that there are 7,500 rough sleepers on London’s streets alone. Councils are spending a staggering £623,000 every single day on temporary bed and breakfast accommodation just to put a roof over the heads of vulnerable families. That equates to £227.5 million last year, a rise of over £60 million on the previous year.”
“It has been said before that what we are seeing in London—this Bill will make this worse—is a move towards what we see in Paris, with an inner sanctum that is very well off, surrounded by an outer banlieue where people who are very poor move when they are increasingly pushed out. We should commit to having a balanced situation. Of course we want to help people on to the housing ladder, but surely we do not want to drive the very poorest into some of the most squalid housing in the city and then ask taxpayers to subsidise it.”
“It is a phenomenal waste of resources. Usually, although we play party politics and there are dividing lines, there are issues on which there is some agreement. But here we have a Bill that offers a discount to those who can be earning up to £77,000, and there is already a discount for right to buy. The housing benefit bill is bound to go up. How is that a sensible Conservative policy? That is what I would like the Minister to explain. On what analysis is that fiscally sensible? It does not feel fiscally sensible to me to introduce a set of policies that will not only run a coach and horses through our housing policy, but actually cost the taxpayer more in the long run. That is all in addition to the issues of social exclusion and, I believe, social cohesion that will inevitably follow in parts of London.”
“Does the hon. Gentleman dispute the figures given by the Office for National Statistics, which has said that the average first-time buyer in London paid £400,000 last year?”
“I trust the Minister will ensure that the trust receives the funding it needs, and that he will recognise the CQC recommendations. By having this debate, I am putting him on notice of the real concerns about the development of the St Ann’s site and the real need to bear down on the pressures that the trust is under, in this pretty tough part of north London.”
“I call on the Minister urgently to look at the plans for the redevelopment of the St Ann’s site. I understand that the north London estates plan will be finalised by the end of June, and I seek an assurance that a decision, including consideration of the community land trust’s proposal, will now be made. I ask the Minister to visit the St Ann’s site to see the problems for himself, and I ask him to earmark appropriate funding for the crisis team and children’s mental health services. I must warn the Minister that we have seen some terrible cases in my constituency. A young boy was injured and died outside his secondary school as he left with three friends. Police officers were assaulted with a machete. We have seen suicide and attempted suicide, with catastrophic consequences, in the recent past.”
“I am grateful to the Minister for last week agreeing to my November request for a cross-party delegation of local MPs to come and discuss our concerns about the trust. Let me put on record what I call on him to do to help the trust, to ensure that the services that it provides are safe and that work begins to ensure true equality between physical and mental health services in Haringey. The context is important, not just because of the suicide rate in England—the number of suicides recently soared to 4,881 in 2014—but, most disturbingly, because the draft version of that report stated that had just £10 million extra been spent on services for people who were suicidal, 400 extra lives would have been saved. For the sake of £25,000, which is less than the national average salary, each of those lives could have been saved.”
“It is no surprise to me that that is the case, despite the efforts of staff and leadership, when funding is so tight and the level of need is so high. The CQC report stated that out of 11 areas, five required improvement, five were good and one was outstanding. The report concluded that mental health admission wards for adults required improvement, community-based mental health services required improvement, child and adolescent mental health required improvement, specialist community health services for children and young people required improvement and crisis mental health, including home treatment teams, required improvement. Many detailed recommendations have been made by the CQC to improve services, but no extra money has been put on the table to enable the trust to comply.”
“I have raised both those subjects because I am seriously worried about health in the London borough of Haringey and in my constituency. Despite myriad problems, only 16 months ago the independent Carnell Farrar review of the affordability of mental health services provided by the trust found that there was no compelling evidence to support merging the trust with any other organisation; that the trust is relatively efficient; and that there is a clear case for clinical commissioning groups to invest in it. I had hoped that that would mark the end of the speculation about the trust’s future, but the CQC report, published in March this year, of the routine inspection conducted in December 2015 gave the trust an overall rating of “requires improvement”.”
“It would result in affordable homes being built on the site, it would be holistic and it would fit with the mental health plan. I hope that the Minister might take an interest in it and that the next Mayor of London, whoever that is, will also take an interest. The trust’s plan would not require any capital from NHS England. I have to ask why, on this site and in this constituency, and given the circumstances in which the trust finds itself, no capital is forthcoming from NHS England. It seems that the decision about whether to build a new hospital has, once again, been pushed by the Government into the long grass, and we have been given no date at all. This debate about mental health comes on the back of a debate that I secured about the situation of primary care in the borough.”
“This impacts on the trusts ability to deliver safe services within this environment.” That is a problem that the site has tried to resolve on the 28-acre St Ann’s site over the last decade. Finally, the trust submitted plans to develop the site last year. It hopes to fund a new hospital and other health services on one third of the site by building homes on the remaining land. I have to say that I oppose those proposals, because they include only 14% affordable housing, even though London has a housing crisis. Despite my objections, the trust was granted planning permission in March last year. There is an alternative proposal—it is a great proposal, which needs support—to build a community land trust. That is exactly what successive Mayors of London have said they want to see.”
“Is that really a safe outcome for the community that requires the trust to serve it as best it can? The shortfall in income is not the only problem the trust faces. Far from the Government’s rhetoric of parity of esteem, the truth in Haringey is that patients are condemned to treatment in a hospital that was designed to meet the needs of 19th-century fever patients, long before the discovery of antibiotics, rather than the delivery of therapeutic interventions appropriate to current patients’ needs. Indeed, the most recent Care Quality Commission inspection found that “the physical environment of the three inpatient…wards” on the St Ann’s site was “not fit for purpose due to its age and layout.”
“We are not talking about varicose veins or wisdom teeth; losing beds in these circumstances has a dire impact. My hon. Friend the Member for Hornsey and Wood Green will be aware of a recent case in the constituency. A young man whom I have known all his life attempted suicide and it has had a life-changing physical effect on his body. My hon. Friend might say a little more about that case, but it happened directly because there was no bed for him. St Ann’s hospital is constantly running at over 100% capacity, while other mental health providers in London run at 85% to 90%. With each new admission, St Ann’s wards each have to nominate their “least ill patients” for discharge back into the community. Despite the efforts of staff, does that really present a safe outcome for those vulnerable patients and their families?”
“It has also been proven to be underfunded over the course of not one or two, but three independent reports. The first of those reports was back in early 2014, the second in late 2014, and the third in October 2015. The independent evidence is that the trust needs £4 million a year, but it has not received a penny extra in funds, and no firm plan has been established to address the funding gap, which means that the trust now anticipates a deficit of £12.9 million in 2016-17. The reality locally is that St Ann’s hospital in my constituency has lost a third of its beds in the past eight years alone, and this is a hospital that is obliged under section 136 of the Mental Health Act 1983 to find a bed for every patient detained under that section because they pose a risk to their own life or to the lives of others.”
“However bleak the national picture, it does not get anywhere close to the gaping holes in funding for mental health services that face the patients of Barnet, Enfield and Haringey Mental Health NHS Trust. Despite the obvious and ever-increasing need, that trust, on top of the vast inequality between physical and mental health services, receives a lower share of income proportionately than any other mental health provider in London. It is hard to understand how an area that includes Tottenham gets the lowest level of funding in London. The trust has already done so much cost-cutting over the years that it is the most efficient NHS mental health provider in London. It already has the lowest number of acute mental health in-patient beds in London and higher productivity than other providers.”
“However, given that the budget had previously been cut, I find it difficult to see how it was a net increase, not least given the pressures of an ageing population. The Prime Minister announced that those particular funds would be targeted towards helping new and expectant mothers with poor mental health and towards liaison between mental health services, A&E departments and crisis teams, but that is not what I am seeing on the ground. As demonstrated so vividly in BBC’s “Panorama”, the truth on the ground could not be more different. Far from the level of funding being equal between physical and mental health services, or the gap decreasing, mental health hospitals have had far deeper cuts imposed on them. The reality is that 3,000 mental health beds have been cut across the country in the past five to six years.”
“Then, the very first section of the coalition Government’s infamous Health and Social Care Act 2012, which contained the central duty imposed on the Secretary of State in relation to our treasured national health service, was amended to put these services on an apparently equal footing. However, the reality already facing mental health patients across the country in 2014 was something different: mental health funding was cut for the first time in 10 years, and there were fewer services for children and young people, fewer beds, and more people on acute psychiatric wards. Many other strategies and documents were published, promising an improvement in services and repeating the mantra of parity of esteem, until the Prime Minister himself returned to the issue at the beginning of the year and finally announced some funding.”
“The taskforce’s draft report also revealed that men from these groups are, on average, detained for five times longer. As mental health problems affect so many lives, 23% of the UK’s burden of disease is mental health. That figure is higher than the burden of disease in cancer or in cardiovascular disease, which stands at 16.2%. Why then do mental health services receive only 11% of the NHS’s budget? It is clear that institutional bias against providing proper care for people suffering from mental health problems persists in 2016. It was as far back as February 2011 that the coalition Government published their strategy for improving the nation’s mental health, which stated the now much-trumpeted concept of parity of esteem—an idea that began with a Lords amendment from Labour peers in the other place.”
“I have already brought to the attention of this House the fact that, on average, an adult male in my constituency can expect to live to just under 75 years of age. It is a sobering picture, then, that the average age of a male suffering from a severe mental health problem in my constituency may be under 55. But premature death is not the only complication for my constituents suffering from mental health problems. The Mental Health Taskforce commissioned by NHS England in February this year found that men of African and Caribbean heritage are up to 6.6 times more likely to be admitted as in-patients or detained under the Mental Health Act 1983, indicating a systemic failure to provide effective crisis care for these groups.”
“I bring this debate to the House today because it is unacceptable that, despite the fact that mental health problems cost the economy £100 billion per year, three out of every four people with mental health problems in England receive little or no help for their condition. I suspect that that figure is far higher in my constituency, given the high level of need. Today in this country mental health problems are not just some form of rare disease. The truth is that one in every four people will suffer from mental health problems during the course of this year. For the most greatly affected, mental health problems are fatal. It simply cannot be right that in our country in 2016 those who suffer from the most severe mental illnesses die, on average, 15 to 20 years earlier than the general population.”
“They have all been asked to do, frankly, an impossible job in the constituency and in the London borough of Haringey, which has 12 of the most deprived wards in the country where 2,284 people are receiving personal independence payments, over 270 different languages are spoken, 1,334 people have had their benefits sanctioned, and 826 households have found themselves homeless in the past year. Social tensions are high, funds are tight, and there is an ever-increasing need for urgent help, from mental health services for children and young people to dementia services for the old.”
“I am grateful to have the opportunity of this debate on this very serious subject. I am pleased to be joined by my hon. Friend the Member for Hornsey and Wood Green (Catherine West), who stands with me on this debate and also wants to speak about our mental health services in Haringey. Let me state from the outset that I have the utmost respect for and gratitude towards all the staff working within Barnet, Enfield and Haringey Mental Health NHS Trust, who tirelessly care for some of the most vulnerable members of our community. Not least among those is the trust’s chief executive, Maria Kane, who has been recognised by the Health Service Journal as a top NHS chief executive who was shown to be doing a stellar job in the recent BBC “Panorama” film, “Britain’s Mental Health Crisis”.”