← LEADERSHIP TERMINAL

UK PARLIAMENT · SITTING

Justin Madders

MP for Ellesmere Port and Bromborough · Labour · United Kingdom

IN THEIR OWN WORDS

Friend the Member for Dunstable and Leighton Buzzard asked about, will consider the points raised in this debate and whether any of them can be put into future updates to guidance. As was mentioned, good passenger information is central to standards.

BUS STOPS · 2026-09-09 · READ IN HANSARD

As the roads Minister, I of course recognise the importance of bus stops and the important effect they have on the streetscape. My hon. Friend the Member for Dunstable and Leighton Buzzard made clear that she is passionate and informed about the importance of bus journeys to everyone.

BUS STOPS · 2026-09-09 · READ IN HANSARD

Where responsibility for highways or individual assets sits elsewhere, close and effective working between the relevant authorities is essential. We expect local plans to join up services, infrastructure and passenger information, rather than treating them as separate issues. That will no doubt be music to the ears of my hon.

BUS STOPS · 2026-09-09 · READ IN HANSARD

Our guidance encourages authorities to take a strategic approach to stops and interchanges, including keeping an inventory of infrastructure, identifying priorities for investment and setting locally appropriate standards for facilities and maintenance.

BUS STOPS · 2026-09-09 · READ IN HANSARD

She is absolutely right that the quality of a bus stop is about more than accessibility, although of course accessibility is vital. Passengers notice whether a stop is easy to find and use, whether it offers shelter or seating where appropriate, whether it is clean, whether the surroundings feel safe and well maintained and, as we have di…

BUS STOPS · 2026-09-09 · READ IN HANSARD

That approach reflects a simple principle: local transport authorities know their areas and are best placed to plan improvements across the whole local bus network. That is why the Department’s vision for buses, within an integrated transport system, puts local transport authorities at the centre of delivery.

BUS STOPS · 2026-09-09 · READ IN HANSARD

The complete record

Every one of 8,481 lines we hold for Justin Madders, in date order, each linked to its source. Free to read, in full, without an account. Page 78 of 170.

  1. It is a pleasure to see you in the Chair, Mr Betts. Happy new year to everyone who is here today. I congratulate the hon. Member for Wantage (David Johnston) on securing the debate, on his useful introduction and on the interesting points he made. This may be the first debate of 2022 and it may be a new year, but, as we have heard, many of the issues we are debating are not new and, aside from the leasehold scandal, have had insufficient attention from this place. We absolutely need more places for people to live; I doubt there is a Member in this place who disagrees with that. While the Government set some general targets about how many homes should be built, the detail is rightly left, in the main, to local councils.

    NEW HOMES: DEVELOPERS, HOUSEBUILDERS AND MANAGEMENT COMPANIES · 2022-01-05 · READ IN HANSARD

  2. Many of my constituents who were doing the right thing and self-isolating are becoming frustrated on days six and seven because they cannot gain access to the lateral flow tests that they need to be released early, although just three weeks ago the Health Secretary told the House that the country had tens of millions of tests. Can the Prime Minister tell us what has gone wrong, and will he apologise to my constituents for putting them in this position?

    COVID-19 UPDATE · 2022-01-05 · READ IN HANSARD

  3. I am pleased that my party’s persistence in pushing for a negative test as an alternative has been accepted, because it gives me enough confidence to support these regulations.

    PUBLIC HEALTH · 2021-12-14 · READ IN HANSARD

  4. I know things move quickly, but some of these regulations have been the subject of consultation for many months. There is no excuse for their being dropped in at the last minute. The decision to reveal the precise detail of these regulations at the last minute has probably generated more opposition than is warranted. I have had many representations from constituents about the entry to venues regulations on the basis that they represent a compulsory vaccine passport. Let us be clear that they do not. A negative test taken in the 48 hours before entry can be used as an alternative, which addresses many of the legitimate concerns that have been raised with me about civil liberties and discrimination.

    PUBLIC HEALTH · 2021-12-14 · READ IN HANSARD

  5. Having had the dubious pleasure of spending an inordinate amount of time in various Committee Rooms over the past 18 months to scrutinise regulations introduced by the Government as part of their response to the pandemic, I must confess that I have had withdrawal symptoms following the reshuffle, so I am pleased to have the opportunity to speak on these regulations today. I am sorry to say that, on too many occasions, regulations were debated well after they came into force, so it is positive that at last we seem to be getting into the habit of having debates and votes before regulations become law. I would not want that to be seen as a ringing endorsement of the Government’s approach to parliamentary scrutiny, as two of these sets of regulations were published only at 3 pm yesterday, less than 24 hours before this debate began.

    PUBLIC HEALTH · 2021-12-14 · READ IN HANSARD

  6. That exposes the wider truth that the Government have vacated the space where leadership should be. They are compromised by their own failure to follow the rules, riddled with internal disagreements about the route ahead and unable to provide the authority to persuade a sceptical public that the measures are needed.

    PUBLIC HEALTH · 2021-12-14 · READ IN HANSARD

  7. Covid has accelerated cases of burnout and only a few weeks ago, the Government passed up the opportunity to grasp the nettle by refusing to implement a long-term workforce strategy. That is why we need an awful lot more work on the regulations. The Government have an uphill struggle to earn people’s trust and explain why they consider the proposals necessary, to convince the public that what is before us will be the limit of restrictions and that we will not be talking about extensions or changes at some point in the future. Judging by the comments of many Conservative Members, the Government have failed to persuade a number of their Back Benchers, so it is little wonder that we are all being bombarded by emails from our constituents expressing concern.

    PUBLIC HEALTH · 2021-12-14 · READ IN HANSARD

  8. Regarding the vaccination of NHS staff, there is plenty of evidence to suggest that a small but significant proportion of covid admissions is the result of people acquiring the infection in hospital. I have seen figures to suggest that it has been as high as 15% to 20% of all covid admissions, although once staff started to receive the vaccination, the figure dropped dramatically. There is therefore evidence to show that the regulations will have an impact on covid admissions and the wider pressure on the NHS. I know it is difficult, but on balance, the regulations should be supported. However, that should not be the end of the story. We have had a workforce crisis for years.

    PUBLIC HEALTH · 2021-12-14 · READ IN HANSARD

  9. We are told that there are tens of millions of them but, as we know, there are challenges in getting them out to the people who need them. In those circumstances, will the regulations be suspended, or will people be pushed down the vaccination route? That said, the evidential burden for a negative test seems particularly broad. I think that will assist in reducing the burden on businesses, but it also increases the risk of fraudulent tests doing the rounds. That would undermine the whole point of the regulations. We do not want the worst of all worlds: an expensive bureaucratic system that does not actually help reduce transmission because it is not properly enforced.

    PUBLIC HEALTH · 2021-12-14 · READ IN HANSARD

  10. That would obviously undermine tests as an alternative to showing vaccine status. Charging people to obtain tests would be an absolute disaster from a public health perspective. That goes way beyond the remit of the regulations, but I hope we can get confirmation from the Minister that there are no plans to charge for tests. The Government need to do rather better at setting out what they consider the cost of the regulations to be to businesses. Again, I note there has been no impact assessment for the entry regulations. Who will pick up the cost of enforcing them? There is nothing I can see about supporting businesses to check people, let alone providing resources to local authorities, which are meant to enforce the regulations. What will be the position if there is a national shortage of tests?

    PUBLIC HEALTH · 2021-12-14 · READ IN HANSARD

  11. Given that the Government cannot even bring themselves to mandate wearing face coverings in pubs, I would be surprised if they moved in that direction, but I want confirmation when the Minister winds up that the Government are not planning any extensions to where the regulations will operate. We also need a clearer explanation of where the line is drawn and to which venues the regulations apply. Do places such as this, which fall into the definition of a public hall indoors with 500 or more people who stand up and move around, come within the ambit of the regulations? My reading suggests that they do. If we want to gain the public’s confidence, we should show that the rules apply to us equally. Another concern that has rightly been raised is whether a charge will be introduced at some point to obtain lateral flow tests.

    PUBLIC HEALTH · 2021-12-14 · READ IN HANSARD

  12. Indeed. If we look at what has happened in Wales, there has been a similar system for some time, which seems to be working reasonably well. People have been required to produce tests when travelling abroad and several venues in England have been doing that on a voluntary basis. It is not the slide into dystopia that some people fear, but the situation has not been aided by the Government not being as up front as they should about what the regulations mean. Many people already routinely take lateral flow tests before they go out. However, there are some outstanding questions and concerns. There is no doubt that some constituents feel that the regulations are the start of a slippery slope and that we will soon have to show vaccination papers to get in anywhere. I will be clear: I do not support such a move.

    PUBLIC HEALTH · 2021-12-14 · READ IN HANSARD

  13. My constituent Lexi is seven years old and has heart and lung conditions that mean she is clinically extremely vulnerable and has been home-schooled since the start of the pandemic. Her parents are understandably desperate for her to get vaccinated and to get back into school. I understand that it is the JCVI’s decision as to when that will take place, but can the Secretary of State give us some idea of what information the JCVI is waiting for, when it is likely to make a decision and whether he is doing everything in his power to hurry it up to make the decision that Lexi’s parents so desperately need?

    COVID-19 UPDATE · 2021-12-13 · READ IN HANSARD

  14. One of the frustrations that my constituents have is that if they live in a flat and someone else in the block is a persistent cannabis smoker, the whole block can reek of cannabis. It affects their health; it affects their children’s health. They go to the landlord, but the landlord says, “We won’t get involved unless there’s a police prosecution”—and more often than not, the police will not prosecute people for smoking in their own home. Is there anything in the strategy that will put an end to the misery that people experience in that situation?

    TEN-YEAR DRUGS STRATEGY · 2021-12-06 · READ IN HANSARD

  15. On legal advice, it is worth pointing out that not only were some people told that they had to use particular solicitors, in breach of Law Society guidelines, but some were also told that they had to complete within a certain period of time, so even if they had used a different solicitor, it just would not have been practical for them to analyse or understand the documents correctly. That suggests to me that there needs to be a complete overhaul and inquiry into how the scandal was allowed to develop in the first place.

    LEASEHOLD REFORM (GROUND RENT) BILL [LORDS] · 2021-11-29 · READ IN HANSARD

  16. As I said earlier, we also need to keep an eye on whether those who have been involved in the systematic deception and mis-selling change their sights to deal with the new environment that the Bill represents. They have not gone away, those offshore accounts, those trust funds and those private equity investors who see people’s homes as an opportunity to cream off the cash long after the people living in them think that they have bought them. In particular, we have to keep a close eye on estate management companies, because that is one area in which charges could easily be inflated to more than cover the loss of a ground rent.

    LEASEHOLD REFORM (GROUND RENT) BILL [LORDS] · 2021-11-29 · READ IN HANSARD

  17. It is therefore disappointing that lease extensions for houses are exempt from the Bill, because there is significant concern that freeholders will put in massive multipliers when offering informal lease extensions, just to make the premium look lower and more attractive. They would then make their money back through allowing the ground rents to continue. Let us not forget that both parties do not have equal bargaining power. This all just adds weight to the argument that what we have here is a minor change that will help people in the future, when what we really need to do is to deal with the injustices of the present, and the best way to do that is of course to abolish leasehold altogether.

    LEASEHOLD REFORM (GROUND RENT) BILL [LORDS] · 2021-11-29 · READ IN HANSARD

  18. Is there a risk that choking off income streams from those who see other people’s homes as an investment will cause them to turn their attention to redoubling their efforts to squeeze as much as they can out of the existing properties? A number of Members have already mentioned that, and I will return to it later. Turning to the details of the Bill, I know that a lot of consideration has been given to how we define a ground rent. That debate is instructive, because how can a payment for which nothing is received in return be considered a proper legal payment? The short answer is that it cannot, and I believe that that is another reason to abolish leasehold altogether. The reality is that ground rent is a legal fiction and a method of maintaining control and securing an income for which the recipient is required to do precisely nothing.

    LEASEHOLD REFORM (GROUND RENT) BILL [LORDS] · 2021-11-29 · READ IN HANSARD

  19. To be fair to Redrow, I should add that it did then offer them the opportunity to purchase the freehold after two years, although it was a little unfortunate, to say the least, when it subsequently lowered the purchase price for the freehold again, creating another unfairness. While I give Redrow credit for stepping back and weaning itself off the leasehold drug, that should not obscure the fact that all this could have been avoided had it not sold the properties as leasehold in the first place. That takes me back to the basic concern that remains with the Bill, which is that it enshrines in law a two-tier system of home ownership when really we should be ending it altogether. Very few new houses are now being sold as leasehold, but around 1.5 million houses will remain leasehold after this Bill becomes law.

    LEASEHOLD REFORM (GROUND RENT) BILL [LORDS] · 2021-11-29 · READ IN HANSARD

  20. In that respect, I pay tribute to the fantastic work of the National Leasehold Campaign, which has done more than just about anyone to bring the unfairness of leasehold to the public’s attention. It is an irony that those campaigners do not stand to benefit from the Bill because, as has been pointed out already, it does nothing to tackle the existing problems. That said, however, their influence has already benefited my constituents and many others. A new Redrow estate not far from where I live originally had properties being sold on a leasehold basis. After some pretty determined campaigning from the National Leasehold Campaign, Redrow decided to stop the sale of homes in the second phase as leasehold, but unfortunately not before several hundred people had already bought their homes as leasehold.

    LEASEHOLD REFORM (GROUND RENT) BILL [LORDS] · 2021-11-29 · READ IN HANSARD

  21. Perhaps four years is not much in comparison with 1,000 years of leasehold, but for those who are still trapped in unsellable or seriously devalued homes because of the leases they signed, progress is not being made quickly enough. I am not generally a fan of market-based solutions—the market is responsible for most of the egregious injustices that we have seen in leasehold—but, to a significant extent, the market has already moved away from imposing ground rents for most houses, not because those who concocted the leasehold scandal have had a prick of conscience but because a spotlight has been shone on the devastating consequences of their sharp practice.

    LEASEHOLD REFORM (GROUND RENT) BILL [LORDS] · 2021-11-29 · READ IN HANSARD

  22. Let me first put it on record that, alongside the hon. Members for Worthing West (Sir Peter Bottomley) and for St Albans (Daisy Cooper), l am a co-chair of the all-party parliamentary group on leasehold and commonhold reform. The group is assisted by the Leasehold Knowledge Partnership, which has been campaigning for many years for the kind of reform that we are debating today. We might have expected the Bill to be a cause for celebration, and indeed any legislation that puts another nail in the coffin of leasehold is to be welcomed, but we are left with a feeling that it is a rather modest measure. Given that it took four years for us to reach this point, it seems that we are making glacial progress.

    LEASEHOLD REFORM (GROUND RENT) BILL [LORDS] · 2021-11-29 · READ IN HANSARD

  23. My hon. Friend makes an interesting point. There is clearly an imbalance. We have already talked about how some enthusiastic first-time buyers who just want to get into their new homes put their trust in the people who have been assigned to deliver the legal niceties such as putting a value on the property and doing the conveyancing. They put their trust in those people, and sometimes that trust is betrayed through the egregious injustices that we have talked about.

    LEASEHOLD REFORM (GROUND RENT) BILL [LORDS] · 2021-11-29 · READ IN HANSARD

  24. I thank my right hon. Friend and neighbour for his intervention, which leads me beautifully into the next section of my speech, in which I shall talk about exactly that. I will never accept that it is right for developers to choose not to pay a sum to councils to adopt the communal areas, and that they instead save themselves money by passing on that cost to the homeowners and then make even more money from the homeowners by charging them for things that ought to be coming out of their council tax. Like my right hon. Friend, I worry that this trend will be accelerated because the ground rent gravy train is coming to an end, and that we will hear more and more stories of homeowners having no choice but to pay inflated annual service charges that, given the choice, they would prefer to pay through their council tax.

    LEASEHOLD REFORM (GROUND RENT) BILL [LORDS] · 2021-11-29 · READ IN HANSARD

  25. That is a fair point in theory, but I find it does not happen in practice. I have estates in my constituency that were built a dozen years ago and still have not been adopted because the developers have not put them up to the required standard. The to and fro never ends, because the developers have left town and they have no interest or incentive to bring those areas up to the adoptable standard.

    LEASEHOLD REFORM (GROUND RENT) BILL [LORDS] · 2021-11-29 · READ IN HANSARD

  26. That is four years of people being trapped in homes that they cannot sell because of onerous ground rents, and four years of stress and uncertainty about whether they should try to buy their freeholds now or wait until the law is reformed. I get asked regularly, “What should I do? Should I wait until the law changes?” It is very difficult to give an answer on that because we still have no clarity on when that law will be changed. So let us end four years of jam tomorrow. Let us deliver solutions for leaseholders today. Let us stand up to the vested interests and please, finally, abolish leasehold.

    LEASEHOLD REFORM (GROUND RENT) BILL [LORDS] · 2021-11-29 · READ IN HANSARD

  27. Friend’s constituents have been disproportionately affected by the leasehold scandal, and they are still waiting for something that will help. If we are to talk about levelling up in this place, we should be looking at something like that as it will deliver true justice, fairness and levelling up. We need some clear timescales from the Minister for when existing leaseholders can expect to see action on their concerns. What commitments can they expect? I think we all agree that what has happened is unfair and a significant injustice, but when are we going to see action to put things right for existing leaseholders? The right hon. Member for Bromsgrove (Sajid Javid), when he was Communities Secretary, promised an outright ban on leasehold for all houses four years ago.

    LEASEHOLD REFORM (GROUND RENT) BILL [LORDS] · 2021-11-29 · READ IN HANSARD

  28. Do they not have the right to have a Government who are serious about stopping the industrial-scale foul play we have talked about tonight? It is disappointing that, although on the one hand the Government accept that unfair practices in the leasehold market can turn people’s home-ownership dreams “into a nightmare,” we are still waiting for action for the many leaseholders who have been trapped in this web that they did not sign up to. We have made it clear that there are a number of reasons why they have found themselves in this position, not all of which are resolved by the Bill. We know that one in three houses sold in the north-west in the past 10 years is leasehold, and those people will not benefit from the Bill. My constituents and my hon.

    LEASEHOLD REFORM (GROUND RENT) BILL [LORDS] · 2021-11-29 · READ IN HANSARD

  29. I am aware the Bill would not have meant an end to leasehold, but it would at least have given the victims of this industrial-scale con an opportunity to take back control of their property at an affordable price. I thought this Government were all about taking back control. Do they not realise that leaseholders do not have control? What is stopping firmer action being taken against freeholders? I know there are legal opinions floating about on freeholders’ human rights, but what about my constituents’ human rights? Do they not have the right to live in their own home without someone else trying to make it into a cash cow? Do they not have the right to expect that the biggest purchase they ever make will be done fairly and will be properly regulated?

    LEASEHOLD REFORM (GROUND RENT) BILL [LORDS] · 2021-11-29 · READ IN HANSARD

  30. Friend the Member for City of Chester (Christian Matheson) said, I do not want to be standing here in a few years’ time talking about another PPI for the house-building industry because the Government have once again failed to act on the warning signs that are there for us all to see. This Bill must be promptly followed with the promised wider leasehold reforms, particularly the promised reforms for which we have been crying out that will enable leaseholders to buy their freehold quicker, easier and cheaper. I have had a private Member’s Bill ready to go for three years that would allow us to do just that. It could have already become law if there had been the will to take on the freeholder interests that would lose out as a result. I have now got the message that my Bill will not find favour with the Government.

    LEASEHOLD REFORM (GROUND RENT) BILL [LORDS] · 2021-11-29 · READ IN HANSARD

  31. My hon. Friend and constituency neighbour makes the point well. It all points to the lack of capacity in local authorities to tackle these issues. I do not want to make a party political point, but we have had a decade of austerity and we are now seeing the consequences in how local authorities police these things. I would like to see a crackdown on unfair fees and contract terms by having an enforceable list of what are considered to be reasonable charges. We should require transparency on those charges and give leaseholders the right to challenge rip-off fees and poor performance. We should also try to ensure that residents are given greater powers to take over the management of their homes, if that is where we are going. As my hon.

    LEASEHOLD REFORM (GROUND RENT) BILL [LORDS] · 2021-11-29 · READ IN HANSARD

  32. I pay tribute to my constituent in Little Neston, Councillor Louise Gittins, who has been doing a sterling job as the interim chair of Transport for the North. Judging by some of the comments from Conservative Members, she has been doing her job a little too well. She, like me, has been campaigning for a half-hourly passenger service on the Wrexham to Bidston line, which we had hoped to see in place by now. Can the Minister guarantee that we will see that delivered next year?

    TRANSPORT FOR THE NORTH · 2021-11-24 · READ IN HANSARD

  33. I apologise for once again returning to the subject of integrated care boards. One important question remains unanswered following yesterday’s debate. If we are to have truly integrated health and social care, all voices need a seat at the table: public health; social care; mental health; the workforce; and, of course, patients and carers. As matters currently stands, there is nothing guaranteeing each of those groups a seat at the table. I am sure that the Secretary of State will agree that none of them should be missed out, so what will he do, for example, if an ICB decides to exclude the patient’s voice?

    INTEGRATED HEALTH AND CARE SERVICES · 2021-11-23 · READ IN HANSARD

  34. He has come close to uniting the entire sector in the past, but that was usually in opposition to something he was proposing, rather than in support. There may be many other areas where we have disagreed in the past, but that does not diminish our support for his call.

    HEALTH AND CARE BILL · 2021-11-23 · READ IN HANSARD

  35. While we favour our new clause 29, it is obvious that amendment 10 has captured the attention of many and may well be put to a vote. In many ways, as the Minister said, it closely mirrors what we have put forward, so I will be making my general points on both the new clauses and the amendment. In supporting amendment 10, I pay tribute to the right hon. Member for South West Surrey (Jeremy Hunt), the Chair of the Health and Social Care Committee. Given his previous role, he is well placed to have an informed view on what needs to be done, and he has done that with this amendment without undue hype or drama. The support he has obtained more widely from stakeholders outside the House is impressive; indeed, the way he has united just about the entire sector shows not only his powers of persuasion, but the importance of the issue.

    HEALTH AND CARE BILL · 2021-11-23 · READ IN HANSARD

  36. I thank the Minister for his introduction. It seems like only yesterday that we were having a similar exchange across the Dispatch Box. I will begin with our new clauses 28 and 29 and amendment 10. This discussion about workforce could well be the most important of all today. Just this weekend, Chris Hopson from NHS Providers was trying to get the Government to acknowledge the seriousness of the problem when he tweeted: “93k NHS staff vacancies. £6bn spend on temporary staff to fill gaps. 55% of staff working unpaid extra hours each week. 44% saying they’ve felt ill with work related stress. NHS desperately needs long term workforce planning. Govt must make this happen this week.” Everything comes back to workforce and the failure to invest in it consistently over a sustained period. Today we have a chance to correct that.

    HEALTH AND CARE BILL · 2021-11-23 · READ IN HANSARD

  37. Let us just say that the more I hear of the right hon. Gentleman, the more I like what he has to say—I will leave it there. We all accept the urgent need to address the workforce crisis, but I cannot find anyone who thinks that what the Government have put forward in clause 34 is the solution.

    HEALTH AND CARE BILL · 2021-11-23 · READ IN HANSARD

  38. New clause 29 and amendment 10 are the starting point, not the whole answer. They are a framework for getting this right in the future and offering the workforce, which, as the Minister said, has given so much in recent times, some hope that there will be better times along the way. I will refer later to the report by the Health and Social Care Committee on workforce burnout, which brought home just how demoralised the workforce have become and why they need to be given some positive news today.

    HEALTH AND CARE BILL · 2021-11-23 · READ IN HANSARD

  39. Like just about every profession and sector in the NHS, midwives are under tremendous pressure and are understaffed. We need a clear plan, and a plan that is delivered. Of course, having a plan is not the whole answer, which is why it is important that we hear regular reports back from the Secretary of State on progress. That is why we hope amendment 10 will be supported.

    HEALTH AND CARE BILL · 2021-11-23 · READ IN HANSARD

  40. My hon. Friend is correct; we could not have anticipated what has happened in the past 12 to 18 months, but we can see what it means moving forward. Regular reviews of demand are critical, and we know that training these highly qualified and skilled staff takes time, which is why a longer-term view and approach are required.

    HEALTH AND CARE BILL · 2021-11-23 · READ IN HANSARD

  41. We are always looking at ways to improve productivity, but we know that on the current figures there are 100,000 staff vacancies in the NHS. No amount of productivity gains will cover for that.

    HEALTH AND CARE BILL · 2021-11-23 · READ IN HANSARD

  42. I thank the hon. Member for her intervention. The point about agencies and locum spend is not a new one. It will be interesting to see the figures for the last 12 to 18 months when the Minister has finally ratified them, because I suspect they will be even higher than those we have heard recently.

    HEALTH AND CARE BILL · 2021-11-23 · READ IN HANSARD

  43. I thank the hon. Member for her intervention. Indeed, this actually covers some of the debate we had in Committee. There has been a rhetoric coming out of Government in recent months that managers are somehow a cost burden and that administrative staff do not actually help deliver the services. Of course, as the hon. Member has just pointed out, they are a vital source of support for those on the frontline.

    HEALTH AND CARE BILL · 2021-11-23 · READ IN HANSARD

  44. Since all the various think-tanks are going to do an assessment anyway, we may as well have a built-in process for verification.

    HEALTH AND CARE BILL · 2021-11-23 · READ IN HANSARD

  45. However, the main point, which I have made already, is to compel a regular report and review of demand. The central role is that the Secretary of State has a duty to get planning done, and we hope that will be a crucial lever for the change we need to see. If the amendment has a weakness, it is probably the one we have touched on already, which is that it does not ensure that the plan is feasible or delivered. A plan that shows the gap is not a plan unless it has a credible funding solution alongside it. Even if that is not explicit in the amendment, we assume that funding would follow any such assessment and plan that is set out. Our suggestion would be that any such financial projections in a plan are subject to the same level of independent expert verification as we see with the Office for Budget Responsibility.

    HEALTH AND CARE BILL · 2021-11-23 · READ IN HANSARD

  46. The most visible and significant symptom is an inadequate workforce, plus the scandal of social care provision. There is no plan at the moment; it is just a plan for a plan. When we talk about a workforce crisis, that cannot be in any way a reflection on the huge value and contribution of the workforce we have now. There are particular positive aspects to amendment 10 to which I would like to draw attention. Explicit recognition of the need to consult with the workforce through trade unions is very welcome. The planning covers health and social care, which is also absolutely essential. Given the scope of the review, the timescale is about right—every two years is demanding, but not too onerous—but a regular update each year might be preferable.

    HEALTH AND CARE BILL · 2021-11-23 · READ IN HANSARD

  47. I accept what the right hon. Member has said. There has been a gap in investment in IT and other things that make people’s jobs easier and more efficient, and that has been a characteristic of NHS spending over the last decade. With your permission, Madam Deputy Speaker, I will try to make some progress, but it is important, as we have talked about the staff, that we pay tribute to all those who make the NHS what it is today. On Nursing Support Worker Day, I pay tribute to all those who work in wards, clinics and community settings to support our nurses and provide that essential hands-on care to patients. Our care system does indeed face a crisis—over waiting times, over recovery—but as with all other crises, the root cause is inadequate funding.

    HEALTH AND CARE BILL · 2021-11-23 · READ IN HANSARD

  48. It builds on other amendments, and seeks further assurances by putting patient safety and safe staffing levels at the heart of workforce planning, by setting out how the Government will be required to act to assess and rectify shortages. It seeks to ensure that the workforce will be on a sustainable footing in future. Patient safety should be our primary concern. We have the evidence base: when there are not enough registered nurses, mortality rates change and health outcomes are worse. I accept that the level of detail in the new clause is significant, but we consider that necessary to underscore the importance of setting out how this will be delivered.

    HEALTH AND CARE BILL · 2021-11-23 · READ IN HANSARD

  49. Without that level of detail, the shortages in the health and care workforce will endure, to the detriment of both the service provision and the staff who currently work in the sector. Annual, independent workforce projections would provide the NHS, social care and Government with the clarity required for long-term workforce planning.” That conclusion shows what we are trying to achieve today. That is the nub of it: if not now, when? When will the Government finally accept the obvious that has been staring them in the face for years? New clause 29 would require the Secretary of State to lay before Parliament a fully funded health and care workforce strategy to ensure that the numbers, skill and mix of healthcare staff are sufficient for the safe and effective delivery of services.

    HEALTH AND CARE BILL · 2021-11-23 · READ IN HANSARD

  50. We may not be able to solve the issues around burnout overnight but we can at least give staff confidence that a long term solution is in place. The way that the NHS does workforce planning is at best opaque and at worst responsible for the unacceptable pressure on the current workforce which existed even before the pandemic. It is clear that workforce planning has been led by the funding envelope available to health and social care rather than by demand and the capacity required to service that demand. Furthermore, there is no accurate, public projection of what health and social care require in the workforce for the next five to ten years in each specialism.

    HEALTH AND CARE BILL · 2021-11-23 · READ IN HANSARD