Mohammad Yasin
MP for Bedford · Labour · United Kingdom
“I express my deepest condolences to the family, friends and colleagues of Shaun Burton. As a train driver, he carried enormous responsibility and we should remember his dedication and service. I also wish a full recovery to those who are injured.”
“Given that thousands of commuters rely on these services, can the Secretary of State confirm that replacement services are operating effectively, and can she tell me what support is being provided for rail staff who are working in challenging conditions during the rare red heat warning period, while also coping with the impact of this tra…”
“Earlier this month, an Israeli soldier shot dead a seven-month-old baby, Sam Fahd Abu Haikal, and wounded his parents in the occupied west bank. UNICEF reports that, far from being an accident, violence against Palestinian children has reached levels not seen in decades.”
“Bedfordshire police welcomes the Government’s plan to refer all child knife possession cases to youth justice services, building on its work with the NHS, schools, charities and community groups to discourage under-16s from carrying knives.”
“I commend the Prime Minister on his efforts to keep the UK out of Donald Trump’s latest dangerous attempt to end a blockade by creating another. I also commend Pakistan’s attempt to broker peace and the UK Government’s work with over 30 countries to pursue a diplomatic solution.”
“For as long as the UK depends on oil and gas, global conflicts will continue to drive price hikes for my constituents in Bedford and Kempston, who face soaring bills when the price cap ends in June.”
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“It is vital that the Government seriously invest in preventive measures. Oral health is an essential precondition and indicator of overall health, and it deserves to be given priority in our health system. One in eight children in Bedford has obvious tooth decay by the time they are three, and the figure rises to one in five by the time they turn five. The Government are letting children down. In the year before the pandemic, over 23,000 children between five and nine were admitted to hospital because they had tooth decay. It is absolutely shameful that a completely preventable disease continues to be the No. 1 reason why young children in England are admitted to hospital.”
“That is on top of the significant loss of overseas dentists as a result of Brexit. The backlog created by the pandemic cannot be tackled if we have no workforce left to do it. Dental practitioners must urgently be added to the shortage occupation list. I hope that the Minister will outline the Government’s road map out of the current high-intensity infection prevention and control measures. There can be no more kicking the can down the road when it comes to contract reform. It is now a matter of urgency. I would welcome the Minister’s assurances that the new system will be rolled out more quickly, and certainly without any further delays, and that it will decisively break with the discredited units of dental activity and instead prioritise increasing access for patients, and prevention.”
“I would welcome the Minister’s explanation of the extreme difference in approach between England and the rest of the UK, and I urge her to follow the lead of the Administrations in Wales and Northern Ireland, who have committed capital funding towards buying high-capacity ventilation equipment, which can drastically cut down the fallow time required between treatments. This sensible investment allows dentists to see more patients safely and will pay for itself in increased patient charge revenue. Morale in the profession is at an all-time low, and there is a real danger that the pressures will turbocharge the flight of dentists from the NHS, driving them into private dentistry or early retirement, and making the problems with access for patients a permanent feature of our dental health service.”
“The BDA members survey suggests that a large proportion of dentists managed to meet the target only by taking extraordinary measures, such as cancelling all annual leave and working beyond their contracted opening hours—all of this while working many hours a day in heavy-duty personal protective equipment. Dentists in my constituency tell me the same story: the situation is not sustainable. To put this in context, the Labour Government in Wales have not introduced any such targets, recognising that chasing activity measures is good for neither patients nor dentists in the context of a pandemic.”
“The Minister quite rightly decided to pay dentists their historical contract values when they were told to close their doors to patients in the first lockdown. After dental practices reopened last summer, dentists were asked to work their way through the backlog, prioritising patients on the basis of need, instead of focusing on delivering units of dental activity. Just before Christmas, however, the Government changed course. Despite standard operating procedure continuing to severely limit the number of patients that can be seen safely, the Government expected dentists in England to deliver 45% of their historical activity between January and March or face financial penalties. This target was further increased to 60% in April.”
“The targets have been the driving factor behind the recruitment and retention crisis in NHS dentistry. While the Minister is keen to point out that the headcount of dentists providing NHS services has been pretty stable, when dentists need to do only an hour of NHS work a week to be considered an NHS dentist, that is meaningless smoke and mirrors. In reality, many dentists have been reducing the NHS work they do, and the Minister’s written answer last week revealed that the number of practices providing NHS dentistry in England fell by 1,253 between 2015 and 2020. As in other parts of the NHS, the pandemic has brutally compounded the pre-existing problems in the dental system. I appreciated and welcomed the Government’s support for NHS dentistry in the early stages of the pandemic.”
“When asked what key changes would enhance their ability to do their job every single respondent, 78% of whom were oral health professionals, wanted to abolish what one described as “the aberration that is the UDA system.” Another said that they would have no problem committing to provide 100% NHS dentistry if they were paid for the work they did. However, under the current system, a root canal treatment—which can take up to three hours of highly technical and skilled work—is renumerated the same as a little filling that may take 30 seconds to place. Why can the Government not understand that a work- force work best when they are respected and incentivised? We need to get more patients through dentists’ doors, but aggressive and punitive activity targets are not the way to go about this.”
“The dental contract introduced in 2006 is structured with ridiculous, counterproductive targets which do not make things any easier. Totally discredited and unfit for purpose, it is incompatible with providing safe and sustainable services for patients, both during and after the pandemic, and must be reformed. The peculiar Units of Dental Activity system effectively caps the number of patients a dentist can see on the NHS and actively disincentivises dentists from taking on new NHS patients, especially in poorer areas where a new patient is more likely to have large, unmet dental care needs. I am grateful to the Parliamentary Engagement team, who ran a survey in relation to this debate.”
“Healthwatch found that, among people living in the north-east of England, those on low incomes and ethnic minority groups were hardest hit by the twin crises of access and affordability. The Care Quality Commission’s “COVID-19 Insight: Issue 10” report published last week rightly questions whether enough NHS dental capacity is being commissioned, and challenges NHS policy leaders to deal with the demand and ensure that everyone—especially the most vulnerable—has equal access to NHS care. The system has long suffered from chronic underfunding. Even if you factor in the income from patient charges, which have been increased by an inflation-busting 5% in each of the last five years, the total NHS dental budget was lower in cash terms just before the pandemic than it was when Labour left power in 2010.”
“The BDA estimates that a staggering 30 million NHS dental appointments have been lost since the start of the pandemic, and a report published yesterday by Healthwatch found that 80% of people struggled to access timely care during lockdown. Even before the pandemic, only enough NHS dentistry to cover just over half of England’s population was commissioned. Over a quarter of people either struggle to or cannot pay, so they avoid dental treatment altogether. Capacity is severely limited by infection control measures, and access problems have now reached an unprecedented scale in every community, with deep existing inequalities set to widen even further. If the Government are serious about levelling up, tackling health inequalities needs to be at the top of the agenda.”
“Many turn up at A&E in desperation, which only adds to the pressure on NHS hospitals which do not have the capacity, expertise or tools to fix dental problems. My constituent told me it was heart-wrenching to have to listen to these calls for six hours a day. Last week, when I asked for his permission to raise his concerns in this debate, he told me that “there is real anger and desperation brewing.” I hope that the Minister is listening carefully to my constituent’s experience, because this is the situation on the ground. I am sorry to say that he has now decided that enough is enough—he will leave his role because he says he “can see no possibility of any improvement this year.” NHS dentistry is facing an unprecedented backlog in care that will take years to clear.”
“That was of course during lockdown, but many of the barriers to finding appointments persist. I contacted the constituent again in February and he told me that, if anything, the situation was worse. He worked almost exclusively on dental calls; they were coming in relentlessly. He described it as a Catch-22 situation. If people are not registered at a practice, NHS 111, virtually without exception, can only tell the callers that practice books are closed to new NHS patients for the foreseeable future. If a patient is registered, they will be told that their practice cannot offer treatment—often for weeks ahead. Let us remember that patients call 111 only as a last resort and are mostly in considerable distress. They mistakenly believe that the NHS runs the dental service, and have nowhere else to go.”
“A constituent employed by the NHS 111 service first got in touch with me in September 2020, in the midst of the pandemic, to tell me, in his words, “about the woeful state of the dental service or more precisely the lack of a dental service”. He covered Hertfordshire, Bedfordshire and Essex, but was aware that his comments applied nationwide. He told me that he spent the majority of his day speaking to people who were literally crying out for an appointment and even emergency treatment, but he had absolutely nothing to offer them. He told me that if someone is lucky and already registered with a dentist, they might be offered an appointment at some future date, often weeks in advance, but if not, they had no chance of being taken on. He said that that applied to everyone, including children and pregnant women.”
“There is a lot of work to be done to fix what has long been a broken system, so let me start with thanks to all my colleagues who are contributing to this debate and to all those organisations, including the British Dental Association, the Association of Dental Groups, the Faculty of Dental Surgery and Healthwatch, and dentists in my constituency, who not only briefed me for the debate but have been working day in, day out, for years to raise the serious issues that I will go on to mention and who have the solutions, if only the Government would listen. I hope that the Minister will come to the table today with a response that matches the gravity of the situation, because access to dental care in England is in a parlous state.”
“I beg to move, That this House has considered oral health and dentistry in England. It is a pleasure to serve under your chairmanship, Ms Bardell. I was compelled to call for this debate after an NHS 111 call handler contacted me to describe the hardship that they experienced in trying to get patients in severe pain emergency dental appointments—too often without any success. Dental practitioners and lab technicians have also approached me, detailing the many obstacles in their profession that are preventing them from giving the care that they so desperately want to give their patients. The different perspectives make it blatantly clear that dentistry in this country is in crisis and patients, including children, are not getting the care that they need.”
“Fire and rehire is illegal in countries such as Germany and Spain. In 2019, the Government promised an employment Bill to make Britain the best place in the world to work, which could have outlawed the practice, but the Bill has been ditched. Given that the Government have looked the other way as fire and rehire has become endemic, can the Minister seriously claim to be committed to making Britain the best place in the world to work?”
“Last evening, I learned that the Government had sneaked Bedford borough into local lockdown without even bothering to warn the public health team. The Minister knows that for almost two weeks I have been calling for surge vaccines in Bedford for all over-16s, yet until last Friday many of my constituents were forced to travel miles to access the Pfizer vaccine. The variant first identified in India has been imported here because of the Government’s lax approach to border control. Why are the people of Bedford paying for the Government’s gross negligence and incompetence once again?”
“The world-class Cranfield University is committed to assisting the goals set out in the integrated review regarding sustaining strategic advantage through science and technology. How do the Government propose to capitalise on their science and technology resource investment if the large-scale complex and secure facilities and equipment have not been invested in, so are not in place to conduct the research?”
“The force has had to find many millions in savings while the demands on it because of violent crime, sexual offences, domestic abuse, burglaries, fraud and cyber-crime are ever rising. Instead of tackling those things, the Government want to crack down on critical dissent—they are not being tough on crime or on the causes of crime. The Queen’s Speech shows that rather than soundbites, policies are needed to come up with an effective preventive strategy. Bedfordshire police know how to bring crime levels down. They need a sustained level of increased funding. The bottom line is that until the funding formula is fixed, the streets of Bedford and Kempston will not be as safe as they could and should be.”
“For many years I have been telling the Government that the funding formula for Bedfordshire police does not work. The force covers not only rural areas but large and growing urban conurbations and a main airport. Successive chief constables of Bedfordshire police and the former police and crime commissioner have said that the funding formula is not fit for purpose and needs to be urgently reviewed. The force has made great strides in tackling violent crime and serious organised crimes. Such improvement was possible only because of an urgent funding grant. There is an overflow of intelligence about crimes that is not currently being developed because of the lack of resources.”
“They have totally lost sight of the need to address the causes of crime, with the predictable consequence of the rise in violent crime in every single police-force area of England and Wales. The Government are making a habit of creating legislation for a problem that they have invented or exaggerated while overlooking the real and difficult issues. The problems in my constituency, like many others, are not protest but serious violent crime, knife crime, county lines drug running, gang culture, violence against women and girls and persistent antisocial behaviour. To tackle all that, we need visible community policing. After a decade of police cuts, Bedfordshire will finally get some more police officers, paid for by council tax increases, but nowhere near as many as we need or were lost because of austerity.”
“The Police, Crime, Sentencing and Courts Bill is a Bill of two halves. Many of my Labour colleagues had a hand in the development of much-needed new laws on the police covenant, assaults on emergency workers, the Lammy review and the extension of whole-life orders, but whole sections of the Bill have been hastily drafted and it will introduce some of the most draconian measures this country has ever seen to impose disproportionate control on free expression and the right to protest. In particular, the Bill targets some of the most vulnerable and marginalised people in this country. Successive Tory Governments have decimated our public services over the past 11 years.”
“Just over a month ago, the Paymaster General told me that she would follow up on my invite to Bedfordshire chamber of commerce to hear the widespread concerns of businesses that are really struggling to overcome the new and complex operational challenges around her Government’s Brexit deal. I have heard nothing. Will the Minister attend a meeting with the chamber of commerce to hear about how customs paperwork is impacting viability, or would the Treasury also prefer to ignore the problem?”
“The Disabled Children’s Partnership says that the health of over half of disabled children has deteriorated due to delays and reductions in essential health and therapy appointments. The Government have advised that such appointments should be prioritised, but many families are not being reached. Will the Minister develop a cross-departmental therapies and health catch-up plan for disabled children and families as part of the wider covid-19 plan?”
“These are the most vulnerable pupils in society, that are, increasingly, being underfunded by the current system.” At a time when the Government are undertaking the long-overdue review of the special educational needs and disability system, the existing funding model for children with special educational needs is not fit for purpose. It is fundamentally unfair and needs urgent reform.”
“In the Government’s extra funding offer for schools during the covid pandemic, schools with an in-year surplus were precluded from applying to cover the extra costs of the pandemic, which is completely short-sighted and patently unfair to the very children most at risk of covid complications. Reaching a surplus does not mean that the money saved is unaccounted for or not needed for planned future spending. Why are children in SEND schools being discriminated against in that way? As the chair of BILTT told me, “the funding situation continues to be wholly unsatisfactory, flawed and is continuously systemically discriminatory to pupils in Special Schools and Alternative Provision.”
“The local authority has only increased the top-up element in Bedford by 8.3%, which is the average for mainstream increases during the same period. That can be rectified only if central Government increase the core funding appropriately, so it is at least brought in line with the actual costs. As budgets have been frozen for seven years, and all costs—including staffing costs—have risen, it is impossible to balance future budgets. As a trust, BILTT has cut back expenditure and staffing, but it cannot safely make any further savings. For the last two years the trust has set a deficit in annual budgets, but as a result of stringent financial management it has until now been able to deliver surpluses.”
“Back in 2013, the Government announced funding for SEND pupils of £10,000 per place, with local authorities topping that up depending on pupils’ needs, typically via grants. Schools, like all parts of the public sector, have been affected by Government-imposed austerity over the past decade, but since 2013, mainstream schools have received funding increases from central Government. SEND pupils in Bedford, however, received no increases in either core funding or top-up funding between 2013-14 and 2019-20. The DFE is deflecting its responsibilities for SEND pupils on to local government by suggesting that the increased funding has gone to local authorities, to be passed on to relevant schools—that has not happened.”
“It is a great pleasure to serve under your chairmanship, Sir Edward. I thank my hon. Friend the Member for Slough (Mr Dhesi) for introducing this much-needed debate. For a number of years, the Bedford Inclusive Learning and Training Trust, or BILTT, has raised concerns about insufficient funding for its three special educational needs schools in Kempston: St John’s School, Grange Academy and Greys Education Centre. They are the most dedicated team of people, and they want the best for their pupils, but the current funding model means that their kids do not even get what is fair. As hon. Members will be aware, the Education Committee’s report, “A 10-year plan for school and college funding” found SEND funding provision to be totally inadequate.”
“More locally, Lockheed Martin provides employment to about 900 skilled workers at its site in Ampthill, as well as offering apprenticeship opportunities to young engineers. The cancellation threatens the viability of this site. It has already been announced that up to 158 people will lose their jobs in the wake of the Government’s decision. The skills lost owing to job losses in this sector will take many years to rebuild. The Warrior programme represented significant investment in some of the UK’s best technology and it advances our capabilities as a military force. I am hugely disappointed by the cancellation of that programme. I am troubled by the damage that might do to our armed forces, the limits it could place on economic growth and the number of jobs at risk. I urge the Government to reconsider this appalling decision.”
“The Government must outline what capability trade-offs will be made with the transition to the Boxer and how this may affect our soldiers on the frontline. Not only are our armed forces put at risk by the Government’s decision, but our economy as well. The production of these armed vehicles would have brought an estimated £1 billion to the UK economy, with the supply chain being made up of 80% British companies. The contract itself would have secured nearly 2,000 jobs. The investment would have boosted the UK economy after covid-19. But instead these vehicles are now to be replaced by Boxer, which is produced by a German manufacturer. I am greatly concerned that this will not bring the same prosperity as Warrior would have done and will only result in a disastrous loss of income and job opportunities for the UK.”
“I am grateful for the opportunity to speak in this very important debate. I wish to urge the reconsideration of the decision to cancel the Warrior capability sustainment programme. Doing so in favour of the German-manufactured Boxer will have a devastating impact on our nation, my constituents, and the men and women in our armed forces. It is crucial that we provide our armed forces with only the very best protection. The Warrior upgrade would have been a significantly enhanced fighting vehicle, equipping British Army infantry soldiers to be supported in the most demanding of battlefield environments. The Warrior is the only vehicle specifically designed to provide fire support, and because of its new 40 mm cannon it boasts unique close combat capabilities.”
“Bedfordshire chamber of commerce is doing an excellent job helping businesses in Bedford and Kempston to cope with the significant challenges that the Prime Minister’s Brexit deal has imposed on them. Businesses are in shock, trying to overcome the new and complex operational challenges around rules of origin, unexpected tariffs, VAT implications and the vast swathes of logistical paperwork. The Minister needs to understand that these are not just teething problems. Will she attend a roundtable with Bedfordshire chamber of commerce to hear the real experiences of small and medium-sized enterprises that do not know whether they will survive this disruption?”
“This Government could not find resources in the recent Budget for any investment in areas that would help women towards greater equality, such as childcare, but they can find the resources to open an unnecessary detention centre that will retraumatise vulnerable women.”
“But the Home Office did not close Yarl’s Wood. The Home Office has now announced that it is planning to open a new immigration removal centre for women in County Durham. It has decided to open this new detention centre for women, in spite of the fact that the number of women detained under immigration powers is currently at an historic low. Immigration detention retraumatises women who have already survived serious human rights abuses. It is also often completely pointless. Home Office statistics show that in 2018, just 14% of asylum-seeking women who were released from detention centres were removed from the UK.”
“It is a pleasure to have an opportunity to speak in this debate. Until recently, thousands of women were detained indefinitely every year in Yarl’s Wood immigration removal centre on the outskirts of Bedford. Many of those women were survivors of rape, torture and trafficking, and had left their countries to find safety; yet, in the UK, they were locked up for weeks and even months on end, causing them huge mental distress. In 2015, research by the charity Women for Refugee Women found that 40% of women that it spoke to had self-harmed while in detention. In the same year, the chief inspector of prisons called Yarl’s Wood a “place of national concern”. Campaigners, including women who had previously been detained in Yarl’s Wood, called for its complete closure—a measure that I have long called for.”
“In January, Bedford Hospital’s maternity services were downgraded to inadequate due to significant concerns on the part of the Care Quality Commission about staffing levels and insufficient training. Maternity staff are facing extreme burnout during this pandemic. The hospital has taken steps to improve services, but will the Minister tell me what her Government’s plan is to urgently train, recruit and retain more midwives so that all women can receive safe maternity care?”
“Anita Barker, the headteacher of Scott Primary School in Bedford, is doing all she can to keep her school safe and open, but she knows that more can be done and wants her staff to be vaccinated. I understand the JCVI’s reasoning on priority, but we have already made a special case for schools. The success of the road map hinges on schools going back safely, so does the Secretary of State have the political will to do all that he can to prevent further school closures and recognise that that means vaccinating school staff as soon as possible?”
“The self-employed business owners I have spoken to are a resilient bunch. They have worked hard to get where they are. They really do not want to be reliant on the Government; they just need some support—”
“Once upon a time, the Tories claimed to be the party of business, but they have left millions of self-employed people to rot. If these people are ignored again in the Budget, there is little hope left. Many of them cannot limp on until 12 April. Taxi drivers certainly cannot. This week, taxi and private hire drivers in Bedford and Kempston had their licence fees waived by the council, but that is just a sticking plaster for most. It does not put money in their hands, which is what they need to look after their families. The additional restrictions grant system is just not working for them. Too many are falling through the gaps, and there is not a welfare safety net to catch them. What do the Government expect these people without income to do? They need help, and they need help now from this Government.”
“The beauty industry plays a big role in our high street.” To ensure the survival of SMEs, the Government must introduce targeted financial support packages for industries such as hair and beauty. Business support should not be a postcode lottery, and the burden should not be placed on local authorities, whose pandemic costs have nowhere near been met by central Government. In Bedford and Kempston, for instance, businesses that do not have commercial premises have lost out on grants. That is hitting small businesses such as self-employed beauticians and others who have home offices or operate outside, such as self-employed taxi and private hire drivers. The self-employed—especially those who have yet to receive a penny of support from the Government—are facing ruin.”
“The Government’s approach to business support through this latest lockdown does not match the scale of need. The hair and beauty industry has been severely impacted by the pandemic. Some parts of the industry were not able to open after the first lockdown, and businesses were operating at a significantly reduced capacity in order to adhere to covid-safe practices. Those that were eligible for grants and loans have found that they have not covered costs. Bills still need to be paid and, where rent is covered, energy bills, insurance, website costs, booking system costs, pay, national insurance and pension contributions are not. The owner of Beauty of Bedford wrote to me, saying, “The hair and beauty industry contributes £9.2 billion annually to Britain’s economy, with a workforce of over 288,000.”
“Given the scale of need for help with home adaptations for the rising number of older people with disabilities, dementia and now the impacts of long covid, will the Secretary of State commit to increasing disabled facilities grant funding so that local authorities like Bedford Borough Council can stand a chance of meeting local need?”
“I am very concerned about the large numbers of care home staff in black and ethnic minority groups who will not take up the vaccine. Local authorities have for weeks been asking the Government to supply the detailed data they need to identify and resolve vaccine non-compliance. As the Prime Minister knows, the vaccine roll-out is a race against time. Will he make the data available today, so we can ensure that enough people take the vaccine for us to reach the herd immunity necessary to prevent another lockdown?”
“In my constituency of Bedford and Kempston, patients are being left in unimaginable pain as they struggle to access even emergency dental treatment. Dental practices are struggling to stay open with the impact of covid on their businesses, and those who have survived are struggling to cope with the backlog. Imposing targets is not working, so will the Secretary of State include oral health in his future plans and agree a sustainable funding solution with NHS dentists to end the crisis in oral healthcare?”
“It is completely unfair that teenagers just starting out in adult life are being expected to cover the cost of rental accommodation that they cannot even use in this pandemic. Will the Minister come up with an arrangement with landlords to allow students to leave or renegotiate contracts, and introduce means-tested maintenance grants to give the covid cohort some relief from the hardships they are bearing?”
“There are children in Bedford and Kempston who still cannot access remote learning today because they do not have a digital device or broadband. So will the Government urgently tackle that inequality and put forward a long-term IT strategy for schools so that every child can learn from home and catch up after a year of disruption to their education?”
“If the levelling-up agenda of this Government was anything more than an empty slogan, the Government would support the motion and invest in our children, starting with a comprehensive review of free school meals. Food poverty is an entrenched, long-term issue that requires a considered, long-term solution. Getting free school meals right is a good place to start.”
“I want to thank Susan Lousada, the High Sheriff of Bedfordshire, who is leading a fantastic campaign to get laptops to pupils, with Bedfordshire Learning Link, Bedford Modern School, Bedford Borough Council, local businesses and rotary clubs, donations from the Harpur Trust, the Blues Foundation, and the generosity of other charities and individuals. It has been truly inspiring and a world of difference from the cynical, can’t-do attitude I have seen from this Government. The gap between the haves and the have-nots has never been wider. The digital divide has never been more obvious. It is not just low-income families who are really struggling; it is the just-about-managing, whom the Prime Minister’s predecessors identified but did nothing to help.”
“It is a similar story with the laptops. Barely any of the promised laptops materialised last year. The Government had months to plan for the likelihood of the winter lockdown. Their reluctance to do so has meant that today kids in my constituency cannot access their online lessons because they do not have hardware. Schools and children are relying on charity to bridge the shortfall. I am extremely proud of the way the people of Bedford and Kempston have responded to the Government’s failings during the pandemic.”