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Showing every spoken contribution, including 12,868 under 12 words. Hide short remarks

  1. ParliamentLabourDr Rosena Allin-Khan

    NHS Corridor Care

    The hon. Member is right, but I know that the Government care deeply about this. This is not something on which I am in tension with the Government in any way. I have spoken to the Ministers and the Secretary of State, and I know that they are committed to acting and ensuring that every single patient across our country gets the best possible care. Let us be really clear: the NHS should not be a political football. Safe and dignified healthcare should not be a political football. I hope that we are all in agreement on this issue today. I would have hoped to see more Members on the Opposition Benches today, and I hope that their absence is not a reflection of how much they care about the issue, because, quite frankly, we owe it to all our communities to get this right. I know from my own experience, as will other hon. Friends in the Chamber, that when someone comes to A&E, it is often the worst day of their life. It could be the worst day of their life because of their experience as a patient, or it could be the worst day of their life because someone they love—their child, their partner, their mother or their father—is dying or has died. When we think about the dignity and care that we give, we have to look at it holistically—not simply as a set of symptoms that we are treating but as a family and the experience that they take away with them of what has happened on that day. People are in tears, people are in pain, and we owe it to them to get this right.

    Hansard source
  2. ParliamentLabourDr Rosena Allin-Khan

    NHS Corridor Care

    That is absolutely right—the hon. Member makes a valid point. People can be enduring a heart attack; they can be losing a baby; they can have had a road traffic accident and be lying on a trolley, blocked and collared, or lying on a board and looking up at the ceiling, wondering when they might make it into the scanner. People will definitely be having a time in hospital that will be etched on their memory, and sadly for many patients, and many loved ones, that is the last day they will ever see—the A&E will be the last place they know. In the NHS we want that experience to be as comfortable and reassuring as possible. We want the best possible care, delivered in the fastest possible time, to patients who are treated fairly, efficiently, and with compassion and dignity. Frankly, that is impossible in a corridor, even with the greatest will in the world. In my A&E at St George’s hospital we have patients in corridors, as we do across the country, but we have nurses who are there and dedicated to check their observations, ask if they need pain relief, and try to deliver—and they do—the best possible gold-standard care. But there is no privacy in a corridor, or in a cupboard, or anywhere where there should be, and that simply is not right. In emergency departments across the country, regardless of data that some trusts try to put forward to show that it is in only a certain number of places, we know from our inboxes that corridor care is everywhere.

    Hansard source
  3. ParliamentLabourDr Rosena Allin-Khan

    NHS Corridor Care

    I hope my hon. Friend’s mum is making a swift and healthy recovery, and I am sorry to hear that that was her family’s experience. I agree that prioritising care for the frailer, elder population can often be dealt with more effectively before someone comes to hospital. I also know that my hospital of St George’s in Tooting has a special dedicated frailty unit that goes a long way in speeding things up for people. Good pilots are going on across the country, where care can be taken to our elderly community before people come in. Tackling social care is something I am coming to in my speech, because we could not have a speech on corridor care without a huge nod—or an entire body bend—to social care and the need to fix it. While this situation is extremely hard for patients and their families, the toll it takes on healthcare staff is huge. By healthcare staff I do not just mean doctors such as myself, but nurses, porters, healthcare assistants and cleaners—we are one big family in the NHS, and no one job is more important than any other. We are unable to do any of our roles without all the others, and for that we are truly grateful. Knowing that they might be caring for a patient in their mid-80s, who is trying to hold back tears because they do not want to upset anybody very publicly in a corridor, is absolutely heartbreaking and takes a toll on their mental health. Our nurses, doctors and all the staff I have mentioned are going home absolutely burnt out—this is not what they trained and studied for, and not what they go to work to deliver. They go to work to deliver the best possible gold-standard care for the community that they care about.

    Hansard source
  4. ParliamentLabourDr Rosena Allin-Khan

    NHS Corridor Care

    I remember meeting my hon. Friend before he became an MP when I visited a hospital in his community, and I know that he has been a powerful advocate from long before he came to this place. I thank him for that and for raising this issue. We often think about winter pressures and forget that different communities experience different pressures—it is not a one-size-fits-all situation. It is important to look at the tourist season in Cornwall, and I am hopeful that the Government take that into account in their planning. Madam Deputy Speaker, you will be appalled, as we all are, to know that there are places up and down the country where bodies are being wheeled to the mortuary past living patients in corridors. People are spending hours in pain and distress, desperate for privacy, and exhausted staff are working while feeling that they have one arm tied behind their back.

    Hansard source
  5. ParliamentLabourDr Rosena Allin-Khan

    NHS Corridor Care

    My hon. Friend is a powerful advocate for the people of Scotland. Yes, of course those statistics should be published, because in order to have any understanding of the issue, we have to have the data. Quite frankly, without the data, it is “not happening”. We should keep pushing for that and I hope that he puts the clip of him asking this question on social media to spark a little fire under some boffins to make that happen. The reality is that corridor care is happening in every corner of the country. The drivers of the issue of corridor care are multifaceted, but one key cause that we cannot escape is our failing social care system that forces medically fit patients to sit and wait in hospital beds, seemingly endlessly. Without a hospital back door that works efficiently, we simply cannot get people through the front door to treat them effectively and move them on appropriately. The social care sector must be empowered because that will prevent hospital admissions in the first place and support timely discharges. All sorts of unappealing names are given to people who have to spend a long time in hospital waiting for appropriate social care. Our vulnerable elderly, our grandmas and grandpas, are called bed blockers because they cannot get the social care that they need to safely be in their own homes. This requires a complete change in thinking and approach, one that understands the inherent link between the NHS and social care. Most significantly, we need leadership that is willing to address the crisis with the urgency it deserves, so that people get the highest quality of care.

    Hansard source
  6. ParliamentLabourDr Rosena Allin-Khan

    NHS Corridor Care

    I am heartbroken to hear about the hon. Member’s relative. This is the point: anyone who works in a hospital understands that, just by being in an emergency department waiting room and accessing people who are unwell, it is possible to catch other illnesses. One thing we try to do is prevent unnecessary admission, because we know that a vulnerable elderly person who comes to hospital and is admitted to a ward with people who are unwell is more at risk of catching illnesses. As in the case of the relative of the hon. Member for Yeovil (Adam Dance), people can be vulnerable and not in an appropriate bed. There may not be enough staff able to check on them appropriately. Without tackling social care, we will never get on top of that issue. I am truly sorry to hear about the hon. Member’s relative. Simply put, we cannot dither or delay; we need answers to the social care crisis, and we need them quickly. Another group of people who are very often overlooked are mental health patients. They continue to spend extraordinary amounts of time waiting in A&E. People experiencing a mental health crisis are two-and-a-half times more likely to face long delays in A&E. Just for a moment, let me paint a picture of what that looks like. The patient could be somebody with auditory or visual hallucinations who feels extremely scared and vulnerable. They may need security to ensure that they do not leave their room. They may be wondering what they have done to deserve this. They may not have staff there who know about their usual medication. Very often, they are shouting very loudly, and other patients will be concerned, not understanding that they have a mental health issue. As doctors and nurses, we are not allowed to talk about somebody else in the hospital, so we can have a very loud A&E department, with someone who is very vulnerable—screaming and shouting and really suffering—being completely in the wrong place for so long and with everyone confused about why they are there. That is not appropriate, safe or dignified for mental health patients. We are as far away as ever from parity between mental and physical health in the NHS. As I have just outlined, we witness that daily in emergency departments across the country. We need to create more partnerships between our emergency departments and mental health trusts, where mental health patients can be triaged and seen by a mental health team in a more dignified and appropriate manner. St George’s hospital, where all hon. Members will know by now that I work my A&E shifts, is exploring a partnership with South West London and St George’s Mental Health NHS Trust, which would set up an assessment unit to triage mental health patients outside the emergency department. That would be safer, more appropriate and more dignified, and a calmer and more pleasant environment in which those patients could be assessed by mental health professionals.

    Hansard source
  7. ParliamentLabourDr Rosena Allin-Khan

    NHS Corridor Care

    I think my hon. Friend has been on most of my last A&E shifts with me. [Laughter.] That is absolutely a common occurrence, and that is not the best, safest or most efficient place for any of our incredible teams of police officers and mental health nurses, who are trying to get on with their job. It is incredibly distressing. In parts of hospitals, colleagues tell me that they are waiting in relatives’ rooms with police officers and mentally unwell patients next to the resus area of an A&E department with bereaved families. None of that should be happening for anyone involved. I am sure the Minister will agree that the best solution to this crisis will involve a holistic, multi-agency approach involving councils, social care providers and NHS trusts. As I have just outlined, this unacceptable and dangerous situation is shared not just by patients, but by their families and NHS staff, who are trying to do their best in a difficult situation. Moving on to the professional bodies, corridor care has rightly been condemned by the Royal College of Nursing, the Royal College of Emergency Medicine—my royal college—the British Medical Association, and other professional bodies and trade unions. Some 65% of respondents to the Royal College of Emergency Medicine’s violence and aggression survey, which is due to be published later this year, said that care in inappropriate and non-clinical spaces contributes to the increase in violence and aggression towards staff and other patients. The impact of corridor care is clearly much more wide-reaching than we realise. It results in violence against our own NHS heroes—the very best of humanity—who, in a fractured and dangerous world, exemplify compassion, decency and selfless care for strangers. I can tell the House beyond a shadow of a doubt that staff in emergency settings are upset, traumatised and driven to tears of rage, and we know that NHS staff have to take a disproportionately large number of days off for the sake of their mental health.

    Hansard source
  8. ParliamentLabourDr Rosena Allin-Khan

    NHS Corridor Care

    I thank the hon. Member for his intervention. Although it digresses from the debate about corridor care, I will happily answer his question. I think everybody in the NHS must be able to go to work free of intimidation, bullying and harassment. Wherever that happens, people should feel free to speak out—not to their direct line manager, because very often they are involved, but to a safe third party within the hospital, clinic or public setting where it happens, so that they will not be concerned about finding themselves moved or no longer in the job they love. I thank the hon. Member for raising that point; I have gone off topic, but it is an important point to acknowledge.

    Hansard source
  9. ParliamentLabourDr Rosena Allin-Khan

    NHS Corridor Care

    Thank you very much for raising that, Madam Deputy Speaker—I am nothing if not a talker. I am sorry that I am taking such a long time, and I will move forward quickly with my speech. The Royal College of Emergency Care and I, as the chair of the all-party parliamentary group on emergency care, have put together a number of recommendations. First, restore patient flow by reducing delayed discharges; secondly, focus equally on four-hour and 12-hour performance; thirdly, reform funding and incentives; fourthly, spread responsibility for patient flow across the hospital; and lastly, address inequalities in access and outcomes. We cannot have a debate like this without recognising the terrible inequalities that scar our healthcare service—we have to work to reduce the disproportionate burden of long waits on deprived communities, older patients and people with mental health needs. Those measures would make a real difference to hospital systems, patient experience, and the overall effectiveness of the NHS. The founding principles of the NHS are stretched to breaking point every time someone waits for 10 hours, in terrible pain and sometimes in their own urine, under the harsh strip lights of a corridor, unable to feel that they can ask for help. It is completely undignified. The Minister will be very familiar with the stats we have sent to the Department, which show the disproportionate number of deaths in our country that are due to corridor care. The fact that we in the UK have people dying because they have been treated in a corridor is simply unacceptable to me and other Members of this House, so let us commit today to ending it once and for all, and ending corridor care forever.

    Hansard source
  10. ParliamentLabourDr Rosena Allin-Khan

    NHS Corridor Care

    As I stand here now to give my closing remarks, I am filled with a sense of pride. There are very few occasions when we all come together across the House in unison on an issue. Today is an example of where Members from every party and those who sit as independents have come together to say: enough is enough, we all stand united against the scourge that is corridor care. It would not be fair of me to single out individual contributions, because they were all worthy of accolades. Members have shared their own deeply personal experiences or those of their families. They have highlighted how important it is that we understand the geographical implications of how this is a challenge that does not require a one-size-fits-all approach. I am really pleased to hear the commitments from the Minister, especially as we know that, according to the Royal College of Emergency Medicine, 1,300 excess deaths occur every month due to long A&E waits. That is the equivalent of a plane crash of people dying every single week. We cannot allow that to happen. I appreciate everything the Minister said, but my closing request is this. Can we please do everything we can to heed the remarks of everyone across the House today and speed up whatever we can to ensure there is not a single excess death attributed to something that could be avoided? For every person who dies when it could have been prevented, we have a family in grief and a life taken too soon. If we know there are things we could be doing—money we could be spending, a social care system we could be fixing to ensure people have extra precious time with their loved ones and that people have dignity on what is, on many occasions, the last day of their lives—we must spend every ounce of energy in the Department of Health and Social Care to fix this problem. I thank everyone who has taken part in this debate and I thank the Minister. Let us end corridor care for good. Question put and agreed to. Resolved, That this House has considered NHS corridor care.

    Hansard source
  11. ParliamentLabourDr Peter Prinsley

    NHS Corridor Care

    It is true: I am another doctor. I qualified in 1982, probably long before my distinguished colleague, my hon. Friend the Member for Tooting (Dr Allin-Khan), was even born. I thank her very much for securing this important debate. For context, when I was a registrar in 1988, the NHS had 300,000 beds, but by the time I was a senior consultant in 2020, we had 140,000 beds—less than half the beds we had when I was a registrar. I recall how the Northern general hospital in Sheffield had rows of Nightingale wards with crisp, white linen stretching as far as the eye could see down to the end of the ward. There were always beds. There was no such thing as corridor care. To echo what the distinguished GP, my hon. Friend the Member for Stroud (Dr Opher) said, if an elderly woman goes off her legs at five o’clock on a Friday evening in February, the family will call the GP. The answerphone will say “Dial 111”, the call handler will triage her and advise ringing 999, and that woman will arrive at A&E at 9 o’clock in the evening, be seen at 1 in the morning and be admitted, because that is what happens if someone is seen at 1 in the morning. If we had a functioning community health service, with more neighbourhood health services, the patient would probably have been visited by a GP, perhaps until 10 o’clock at night. The diagnosis of a urinary tract infection would have been made, the patient would have been given an antibiotic and somebody would have come to see them in the morning, and they would have been a lot better by then and would never have been admitted. We can definitely reduce admissions if we think more carefully about how we treat patients in the community. “Corridor care” is an oxymoron. There should be no corridor care. As we have heard, it happens when patients arriving in A&E overwhelm the available cubicles and rooms and the wards have no beds, and we know that patients are sent to A&E because the GP system simply cannot cope. I understand that the APPG on emergency care found that 20% of major emergency departments had patients being cared for on trolleys or in chairs in corridors. Almost 80% of clinical leads also said that patients were being harmed by corridor care. My son is an A&E doctor, who is presently in London. He texted me shortly after I was elected: “Dad, bring the Health Secretary here right now so that he can see what is going on.” There were queues of trollies and patients waiting in ambulances, and trollies in the car park. We know that many patients come to serious harm while waiting. As my hon. Friend the Member for Stroud said, A&E means accident and emergency; that is what it is for. At West Suffolk hospital in my constituency, Dr Cameron, the chief executive, said that corridor care had been “sorted out” through a whole-hospital approach, with everyone thinking about patient flow, planning discharge early and involving social services, allied health professionals and pharmacy. West Suffolk hospital simply refused to accept that corridor care was inevitable. I believe that we should take the best of those ideas to the rest of the NHS.

    Hansard source
  12. ParliamentLabourDr Lauren Sullivan

    National Youth Strategy

    It is a pleasure to serve under your chairmanship, Ms McVey. I congratulate my hon. Friend the Member for Huddersfield (Harpreet Uppal) on securing this really cool debate, and I refer Members to my entry in the Register of Members’ Financial Interests. In Gravesham, we have a good track record of listening to and working with our young people. Gravesham Youth Council is about to celebrate its 26th anniversary. The current chair of the council is work shadowing with me this week, and I am married to the first chair of the council, who was activated to enter politics because his youth club was closed by the then Conservative-run Kent county council. How things have changed—or not changed. Under the last Conservative Government, that trend continued. Kent County Council used to have 36 youth centres; the number went down to 12, and now the youth centres are family hubs. There is limited open-access provision, as family hubs are not available exclusively to young people. Indeed, a young person needs a referral or targeted youth support to gain access to those services, rather than there being predominantly open-access youth services. The national youth strategy aims to reverse that decline and to enhance youth services, which I really welcome. Last week, I attended an event hosted by Gifted Young Gravesham and organised by the charity The Grand, and there were representatives from nearly every local secondary school on the day, which was a very hot one. When I spoke to school councillors during a consultation on growing up in the online world, I heard many of the same themes: social media disrupts sleep patterns, but also young people are struggling inside and need somebody to talk to. They want somewhere to go, but where can they go? That is the digital isolation paradox, which is evident across the UK. One young person at that event said: “Social media is so extremely flawed - but it’s all we have. If we had more places to go outside of social media, we’d be happy. But adults build these toxic platforms, and then got angry when they hurt us. They destroyed the places where we would connect and got angry when we stayed home.” That is the paradox, and that is where the national youth strategy is coming with more youth centres. We are grateful to have been able to receive a youth hub, working with the Department for Work and Pensions in Gravesham and with the Gravesham Youth Council. I am fulfilling a promise by directly reporting back to the Minister, the Members and all the decision makers who are here today, to show that we are listening to and hearing young people. I have to agree with my hon. Friend the Member for Croydon East (Natasha Irons) about how we can help to structure young people’s voices. Young people’s voices need support around them, and we have heard some really amazing testimony today from my hon. Friend the Member for Hertford and Stortford (Josh Dean) about the impact of youth work. Youth workers are professionals who need to be protected by statutory requirements for local authorities to fund this quality and professional service. That can be done. Indeed, it has been done in Scotland with the Community Learning and Development Standards Council, and I urge the Minister to look into that. I will end with a quote: “Young people are not a problem to be solved. They are potential to be unlocked.”

    Hansard source
  13. ParliamentLabourDr Beccy Cooper

    NHS Corridor Care

    I thank my hon. Friend the Member for Tooting (Dr Allin-Khan) for bringing this timely and important debate to the Chamber. As we have heard, corridor care is one of the clearest signs of wider pressures across urgent and emergency care services, including rising demand, delayed discharge and constrained hospital capacity. As so much has already been said, I want to focus my remarks on a couple of areas. As an MP for a coastal community, I want to make it clear to the Minister that when we are looking at these pressures, we need to acknowledge the additional pressures facing specific communities. Coastal communities tend to have older populations and poorer health outcomes. Worthing West sits within one of England’s coastal communities. Its population is older than average—even though I am not older than average—frailty is increasing, multiple long-term conditions are common, emergency admissions are correspondingly higher, recruitment is harder and deprivation exists alongside affluence. All these things contribute to the pressures that we have discussed during the debate. University Hospitals Sussex NHS foundation trust is in my constituency. As we have discussed, NHS England’s data is not completely useful in many instances, but it is the best that we have. I have had a look and, on average, the four emergency departments in the trust are seeing 65 patients in their emergency department corridor care service each day. In their general and acute wards, they have corridor care for 39 patients each day. That is not insubstantial. We have talked about the back door, but I really want to talk about the front door. Members will be unsurprised to hear that, as a public health doctor, I know that prevention is a corridor care policy. The Government need to ensure that investment in prevention and public health is recognised as part of the solution to reducing corridor care. We have to reduce the flow of avoidable illness into our hospitals in the first place, and that means tackling smoking, poor housing, air pollution, obesity, loneliness, poverty and delayed access to community care. Corridor care begins long before a patient reaches an accident and emergency department.

    Hansard source
  14. ParliamentLabourDr Beccy Cooper

    NHS Corridor Care

    I thank my hon. Friend for those excellent remarks, and I agree wholeheartedly. As I have said, corridor care is a symptom, and our challenge is to identify the underlying causes, rather than simply measure the symptoms. It is what happens when demand, delayed discharge, workforce shortages, social care pressures and preventable ill health collide in one place. Stakeholders that I speak to—and, I am sure, stakeholders that colleagues across the House speak to—repeatedly call for public health investment, stronger community services, social care capacity and the prevention of avoidable admissions. Every prevented stroke, every smoking cessation intervention, every warm home, every child who grows up healthier and every patient supported earlier in the community means one less avoidable admission to an already overcrowded emergency department, such as that of my hon. Friend the Member for Tooting.

    Hansard source
  15. ParliamentLabourDouglas McAllister

    Engagements

    Q6. This week marks the second anniversary of our Labour Government. Two years on, my constituents enjoy greater rights at work, and thousands of workers are now better off, thanks to increases in the national minimum wage. Thousands of children have been lifted out of poverty, and tens of millions of pounds in pride in place funding have been given to communities that were previously left behind. Shipbuilding on the Clyde has been secured through the Norwegian naval deal. Billions of pounds have been invested in Faslane, as well as new youth hub, which is set to open—

    Hansard source
  16. ParliamentLabourDerek Twigg

    Rearmament and Warfighting Readiness

    I recently met a number of small and medium-sized enterprises and start-up companies that want to produce drones and autonomous systems and to integrate AI more, but they are concerned about the pace of change in the MOD. Does my hon. and gallant Friend believe that the MOD needs to start pacing up and getting on with the job of working with these companies to provide us with the sort of protection we need?

    Hansard source
  17. ParliamentLabourDerek Twigg

    Rearmament and Warfighting Readiness

    The hon. Member is making a good and strong point. Does he agree that, frankly, it boils down to the fact that the Government must be much blunter with the British people about the nature of the threat we face?

    Hansard source
  18. ParliamentLabourDavid Williams

    National Youth Strategy

    We know all about funding cuts in Stoke-on-Trent and Staffordshire—they were more than 90% in our local area—so I welcome this investment. However, does my hon. Friend agree that we must ensure we get the revenue funding as well as capital funding? That is what makes activity work on the ground.

    Hansard source
  19. ParliamentLabourDavid Williams

    National Youth Strategy

    On closing that gap, research shows that for every £1 a year spent on a young person in a place such as Stoke-on-Trent or Kidsgrove, £10 a year is spent on a young person in inner London. I welcome all the investment via the national youth strategy, but how can we use the strategy to close the gap, to make sure that we lift young people from Stoke and Staffordshire up to those levels?

    Hansard source
  20. ParliamentLabourDaniel Francis

    European Entry and Exit System

    I travel on the channel tunnel twice a year, and the carrier knows that, in case of evacuation, one passenger in my vehicle is a wheelchair user. The information that comes from the carrier is poor, and my concern over the summer months ahead is about how that continues. People will have to get out of their vehicle for the first registration check, and for some vulnerable users that will cause a huge disturbance on the journey. The pre-registration service is available, but my concern for many people travelling over the summer is about how much information is currently given to them by the carrier. What are the Government doing to work with carriers so that people have as much information as early as possible to help them on their journey?

    Hansard source
  21. ParliamentLabourDame Siobhain McDonagh

    NHS Corridor Care

    A number of constituents who work as nurses in the A&E department at St Helier hospital asked me to come to see for myself what they were dealing with. They asked me to come late on a Monday morning, rather than a Saturday or Sunday night as I had anticipated. What I saw was deeply troubling. Around 250 patients were coming through the department every day. Elderly people were being cared for on trolleys out of nurse sight lines. However, what really struck me was that packs of staff were wandering around A&E, with nowhere to do their job. They could not do their paperwork, sit near their patients or monitor anything. Corridor care does not begin in the corridor; it begins long before a patient reaches A&E. For years, community services and alternatives have gradually disappeared. The walk-in centre at the Wilson hospital in Mitcham, which once treated patients every day until midnight, even on Christmas day, has gone. Out-of-hours GP services have been reduced. Those patients have not disappeared; they now go to St Helier. If we want fewer people waiting in our overcrowded emergency departments, we must invest in the services that prevent them from needing to be there in the first place. That is particularly important in communities such as mine, where people are more likely to live with long-term health conditions and greater health inequalities. An A&E department cannot function in isolation. It depends on having the services, capacity and infrastructure around it to keep patients flowing safely through the hospital. That is why I have spent years campaigning for St Helier. I am therefore delighted that NHS London announced up to £57 million to expand and modernise St Helier’s emergency department. However, that cannot be the end. St Helier needs renewal. Only days later, there was an announcement that disrepair in the women’s services block meant that it would have to close. I am delighted that the chief executive of the hospital trust has said that those services will return. Nevertheless, the situation is a stark reminder of what happens when hospitals are expected to serve growing populations in ageing buildings that have been allowed to deteriorate for decades. Corridor care should never become normal in our NHS. My constituents deserve a St Helier hospital that is properly equipped to care for them when they need it most. I am determined to continue to fight for that.

    Hansard source
  22. ParliamentLabourDame Nia Griffith

    Maritime and Coastguard Agency

    My dedicated volunteer coastguard rescue officers are absolutely vital to the safety of the public along the very long coastline all around my constituency. Can the Minister tell us what response he expects the Maritime and Coastguard Agency to give to the formal written request by the GMB union for collective bargaining purposes and voluntary recognition?

    Hansard source
  23. ParliamentLabourClive Lewis

    Societal Impact of AI: Government Policy

    I thank the right hon. Gentleman for his excellent speech. There are lots of things about AI and its impact that we do not know. But one of the things that history teaches us is that if vast amounts of power and wealth are handed to a handful of individuals, corporations or even the Chinese Communist party—this is not just about corporations; it can be about states as well—the outcome is usually not good for the vast majority of people. I think we can all agree on that. We do not need to know whether AI will be beneficial or hostile, or become super-AI. What we can see is that when a small group of people are allowed to define what reality and knowledge are, that in itself—well, we have all read “1984”.

    Hansard source
  24. ParliamentLabourChris Vince

    National Youth Strategy

    It is a pleasure to serve under your chairmanship, Ms McVey. I thank my hon. Friend the Member for Huddersfield (Harpreet Uppal) for securing this really important debate. I also thank my two work experience students, Nicoleta and Lyra. They are both from Harlow and are in the Public Gallery today. They have prepared me a very thorough and informative briefing ahead of this debate, so my contribution might be slightly more informed than usual. When I met with Nicoleta and Lyra before this debate, they spoke about their experiences of taking part in the Duke of Edinburgh’s scheme, which obviously celebrates its 70th anniversary this year. I want to read out some of their thoughts on the scheme and the difference that it made to them and their friends and peers. Nicoleta completed the Duke of Edinburgh’s bronze award while she was studying at Burnt Mill academy. She said: “I would describe it as very insightful and gave me an opportunity to give back to community by mentoring primary school children as part of the volunteering section.” Lyra completed the Duke of Edinburgh’s bronze award while she was at Stewards academy, which is also in Harlow. She said that “taking part in a local theatre production as part of the skills section, was very insightful and ignited a new passion. As part of the volunteering being able to volunteer at Harlow Youth Council improved political interest and involvement with the town.” I think we can all agree that that is admirable and fantastic. I have a few points with regard to the national youth strategy. I welcome the publication of the first long-term youth strategy that we have had in over two decades. Following a lot of lobbying from me and others, I am really pleased that young carers were included in that strategy, because it is hugely important that groups like that are listened to and their voices are heard. I emphasise to the Minister the huge importance of prevention rather than intervention, and of ensuring that every young person, regardless of their postcode, has the opportunity to be involved in the schemes that have been mentioned. We can all appreciate, as Members across the Chamber have commented, the huge difference that taking part in schemes like the Duke of Edinburgh’s scheme can make to young people’s confidence and their ability to be part of the community. Finally—I know I am running out of time—I am really delighted that Harlow will be the home of a Young Futures hub funded by this Labour Government. I am also delighted that this Labour Government have an ambition to halve the enrichment participation gap between disadvantaged young people and their peers.

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  25. ParliamentLabourChris Vince

    European Entry and Exit System

    I thank the Minister for his answers so far. This is a hugely important issue for residents and businesses in my constituency of Harlow, not least because we have an international airport on our doorstep. I am a big believer in co-operation, and I know that when we co-operated with our French allies in the ’60s, the result was supersonic. What is the Minister doing to work with our French allies and other European countries? I do not seek to repeat the arguments of the past, but it is hugely important that we co-operate with our European allies to sort out this situation.

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  26. ParliamentLabourChris Vince

    Rearmament and Warfighting Readiness

    My hon. Friend is making an excellent, well thought-out speech. He talks about the weapons that Russia is using. Will he also reflect on how we need to be alive to its use of disinformation on social media and the internet as weapons? We need to be alive to that. I look across to the right hon. Member for New Forest East (Sir Julian Lewis), who I talk to regularly about the importance of the BBC World Service. Does my hon. Friend appreciate that that service is vital to the defence of this country as well?

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  27. ParliamentLabourChris Murray

    European Entry and Exit System

    Last week I visited the port of Dover with the Home Affairs Committee, to see those operations in action. Given that this is an EU entry-exit system, we must face the fact that this is an inevitable consequence of Brexit, and we have to make it work. The best solution to the challenges facing our constituents this summer is sustained engagement—[Interruption.]

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  28. ParliamentLabourChris Murray

    European Entry and Exit System

    The best solution to managing those challenges this summer is sustained engagement with the French, at leader level, Cabinet level, ministerial level, and working official level, so that the police aux frontières have a delegated responsibility to let flows through. What discussion will we be having at every level with the French, using the better relationship we have struck, so that our constituents and British holidaymakers trying to get a holiday abroad this summer, do not face the consequences of Brexit, which will be missed flights and long queues?

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  29. ParliamentLabourChris Hinchliff

    Societal Impact of AI: Government Policy

    I apologise in advance, Ms McVey, that I need to go to a Select Committee so cannot attend the full debate. My hon. Friend is, as usual, right about everything. Does he agree that public resistance to the construction of data centres is due not just to concern about the impact on the environment, but to underlying public scepticism about the breathlessness with which politicians talk about economic growth driven by digital technology when we have an economy that has a completely unsustainable food system, is not delivering genuinely affordable homes, has rubbish public transport in many parts of the country, and is not delivering the basics?

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  30. ParliamentLabourCatherine Fookes

    Rearmament and Warfighting Readiness

    Does my hon. Friend agree that it is incredibly important that the Prime Minister is at NATO right now, working to calmly and strongly ensure that we are right at the heart of that alliance? Will he join me in congratulating the Prime Minister and the rest of the EU on our agreement to invest £37 billion over the next 10 years with 11 other countries on a new long-range missile to protect Europe?

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  31. ParliamentLabourCat Eccles

    Engagements

    Q14. Stourbridge is famous for many things: the glass industry, Jude Bellingham—[Hon. Members: “Hear, hear!”]—Robert Plant and, most importantly, the Stourbridge shuttle, the UK’s shortest railway line at just 0.8 miles, or 1.3 km for those who prefer metric. It links Stourbridge Junction with Stourbridge Town. Despite its small size, it achieves an impressive 99.6% reliability compared with the west midlands average of 64.4%. One of my highlights as an MP was unveiling a shuttle car named after local legend George, the Stourbridge station cat, whose global social media following made him a beloved fixture at the junction. Today marks the start of “Shuttle Shorts”, a short film festival celebrating the journey. The shuttle shows how community railway can improve local mobility. Does the Deputy Prime Minister agree that Pre Metro’s ambition to introduce a VLR—very light rail—service between Stourbridge and Brierley Hill is a valuable opportunity for Great British Railways and that local businesses should be supported to do this?

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  32. ParliamentLabourBrian Leishman

    Rearmament and Warfighting Readiness

    I took the underground to Westminster this morning, and at the bottom of the steps at the entrance into Parliament there was a homeless man sleeping against the wall, lying on the cold, dirty floor of the tube station. He was the last thing I saw before coming into this grand palace where we sit as legislators, taking decisions and making political choices that impact that man and everyone else in the country. Last week, £15 billion was found for weapons that will get us ready for a conflict that many politicians, much of the media, and various think-tanks and lobbyists say is imminent. That hawkish rhetoric is ramping up—of the 22 questions asked at Defence questions on Monday, three contained mention of Russia, and two were about defending the High North. A consistent theme ran throughout, pushing the narrative that we must spend on defence above all else. Of course, I appreciate that the first duty of Government is to keep our citizens safe and to defend the realm, but what about that man at the bottom of the tube station steps? Who is keeping him safe? What about the children who are going to school with no food in their bellies—do they feel safe? Over 3 million people need a food bank to survive—people who, when the winter comes, will have to decide whether to eat a meal or put their heating on. How safe do they feel because of political choices that have seen other departmental budgets cut? I do not think it needs to be this way. Tony Benn used to say regularly in this place that if we can find money to kill people, we can find money to help people. When I watch the news on television or scroll through my phone and I see conflict, ethnic cleansing, the displacement of millions, the destruction of Ukraine, Gaza and Sudan, and Trump and Netanyahu’s illegal war on Iran—remember, a girls’ school got bombed—I do not think, “You know what the world needs? We need more weapons. We need more death.” I think that what we need is obvious. We need diplomacy, we need the de-escalation of tensions abroad, and we need a domestic agenda not of war, but of prosperity and peace. I want us to invest in health, education and public services—all the good stuff that keeps communities together. I want better wages, the reindustrialisation of forgotten heartlands across the country, and the redistribution of wealth and power to create equal opportunities for people. I want a social security system that is a genuine safety net, one that stops people from descending into poverty. We are at war right now with poverty and inequality, and our people are dying because of it, so I urge Members not to look the other way the next time they are in Westminster tube station.

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  33. ParliamentLabourBrian Leishman

  34. ParliamentLabourBen Coleman

    European Entry and Exit System

    I am grateful to my hon. Friend for all that he is doing to sort out this mess. Does he agree that the queues and delays facing British travellers under the EU’s entry-exit system were entirely avoidable? Had Britain kept its seat at the table, we would not be subject to these to checks at all, we would have had a voice in the system design and roll-out over the past five years, and we could have made it work better. Instead, just as with steel and electric vehicles, we find ourselves on the receiving end of decisions rather than shaping them. Does he agree that is precisely why we need an ambitious new partnership with the EU, so that Britain can genuinely take back control and British people’s European holidays do not start and end in chaos?

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  35. ParliamentLabourAnneliese Dodds

    Societal Impact of AI: Government Policy

    It is a real pleasure to speak in this debate. I am very grateful to my hon. Friend the Member for Poole (Neil Duncan-Jordan) for securing it, and I agree with many of his remarks and those made by other speakers. I particularly agree with his remarks about the New Contract initiative. The UK’s AI sector has grown 23 times faster than the rest of our economy. We must ensure continued investment and the realisation of productivity gains from appropriate use, but we must also secure greater domestic control and resilience, and mitigate near and later-term risks from inappropriate use, if we are truly to become an innovation nation. I believe that we must change our approach to AI, and I want to spend the time that I have setting out the case for doing that. Above all, we must seek sovereignty as if we actually mean it. Supporting UK niches, such as photonics and quantum, is key to sovereignty and to boosting growth from Southampton to Sheffield and from Belfast to Birmingham, but we must recognise how crucial access to frontier models is to our sovereignty. The recent debacle with Fable 5 and Mythos 5 only serves to underline that. The sovereign AI fund needs a clearer rationale. It should be developing UK companies and partnerships, and public stakes should genuinely put our people and our places first. We must also work more concertedly with allies to develop joint sovereign capability. AI development needs to be part of an economic security reset with the EU, and we need to be able to participate in the Scaleup Europe Fund. Interestingly, Mistral AI’s chief executive recently claimed that the EU has at most two years to build its own AI or become permanently structurally dependent on the US or China. The UK must be included in that EU-level debate before it is too late. Delivering stronger sovereign control and resilience also means the Government putting their money where their mouths are and supporting UK AI and UK partnership AI in procurement. All Departments should be assessed publicly on that, and the Competition and Markets Authority should be engaged on how to ensure more advanced market commitments to support our sovereignty. We can learn from other countries on that. Look at France, which recently dropped Palantir from its intelligence services. Of course I realise that changes cause disruption, but we cannot work purely on the basis of cost or short-term capability any more. We have to make assessments on the basis of control and resilience, given their significance for our national interest. In public services, we must move beyond no, low and performative adoption to appropriate and transparent adoption that puts people and places first. It is critical that the UK can deploy sufficient compute to support those aspirations. I hope that the AI Energy Council can develop plans for a line delivery of renewable energy and data centre projects, as well as fixing difficult issues such as demand modulation to unblock additional capacity. There can genuinely be a win-win here, but for that and greater adoption to be achieved, I agree with what others have said: we have to face up to public concern about the risks. We need only look at what is happening in Scotland right now to see that. First, on unemployment, half of all UK workers feel that they will lose their job to AI. From what I can see, there is very mixed evidence about that so far, beyond the field of software development. Pleased as I was to see the Early Careers Jobs Alliance and the AI adoption insights agreement from the Government, we must go further. Lessons should be learned from the consultation on the social media ban, “Growing up in the online world: a national consultation”. I would like to see the Government launch a consultation on starting work in a world of AI, so that we can involve young people who are worried about that, gather their good ideas and show that the Government are engaging with that crucial issue. We should be doing far more in our schools and colleges to prepare our children.

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  36. ParliamentLabourAnneliese Dodds

    Societal Impact of AI: Government Policy

    The hon. Member raises a really important point, and it is part of a broader picture. My understanding is that something like only half of all schools have an appropriate AI policy. Simply saying to students, “Don’t use AI”, having an unorganised approach to it, or just taking a company’s word for it without a broader set of guidance and frameworks for deployment is not supporting our children and young people. Saying, “Just don’t use AI”, when we know children and young people are using it, is not fair to them, and will do a disservice to our economy in the future. Our children and young people need to understand how AI works, as well as the risks of cognitive offloading and the negative impacts on social interaction from inappropriate use. I also want to see us encouraging international discussion in the OECD and the United Nations about taxation—taxation of permanent establishment, capital gains and the cost of human labour compared with tokens. That does not need to have an immediate impact; we could set a threshold of employment impact to trigger a token tax, for example. However, we cannot run away from this debate, especially given how much services dominate our economy. Secondly, we have to engage with concerns about the safety of frontier models. As I said many months ago alongside the Centre for Countering Digital Hate, just regulating applications after harm has been done is unacceptable. Grok should not have been able to produce 3 million non-consensual nudified images in the first place. New York, California, Illinois and the EU have moved towards approaches requiring mandatory assessment of frontier models, and we should too. We should place the AI Security Institute on a statutory footing as a first step, and we should use our presidency of the G20 next year to reinvigorate global attempts at co-ordination, which started with the Bletchley conference but have effectively stalled since. We can work with EU countries to do that as well as with nations from India to Brazil. Thirdly, and finally, although AI can release huge productivity gains, we have to recognise that unscrupulous and inappropriate use is already imposing huge costs too.

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  37. ParliamentLabourAnneliese Dodds

    Societal Impact of AI: Government Policy

    I absolutely agree. That phenomenon of so-called cognitive offloading and the lack of scaffolding in skills is a genuine concern. Equally, we see how rapidly and accurately AI can assess tumour scans, for example, working with human beings to deliver the highest possible quality of healthcare. I agree with my hon. Friend the Member for Camborne and Redruth (Perran Moon) about the potential there. We need to have a sensible approach to this issue. I also want to mention some additional harms. We are now seeing ubiquitous slop on the internet, AI-enabled fraud and cyber-attacks, and the impact of AI summaries on local media use as well, so I want to see the CMA using its powers for competition-focused action on strategic market status services. I want the Government to adopt a maximalist approach to the “Watch this Space” White Paper, and I want us to stop treating bots as separate, because AI is increasingly going to be integral to our interface with the internet, as well as to so much else, so we need to adopt a safety-by-design approach to online regulation, and that needs to recognise the increasing ubiquity of AI.

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  38. ParliamentLabourAnna Gelderd

    Societal Impact of AI: Government Policy

    It is a pleasure to serve under your chairship, Ms McVey. I thank my hon. Friend the Member for Poole (Neil Duncan-Jordan) for securing this crucial debate. The quality of the contributions reflects how timely this conversation is. Artificial intelligence is no longer a distant future challenge; it is here, shaping our economy, public services and daily lives. The challenge is how we ensure that these changes work for people, strengthen our communities and deliver benefits that are shared across the country and internationally. The UK has an opportunity to lead by embracing innovation and making sure that the right safeguards are in place to protect our communities, build confidence and ensure that the benefits are shared. It is vital that we recognise how we can share in that new economy, and that we act now to safeguard public value and wealth generation. Every day, through our public services, our NHS, our transport network and countless interactions with the British public, we generate data that has enormous value. AI is the technology that unlocks that value, but the resource it is built on is our human data, which belongs to us all. As I outlined in a recent article, we must learn the lessons from the past on this. In the past century, Norway decided to turn the national resource of fossil fuels in the North sea—the original driver of modern industrial development—into lasting public wealth. In the UK, we did not invest the revenues from North sea oil; we spent it to cover day to day costs. We must not make that same mistake twice. Rather than allowing the value created by AI from public data to flow permanently into a few private hands, we must ensure that British public services share in the wealth generated from that value—from the national assets we have created—by creating a national data wealth fund. The Government have already recognised the strategic importance of data through the national data library and the AI opportunities action plan. Those are welcome steps forward, but we must do more to build the institutions that capture this value before it slips through our hands. I fully agree with the comments made by my right hon. Friend the Member for Oxford East (Anneliese Dodds) about the need for real sovereign AI capabilities and urgent collaboration with our European allies. Keeping our communities safe and defending our democracy are essential parts of the AI challenge. I recently met the Minister for AI and Online Safety to discuss the growing impact of AI on children and young people particularly. We need to ensure there are strong safeguards around AI-generated content. If we cannot trust what is shown to us online, and if we cannot distinguish between what is real and what has been artificially created, the consequences can reach far beyond individual users and can undermine trust in our democratic institutions themselves. That brings me to accountability. Companies with influence over what millions of people see should be held accountable and made responsible. Social media is not a village noticeboard. It is driven by algorithms that control what is recommended and amplified to millions of people every day. Technology companies act as editors: they decide what people see, what spreads, what is promoted and what disappears. AI will increasingly determine the information that people consume not only through social media, but through search engines, digital assistants and the services people use every day. That is why transparency, accountability and effective regulation are crucial. As AI use grows, so too does the demand for further infrastructure, as I have outlined before. Data centres will become increasingly important to Britain’s economy. As the Member for South East Cornwall, I know that nature is not a blocker to growth. With careful planning, meaningful engagement and strong environmental protections, we can protect the landscapes that make Cornwall special while creating skilled jobs, attracting investment and ensuring that local communities benefit from a new technology, which, concentrated in companies in London as it is, can often feel very far from South East Cornwall. The economic revolution is happening whether we welcome it or not, but our responsibility is to ensure that we are ready to unlock the opportunities, that we protect children and vulnerable people, and that we hold the powerful platforms to account. I am ready to ensure that the remarkable technology being developed today strengthens my community and does not leave them behind.

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  39. ParliamentLabourAnna Gelderd

    Maritime and Coastguard Agency

    I thank the Minister for his continued engagement with me and with other Members, but given the unique nature of the role of coastguard rescue officers and their extraordinary commitment to responding at all hours in areas including my own constituency, will he ensure that the Department undertakes a comprehensive assessment of all viable options so that the Government can reach a fully informed decision that is right for both CROs and the communities, such as mine, that they serve with such dedication?

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  40. ParliamentLabourAnna Dixon

    NHS Corridor Care

    I thank my hon. Friend for securing this debate. She has spoken about some of the impacts of this issue. My 80-odd-year-old mum was recently admitted to Airedale hospital with acute respiratory issues. She had to wait in a chair for over 12 hours, alongside my dad, in a very undignified way. Does my hon. Friend agree that ideally we should be preventing admissions for older and frail patients, and does she believe that the stronger proactive primary and community care services proposed by the Government with neighbourhood health teams could help to prevent some admissions for older and frail elderly people like my mum?

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