:00:24. > :00:25.Hello and welcome to Monday In Parliament -
:00:26. > :00:26.our look at the day at Westminster.
:00:27. > :00:30.MOs from across the Commons call for action to streamline
:00:31. > :00:37.the Health Service and Social Care in England.
:00:38. > :00:43.The local government agree they need help. The health service agrees they
:00:44. > :00:44.need help. But the health service and local government blame each
:00:45. > :00:48.other. Warnings that a skills shortage
:00:49. > :01:00.in the housing industry is leading The pressure that the trades have
:01:01. > :01:03.had up to it means we have substandard building going on.
:01:04. > :01:05.And, in the Lords, the Government gives assurances
:01:06. > :01:06.workers' rights won't be damaged by Brexit.
:01:07. > :01:09.But first, the Government's been warned by MPs on all sides
:01:10. > :01:12.of the House of the need for better communication between the Health
:01:13. > :01:15.Conservative backbenchers were among those who told ministers
:01:16. > :01:18.about hospital beds being taken up and constituents finding themselves
:01:19. > :01:19.caught between health and social care providers,
:01:20. > :01:31.Local Government Association have been
:01:32. > :01:35.through increasing the social care precept will not be nearly enough
:01:36. > :01:38.to address the ?2.6 billion gap facing adult social care by 2020.
:01:39. > :01:40.Instead of exacerbating the existing postcode lottery, will the
:01:41. > :01:42.Secretary of State not commit to additional ring-fenced
:01:43. > :01:44.resources into social care, to tackle this crisis?
:01:45. > :01:48.Mr Speaker, in the last spending review,
:01:49. > :01:50.government allocated an additional ?3.5 billion a year till 2020.
:01:51. > :01:52.to adult social care and just a few weeks ago,
:01:53. > :01:55.I announced additional help of ?900 million over
:01:56. > :02:05.Now, local councils do have to play a role in this.
:02:06. > :02:08.I note that in Sunderland the average council tax bill is down
:02:09. > :02:11.And in Sunderland, if local councillors want to
:02:12. > :02:15.For many of my constituents, the fundamental problem in all
:02:16. > :02:18.too many cases is that we still we still separate health care funding
:02:19. > :02:28.Can I, therefore, urge the Secretary of State to speed up the integration
:02:29. > :02:31.of health and social care provision, so that we can deal
:02:32. > :02:33.with patients' needs in the round and put those first,
:02:34. > :02:37.Between 2010 and 2020, around ?40 million will
:02:38. > :02:42.have been taken out the adult social care budget in Hull.
:02:43. > :02:45.And you could see the effect of that just this weekend, when you
:02:46. > :02:49.can see what is happening in our local NHS hospitals.
:02:50. > :02:51.Will the minister think again and make sure
:02:52. > :02:53.that the problems the local authorities are facing are
:02:54. > :03:00.addressed by central government ring-fenced money?
:03:01. > :03:03.Mr Speaker, I am sure the honourable lady would welcome
:03:04. > :03:06.the announcement that was made a few weeks ago, which is trying to
:03:07. > :03:10.recognise those pressures she identifies.
:03:11. > :03:13.That is additional funding. That is on top of the ?3.5 billion.
:03:14. > :03:16.?900 million over the next two years.
:03:17. > :03:18.But what she rightly highlights is that this
:03:19. > :03:21.is a situation we need to keep looking at to see what more can
:03:22. > :03:35.Most members will have had in their constituency surgeries,
:03:36. > :03:37.The local government agree they need help.
:03:38. > :03:39.The health service agrees they need help.
:03:40. > :03:42.But the health service and local government blame each other
:03:43. > :03:47.Would it not be a good idea, on a cross-party basis,
:03:48. > :03:49.to look at a new model for social care?
:03:50. > :03:51.Mr Speaker, my honourable friend is right, firstly,
:03:52. > :03:58.I have seen many situations like that in my own
:03:59. > :04:03.He also highlights the need for all of us to
:04:04. > :04:07.talk more about this issue and see what we can do working together.
:04:08. > :04:10.Having spent a day with carers just before Christmas, seeing what
:04:11. > :04:14.amazing work they do, they feel frustrated because they are
:04:15. > :04:21.Will the minister look at what can be done for increasing funding
:04:22. > :04:24.to social care in addition to what we already done.
:04:25. > :04:27.And make sure that is subject to a cast-iron ring fence, to ensure
:04:28. > :04:31.the money goes where it is needed most.
:04:32. > :04:34.Mr Speaker, I can assure my honourable friend that we will
:04:35. > :04:37.continue to look at the resources applied to adult social care, both
:04:38. > :04:40.from local councils and from central government, to make sure they
:04:41. > :04:47.Also, we will continue to push the case for reform, to also
:04:48. > :04:50.make sure all councils realise there is more more that can be done
:04:51. > :04:56.The House of Commons library figures show that, in
:04:57. > :05:00.the period from November 2013 to November 2016,
:05:01. > :05:03.instances of bed blocking where social care was solely
:05:04. > :05:13.In the 12 months to November 2016, bed
:05:14. > :05:30.Does the minister recognise that the precept
:05:31. > :05:32.package brought forward by the government in December is
:05:33. > :05:35.insufficient to solve the crisis in our social care system and is
:05:36. > :05:36.putting further pressure on our already-stretched NHS?
:05:37. > :05:40.Mr Speaker, for the Minister recognises is that
:05:41. > :05:42.the additional funding announced in December will make a
:05:43. > :05:46.There is ?240 million additional coming in from the
:05:47. > :05:53.There is an additional ?600 million - it is new money.
:05:54. > :05:58.An additional ?600 million coming in from the precept changes.
:05:59. > :06:01.When it comes to using that money, we all want to see a reduction
:06:02. > :06:06.She will be aware of big differences between local
:06:07. > :06:09.councils in delayed transfers of care and I think some councils can
:06:10. > :06:16.The Communities Secretary, Sajid Javid.
:06:17. > :06:18.The author of a report into the construction industry
:06:19. > :06:22.says a shortage of skills is leading to sub-standard building.
:06:23. > :06:28.Mark Farmer was one of the witnesses giving evidence
:06:29. > :06:31.to MPs on the Communities and Local Government committee
:06:32. > :06:35.He said the industry was going to have to do more with less -
:06:36. > :06:41.What we have in construction is an ageing workforce.
:06:42. > :06:44.One of the most advanced, in terms of age, of all the
:06:45. > :06:48.What that suggests, based on census data
:06:49. > :06:51.and looking at the level of new entry into the industry, that we are
:06:52. > :07:00.going to lose 20-25% of our workforce over the next decade.
:07:01. > :07:02.With Brexit overlaid on that, whether it is a
:07:03. > :07:05.hard or soft Brexit - there are variations on the theme -
:07:06. > :07:07.but it is undoubtedly going to add more pressure to that.
:07:08. > :07:10.I could easily see a situation where we are moving towards a
:07:11. > :07:13.situation where about one-third of our workforce is lost over
:07:14. > :07:22.Mark Farmer said it was partly skills and training,
:07:23. > :07:29.It is massively important that we get it into
:07:30. > :07:30.schools earlier and to influence thinking.
:07:31. > :07:35.To change their perception perception of the
:07:36. > :07:38.My view is that you have to do the innovation piece first
:07:39. > :07:41.and profile what skills we need in the future.
:07:42. > :07:44.I think for us to have a more productive modern industry, it is a
:07:45. > :07:45.mixture of traditional site-based working -
:07:46. > :07:48.Artisan, Biblical skills, whatever you want to call it -
:07:49. > :07:50.alongside approaches which may be factory-based, maybe hybrid.
:07:51. > :07:53.Then, you stand more chance of attracting youngsters.
:07:54. > :07:58.The youngsters are wanting something more around
:07:59. > :08:00.the 21st century, not something from the Dark Ages and,
:08:01. > :08:03.unfortunately, part of our industry still has that stigma
:08:04. > :08:04.attached to them, rightly or wrongly.
:08:05. > :08:07.We need to move the dial towards creating a different offer.
:08:08. > :08:09.But in doing that, not only are we increasing the productivity
:08:10. > :08:12.of being able to to do more with less -
:08:13. > :08:20.it is an absolute certainty that that is what we are going
:08:21. > :08:23.to have to do to stand more chance of
:08:24. > :08:24.increasing new entrants into into the industry,
:08:25. > :08:27.because it is more attractive to them, in terms of
:08:28. > :08:31.They are not necessarily working on a cold and wet building site.
:08:32. > :08:35.or carpenter, they could do it in a factory.
:08:36. > :08:51.The committee wanted to know what impact Brexit may have. It will have
:08:52. > :08:55.a big impact. Over the last few months, the value of the currency a
:08:56. > :09:05.lot of foreign workforce are taking home is not as big. That is having
:09:06. > :09:15.an impact. In London, 40 to 50% of the workforce is fallen. That is
:09:16. > :09:21.about ten to 15% in other parts of the country. Attention how many
:09:22. > :09:27.houses would have to be built. I do not think it is a matter of
:09:28. > :09:36.political debate. It is a case of seeing, we need to do it. Is there
:09:37. > :09:44.encouragement and stability to the industry for doing it. What has been
:09:45. > :09:56.missing from the market is simply buying rented homes. You have had
:09:57. > :10:07.between 15 and 25,000 purchased by associations. And shared ownership.
:10:08. > :10:14.But since we have stopped building these forms, the market has not
:10:15. > :10:21.worked. That is when it stops functioning. When we stop building.
:10:22. > :10:27.In the last week two, quite unknown well-known house-builder had
:10:28. > :10:31.problems with regard to property and this growing feeling that
:10:32. > :10:35.traditional building in the house-building world is not
:10:36. > :10:41.delivering the quality that is expected, in terms of the legacy of
:10:42. > :10:48.defects. We are on the tip of the a spare the. The tradition and trades
:10:49. > :10:55.are coming under very pressure -- a lot of pressure and we are building
:10:56. > :11:00.a legacy issue downstream of defects and other issues which could be
:11:01. > :11:05.serious. I do not want to over generalise. Most of the people are
:11:06. > :11:13.very well trained and very complement -- competent, but that
:11:14. > :11:22.has been diluted. The competence levels are not as high as the rear.
:11:23. > :11:23.It needs to be of solutions, such as quality control.
:11:24. > :11:26.Now, the case of Noel Conway, a terminally ill patient who wants
:11:27. > :11:29.the right to end his life, was raised in the House of Lords.
:11:30. > :11:33.who is chair of the pressure group Dignity in Dying,
:11:34. > :11:35.asked if the Government might consider changing the law.
:11:36. > :11:38.Lord Keen of Elie said this would be a conscience
:11:39. > :11:40.vote for individual MPs, who had rejected a change
:11:41. > :11:54.The short answer to the question is no. Like previous governments, we
:11:55. > :11:58.have always made clear that this was a matter for Parliament, not
:11:59. > :12:13.government. The other house consider the bill in 2015, but rejected it by
:12:14. > :12:16.330-118. I thank the Minister for that reply. There has never been a
:12:17. > :12:29.government supported Bill with relation to assisted dying. He will
:12:30. > :12:33.be aware of Noel Conway who is taking this challenge to the High
:12:34. > :12:38.Court. He thinks his individual human race have been breached when
:12:39. > :12:46.the pain becomes unbearable. Does the Minister agree that 86% of
:12:47. > :12:52.disabled people support Noel Conway and want a change in the law so that
:12:53. > :12:58.when the town comes to face their own death, they can live there last
:12:59. > :13:01.month 's safe in the knowledge that if they are suffering becomes
:13:02. > :13:08.unbearable level of professional help to end it. Can we seek an
:13:09. > :13:14.ethical bill on these lanes in the future. It remains the government
:13:15. > :13:17.view that any change to the law is an issue for individual conscience
:13:18. > :13:27.and a matter for Parliament rather than one of government policy. I am
:13:28. > :13:31.aware of the case of Noel Conway. As it is no court, it would not be
:13:32. > :13:33.appropriate for me to comment on that case.
:13:34. > :13:35.But a former President and current patron
:13:36. > :13:39.of the Royal College of Surgeons sounded a note of caution.
:13:40. > :13:49.Should it ever be considered again, the medical profession has to be
:13:50. > :13:54.excluded. They will not want to be associated with the taking of life.
:13:55. > :13:59.They are there to save lives. Pilot is possible there are those who meet
:14:00. > :14:07.volunteers to undertake the task, it is important and should not be
:14:08. > :14:10.legislated because the majority of them would even be legislated to
:14:11. > :14:18.undertake the south that was the case. I hear what he is seeing and
:14:19. > :14:22.understand his reasoning behind his observations. I can only rephrase
:14:23. > :14:36.that this government does not intend to legislate in respect of this
:14:37. > :14:39.matter. Do not like this matter, give people the opportunity to make
:14:40. > :14:44.this important decision about how they die.
:14:45. > :14:49.Again, I can understand the noble lord's interest and concern in
:14:50. > :14:52.respect of this matter. I will observe that Parliament has twice
:14:53. > :15:06.addressed this issue in the recent past and has determined not to make
:15:07. > :15:09.commitments to the suicide act. It is not supported by one single
:15:10. > :15:18.organisation for people with progressive conditions. The very
:15:19. > :15:25.people who would be the main beneficiaries of assisted buying.
:15:26. > :15:27.Growing numbers of disabled people in their organisations are
:15:28. > :15:39.campaigning against such a Bill because they feel it is desperately
:15:40. > :15:45.unsafe. The CPS that that this in February
:15:46. > :15:49.2010 and again in 2014. I understand the reluctance to change particular
:15:50. > :15:55.legislation, may I ask whether the minister in consultation with his
:15:56. > :15:58.colleagues and the CPS would consider whether reforms are
:15:59. > :16:04.necessary with regard to CPS policy on assisted dying? My Lords, the
:16:05. > :16:10.matter is CPS policy must be left to the CPS to determine independently
:16:11. > :16:16.of Parliament. It is not for government to dictate what that
:16:17. > :16:23.policy should be. It is regularly reviewed and I can say that, for
:16:24. > :16:31.example, in the period from 2090 2016 -- 2009 two 2016. Many cases
:16:32. > :16:33.were not proceeded with in the case of the prosecution.
:16:34. > :16:35.You're watching Monday in Parliament.
:16:36. > :16:38.The Government has been pressed by its own back benchers
:16:39. > :16:44.to speed up efforts to reform health and social care.
:16:45. > :16:46.The biggest threat to safety on the railways is terrorism,
:16:47. > :16:48.according to the deputy chief constable
:16:49. > :16:53.He told MPs on the Transport Committee the danger
:16:54. > :17:00.was unpredictable, but there were others too.
:17:01. > :17:09.The challenge from protecting the network that is wide and open, and
:17:10. > :17:12.the risks being so I'm predictable, that is the greatest level of
:17:13. > :17:15.concern. We have seen that recently in North Greenwich. It is a real
:17:16. > :17:21.threat that we have to counter. In terms of more traditional crime,
:17:22. > :17:25.protecting vulnerable people, I know it was a theme of the previous
:17:26. > :17:30.committee, but focusing on effort and those people in crisis or at
:17:31. > :17:35.risk on the network and then can be fun aboard the crime is where we are
:17:36. > :17:38.putting our effort. Those types of offences that really cause people
:17:39. > :17:43.the most physical harm and impact on the confidence to travel, so
:17:44. > :17:47.predatory sex offending, levels of violence, particularly where that
:17:48. > :17:53.affects railway workers. We have is seen across Europe recently
:17:54. > :17:59.terrorist attacks involving domestic vehicles. We have seen trucks and
:18:00. > :18:04.lorries. The biggest thing that concerns me is level crossings. We
:18:05. > :18:07.have traced that carry up to 1000 people at peak times that are
:18:08. > :18:12.hurtling at huge speeds with level crossings where we have flimsy
:18:13. > :18:15.barriers. That is a major concern as far as I'm concerned. From your
:18:16. > :18:19.perspective, what can be done to mitigate the risk but what training
:18:20. > :18:24.is being provided to those in the control centre to try and spot some
:18:25. > :18:28.of the signs that may be able to stop such an attack happening in
:18:29. > :18:34.future? Absolutely. I wish it was an easy one to answer because it is
:18:35. > :18:41.often described as Martini terrorism, because it can happen at
:18:42. > :18:44.any place at any time. We cannot predict, as you will be familiar
:18:45. > :18:53.with. Having an open network in the way we do and the way our running
:18:54. > :18:58.lines cross a small country, it opens up those wonderful points. We
:18:59. > :19:01.do a lot around level crossings. We have a large number of Network Rail
:19:02. > :19:07.funded mobile safety vehicles that can allow us to target different
:19:08. > :19:13.hotspots or risk locations so that we can put those preventative and
:19:14. > :19:17.disruptive mitigations in, not just for terrorism but for trespassing
:19:18. > :19:25.and people who are offending by not abiding by crossings. There is an
:19:26. > :19:30.increase in sexual offences, is that people feeling more confidence or
:19:31. > :19:35.more actual offences? How can we tell which it was? This is where we
:19:36. > :19:40.were out of kilter with other police forces. We have recorded a greater
:19:41. > :19:44.increase in sexual offending, and that you are right to suggest there
:19:45. > :19:50.is a greater confidence in victims to tell us. We actively promoted our
:19:51. > :19:54.interests and concerns. We had a number of significant initiatives in
:19:55. > :20:06.the last two years. Worst of all, in London, there was project Guardian,
:20:07. > :20:09.which is a collaboration. It encourages people who feel
:20:10. > :20:16.accountable about behaviour on the Tube. That morphed into a national
:20:17. > :20:22.campaign. If I give you a brief example, why is that important?
:20:23. > :20:26.Quite another of the victims who converted us said, I experience this
:20:27. > :20:31.in our journey, I don't want you to do anything further, but I want you
:20:32. > :20:34.to know it happened. For a variety of reasons, they want to take that
:20:35. > :20:40.approach. Using that data, we were able to analyse trends. We saw that
:20:41. > :20:45.there was a spike in indecent assaults, touching, on a Tube line.
:20:46. > :20:49.We were able to put undercover officers on that line and they saw
:20:50. > :20:54.an offender who use the busy service and the nurturing of the train to
:20:55. > :20:59.bump into people. Those victims did not know they had been victims, but
:21:00. > :21:03.watching his behaviour and seeing him do that three or four times in a
:21:04. > :21:04.row without getting off the service and allowed us to intervene and
:21:05. > :21:06.arrest him. that Theresa May will signal
:21:07. > :21:09.a so-called "hard Brexit", the European single
:21:10. > :21:12.market and customs union. The prospect of leaving
:21:13. > :21:14.the single market has prompted
:21:15. > :21:15.concerns from trades unions that workers' rights
:21:16. > :21:17.could be undermined. But the Business Minister,
:21:18. > :21:18.Lord Prior, sought to lay
:21:19. > :21:28.those worries to rest. We do not need to be part of an EU
:21:29. > :21:31.single market to have strong protections for workers' rights. The
:21:32. > :21:37.Government will not roll back EU rights in the work ways or the
:21:38. > :21:43.workers' rights that are enjoyed, they will be brought across into UK
:21:44. > :21:50.law. I think he has indeed touched on this, would he go one step
:21:51. > :21:54.further and reassure the House and indeed the TUC that all the
:21:55. > :22:01.directives contained and that are relevant be contained in the great
:22:02. > :22:06.repeal Bill? The prime and Esther has said that under this government
:22:07. > :22:08.we will see workers' rights not eroded and not just protected but
:22:09. > :22:14.enhanced. The commitment of this government is clear. Obviously, for
:22:15. > :22:17.subsequent parliaments, as we we gain sovereignty over these issues,
:22:18. > :22:22.it will be up to individual parliaments to make those decisions.
:22:23. > :22:26.It is a sad day when the TUC no longer has faith in the Labour
:22:27. > :22:28.Party, the Liberal Party and this British Parliament to defend the
:22:29. > :22:36.rights of British workers. Is it not the case that workers enjoy rights
:22:37. > :22:42.far beyond the EU directives, especially with regard to maternity?
:22:43. > :22:47.For workers' rights enshrined in EU law will be transferred into UK law.
:22:48. > :22:53.But then it was added, where practical. Could the minister tell
:22:54. > :23:01.us which workers' rights cannot be practically transferred into UK law?
:23:02. > :23:04.I can't think of any rights that would fall into the lot practical
:23:05. > :23:08.area. The prime and Esther went further than that. She is committed
:23:09. > :23:10.and our whole industrial strategy is committed to bringing decent, well
:23:11. > :23:12.paid skilled jobs to Britain. It's not often that a piece
:23:13. > :23:15.of legislation is thought capable of helping to heal
:23:16. > :23:16."divisions in society". But that's what
:23:17. > :23:19.the Labour MP Jon Cruddas thinks about the National
:23:20. > :23:20.Citizen Service Bill. The National Citizen Service -
:23:21. > :23:24.or NCS - was set up six years ago to give teenagers the chance
:23:25. > :23:27.to do community work on residential
:23:28. > :23:29.trips away from home. The Bill would give the service
:23:30. > :23:40.a permanent legal standing. It really focuses on how we live
:23:41. > :23:44.together. There is no more important issue addressing the country. How do
:23:45. > :23:47.we create a nation at ease with itself and foster a notion of
:23:48. > :23:51.service to others amongst our young people? Obviously, this is vital
:23:52. > :23:56.given the divisions in our society, so clearly exposed around last year
:23:57. > :24:04.around class, race geography and religion. These tensions might
:24:05. > :24:07.continue to escalate. The suggest a brittle country. Resolving this and
:24:08. > :24:10.healing division will indeed take time, but this Bill will help.
:24:11. > :24:12.A Conservative, James Berry, said the citizen service
:24:13. > :24:14.had many of the hallmarks of National Service,
:24:15. > :24:17.recalling the words of his father who did his national service
:24:18. > :24:22.in the 1950s with the Royal Marines and the Durham Light Infantry.
:24:23. > :24:28.He always would tell me what a great social leveller their National
:24:29. > :24:34.Service was, because in basic training you could be there in a
:24:35. > :24:37.dorm with people from Eton, with stockbrokers, Alec Trish and is,
:24:38. > :24:41.people from all different walks of life. Every conceivable background,
:24:42. > :24:47.but any pre-existing airs and graces would be squashed by a diet of
:24:48. > :24:51.exercise, hard work, learning new skills and having to live, eat,
:24:52. > :24:58.sleep and work, do everything together as a team. I want won to
:24:59. > :25:04.give young people an appetite for service, for opportunities and try
:25:05. > :25:09.new things. Our vision is for NCS to be a common experience for all.
:25:10. > :25:13.Scouts, cadets, people familiar with service in the same team, sharing
:25:14. > :25:20.their expertise with people who have never done anything like this
:25:21. > :25:22.before. NCS sees people with different background, faiths,
:25:23. > :25:25.interests coming together at a formative age and learning the
:25:26. > :25:27.impact they can have on the community around them.
:25:28. > :25:28.With wide support across the parties,
:25:29. > :25:30.the Bill was approved without a vote.
:25:31. > :25:35.Alicia McCarthy is here for the rest of the week,