Tag: Speeches

  • John Redwood – 2022 Speech on BBC Local Radio

    John Redwood – 2022 Speech on BBC Local Radio

    The speech made by John Redwood, the Conservative MP for Wokingham, in the House of Commons on 8 December 2022.

    I entirely agree with that passionate defence of localism by the hon. Member for York Central (Rachael Maskell). Local must mean local and we do not want people in the BBC in London imposing on us their views on how our local radio should be conducted and how big our locality should be. I see behind the centralised planning at the BBC a distorted version of what our constitution should look like within the United Kingdom, and a wish to impose that—against the clear majority wishes of people, whenever they have been asked about these subjects in referendums and elections.

    It is not just that the BBC wishes to create phony regional groupings instead of truly local radio, but that it has a very distorted view of devolution. The BBC seems to be an enthusiast for devolution to Northern Ireland, Scotland and Wales, but it does not even know England exists. It always wants lopsided devolution. One of the four important constituent parts of the United Kingdom is scarcely ever mentioned; it is never suggested it should have any powers or right to self-government and there is no engagement with English issues on BBC radio in the way that there is a clear engagement with Scottish, Welsh or Northern Ireland issues. That causes enormous resentment.

    In my own case, local radio is organised at the county level, at Radio Berkshire. That makes sense, because it is an area that we can recognise and there is some loyalty to our royal and ancient county. Many people now do not know that it had its borders artificially compressed in a local government reorganisation some 50 years ago, under a Conservative Government that I think made some mistakes, but the county retains an enormous amount of goodwill and residual loyalty, and people are very happy for our local radio to be organised at that scale. If people had real choice, however, I think Wokingham would rather have a different radio from Reading, and I think we would probably rather have a different radio from Windsor, because we have a different set of issues. But we accept that there have to be some compromises because talented people need to be appointed and paid wages, and that cannot be done to a sensible budget at very local levels.

    I urge the BBC to look in the mirror and understand why, in many respects, it is getting so out of touch with its audiences. It has a very narrow range of views and issues that it will allow people to discuss, and it has a particularly warped perspective on how we feel about our areas and what our loyalties belong to. I am allowed to express views from time to time on BBC Radio Berkshire. It does not put me through the ordeal of a pre-interview to find out whether my views are acceptable and fit its caricature of a Conservative in the way that nearly always happens if national radio is thinking of interviewing me. Then, I always have the double interview, and I quite often fail the first interview test because my views are clearly too interesting or unacceptable, or do not fit the caricature that the radio wishes to put into its particular drama, so people are spared my voice on radio and I have more free time, which is perhaps a wonderful outcome from those events.

    I do not find that my local radio quite plots the drama as strongly as national BBC radio and television. I am very grateful for that because I think that good, independent broadcasting of the kind that the BBC says it believes in should allow people of decent views—not extremists who want to break the law, or racists—to conduct civilised conversations and debates through the medium of the BBC. But all too often, that is truncated or impossible because of the way in which the editors operate and their pre-conceived set of views, about which they wish to create some kind of drama.

    Colleagues have made extremely good points, which I will emphasise, about the treatment of staff and the way these kinds of proposals are planned. If the BBC wishes to run truly local services, it must listen to us—the local people and the local people’s representatives—and treat its staff well, and be aware that they have given good service in the past and should be taken on a journey of change that makes sense for them as well as for the BBC. This all looks rather top-down, abrupt and unpleasant. Successful organisations understand that their own journeys, evolving as institutions, are best conducted if, at the same time, they allow good journeys for the staff who give them loyal service. That does not seem to be happening in this case.

    I will spare you a bit of time, Madam Deputy Speaker—I have made the main points that I wished to make. The BBC needs to be more open to a wider range of views. If it wants to be local, it has to ask us what local means.

  • Rachael Maskell – 2022 Speech on BBC Local Radio

    Rachael Maskell – 2022 Speech on BBC Local Radio

    The speech made by Rachael Maskell, the Labour MP for York Central, in the House of Commons on 8 December 2022.

    The House is united this afternoon as we are the voices of our communities—the very thing the BBC should and must be into the future. I congratulate the right hon. Member for Hemel Hempstead (Sir Mike Penning) on securing today’s timely debate, as the BBC is well into its consultation. However, when I spoke to the BBC just this week, my conclusion was that it had got the question wrong that it is trying to solve. It is almost running in the opposite direction of the challenges it is trying to address, but also of the way our country is moving.

    Ever more we are seeing devolution and therefore more localism and more need to hold local politicians to account. In the midst of the identity crisis we face as a nation, people are drawing into their local roots to find and build that identity. That is the one thing the BBC can do so well because it is not just about broadcasts; it is also about being in the community. The journalists and programmers live in our communities and know them. They have the connection with the people across the communities. What the BBC is doing with this proposal is drawing everything back to the centre. This centralised idea of what the BBC should be to local people will be determined in London, as opposed to in our communities. That is where this proposal is fundamentally wrong. It asks the wrong question of the problem.

    When I met BBC representatives earlier this week, I said to them, “Over the next two years, you should set a challenge to every local BBC station across the country and say to them, ‘We want to move in the direction of digital, because that is where the world is going and we understand that, but we also need to keep a strong broadcasting sector in place. Why don’t you, as local BBC teams, take that problem away, sit around the table, find your own local solutions, and see where that takes us? Let us see the innovation that comes from our brilliant journalists, programmers and staff across the BBC. Let them set the pace for their communities, because they know what their communities need.’” Instead, what is happening is that everything is being sucked into the middle—into the heart of London—where decisions are being made by somebody who does not know our communities, who does not understand the different populations that need to be served, and who does not know the stories that people want to hear.

    We have heard about the importance of connection. Across our country, we have 9 million people who are lonely. That is shocking, but the BBC is a friend to those people. We know that 25% of lonely people switch on their radio as a way of making their connection to the outside world. Will we seriously make them withdraw even further from our society as a result of this programming process? It just does not make sense, and it does not address our societal needs, which is exactly what a public sector broadcaster should do.

    Redundancy notices, or at-risk notices, have been issued to staff just weeks before Christmas. Forty-eight jobs will disappear across the BBC. They are the jobs of broadcasters and planners—people who worked right through the pandemic and who served us so well over that time. Now they are worried about their future and about having their professionalism undermined, at a time when their advice is needed to shape the future of British broadcasting.

    The BBC faces challenges: local radio and local BBC have been massively cut already. Instead of managing that decline, which is what is happening, the BBC should grasp the reality of where it is and where it needs to get to and then rise to the challenge, embrace this as an opportunity, draw in all the skills from the broadcasting community and ensure that it is ahead of the curve. It should be strategic and think about what broadcasting and its unique selling proposition could be, to shape the future of broadcasting across our country. It should be not following but setting the agenda. That is what it did on its inception 100 years ago, but it seems to have lost its mission. That is why I say to the BBC that it is following the wrong course.

    Moreover, as we see more and more devolution and more elected Mayors, people across the country are demanding to know more about what is happening in their area. As they need jobs and housing within their community, they want to know what is happening. It is important that those stories are told. After all—I mean this with no disrespect to friends and colleagues across Yorkshire—people in York want to know what is happening in York and North Yorkshire. They do not necessarily want to know what is going on in Leeds, Sheffield or elsewhere in North Yorkshire, because they are different communities. What matters to them is what is on their doorstep, what is going on in the local school or the local community centre, and what is happening in their city with jobs, housing and so on. That is why local radio is so important.

    BBC local radio is also the authentic voice of what is happening across our airways. What happens in this place is almost BBC entertainment at times, but when we think about the stories, we realise that they do not break in Westminster. They happen in villages, towns and cities across our country. Sadly, that is where tragedy happens, too. I think of Claudia Lawrence who went missing in my constituency. Would regional BBC really care about reporting that story 13 years on? Will they keep coming back to that story? BBC Radio York does, however, because she matters to our community and it matters to her family. We need to keep those connections in place—to remember people, to tell those stories, to reflect on the good times and the bad times—and the BBC can only do that if it is located and broadcasting in the community.

    In York, we will see a serious cut in the number of hours of broadcast, from 105 to just 47—nothing at all. At 2 o’clock we will switch off from having our own identity and will be merged into the mash of all the media outlets out there. That will certainly not deliver to our people.

    I remind the BBC of what happened during the floods of 2015, a really challenging time—we have heard about covid and about other weather event—when day and night journalists were out across our communities, reflecting and telling the story, helping where no other messages were coming through, able to get out vital messages about safety and security, and comforting people at a time of real fear. It sticks in everybody’s mind how they were always there, because the BBC is always there—out in the communities, out in the reaches, telling the stories on their doorstep. That is why we need good, strong local radio, day and night.

    It almost feels as though the BBC has lost confidence in itself, its purpose and its mission. I know the people working across BBC Radio York, who do an incredible job, are not just names, but part of our York family. That is why the station is so special and why we must keep fighting for it. Whether it is Jonathan, Adam, Elly or Georgey, they are part of our daily diet as they share what is going on in their own way. Often people say, “Oh, local radio—that’s where people do their training before they get on to the serious stuff in Westminster or move on.”, but in my experience, these are the very best of journalists, the very best of planners and technicians. They know their trade and they are skilled at it, and they have so much to pass on for the future of radio.

    That is why it is vital that the BBC asks the real question: what does it want of itself for the future? The only way it can do so authentically—the only way it will have a future—is if it goes back to its communities and its experts across the field and asks them, “What is our future?”. Instead of determining it from here in the centre, the BBC must go back and start the process again, determining its way forward by saying, “We need to be part of the communities from which we once came.”

  • John Whittingdale – 2022 Speech on BBC Local Radio

    John Whittingdale – 2022 Speech on BBC Local Radio

    The speech made by John Whittingdale, the Conservative MP for Maldon, in the House of Commons on 8 December 2022.

    I congratulate my right hon. Friend the Member for Hemel Hempstead (Sir Mike Penning) on obtaining this debate. It is also a pleasure to follow the right hon. Member for Hayes and Harlington (John McDonnell). I do not often agree with what he says but, apart from a couple of sentences, I agreed with practically every word.

    The BBC spends something like £4.1 billion each year on public service content, of which £477 million—just over 10%—is spent on radio. A quarter of that, or around 3% of the BBC’s total spend, is spent on local radio, yet what BBC local radio provides is hugely valued by a very large number of listeners. It is an essential and widely trusted local information service.

    I have listened to and appeared on BBC Essex over many years. The station’s presenters, including Dave Monk, Sadie Nine and Sonia Watson, are familiar friends to many of my constituents. People share their living room with them, and their news reports are trusted. That was particularly the case during the covid pandemic, when all the surveys showed that people relied on and trusted information from local media more than information from almost any other source.

    But it is not just about news. BBC local radio does a tremendous amount of community events to support voluntary organisations. Just a few weeks ago, I presented a Make a Difference award to one of my constituents in Essex who had been recognised by BBC Essex for her remarkable, life-saving bravery.

    The BBC’s mission is to be distinctive, and one of its public purposes is to serve the diverse communities of all the UK’s nations and regions. BBC local radio does both. The requirement to be distinctive is something BBC local radio meets better than a lot of the rest of the BBC. Nobody else does what BBC local radio does. There are plenty of very good local radio stations—I have Heart Essex, Radio Essex and community stations such as Caroline Community Radio in my constituency—but they are predominantly music-based. They do not pretend to provide the kind of very localised talk-based content that only BBC local radio provides.

    I accept that this year’s licence fee settlement is difficult for the BBC, but £159 represents a lot of money for households, particularly with the rising cost of living, so it was the right decision to freeze the licence fee. That has put pressure on the BBC, but local radio is a tiny proportion of its expenditure, and the BBC tells us that it is not cutting the amount of money it spends but is redirecting it, so £19 million has been taken away from radio and put into online news.

    I spoke to Rhodri Talfan Davies, the BBC’s director of nations, about why the BBC made that decision, and he told me it was because people no longer listen to the radio to get their news and because people, particularly young people, are increasingly going online, and the BBC somehow has a duty to follow them. I think that is profoundly mistaken for two reasons. First, there is still a significant audience for radio, particularly among the elderly population, who often cannot get out. They rely on the radio.

    Richard Foord (Tiverton and Honiton) (LD)

    I recognise what the right hon. Gentleman says about elderly constituents who depend on local radio. Angela Kalwaites does a fantastic show on BBC Radio Devon covering stories from the county’s faith communities. Some of my constituents who listen to her show are frail and elderly and can no longer get themselves to their local church or chapel. They tune in to her programme to get that connection with local people. Does the right hon. Gentleman agree that this move would hit some of our eldest constituents hardest?

    Sir John Whittingdale

    I agree. Many of our elderly constituents rely on radio and are less familiar with online. They will not necessarily go on to the BBC News website or a commercial website. They enjoy the fact they can listen to local news content from people they know well. As my right hon. Friend the Member for Hemel Hempstead and the right hon. Member for Hayes and Harlington have both said, this is now going to stop for a lot of the country at 2 pm. We are lucky in Essex, as it is going to continue until 6 pm on weekdays, but after that we will become part of a regional network, with a show that covers Essex, Cambridgeshire, Suffolk, Norfolk, Northamptonshire and Three Counties Radio, which means another three counties, as it says on the tin. So that makes eight counties. Eight counties is not local radio. This will result in a significant reduction in the amount of local content, at times when people want still to be able to access that.

    Secondly, instead of providing for local radio, the BBC is going to increase its spend on local online news content, yet that area is already well supplied. Local news publishers more and more are providing online content. Existing print-based newspapers have websites and there are now many online-only publishers, such as Nub News, which I referred to in the questions this morning. They are operating in a challenging and competitive environment, and are under tremendous economic pressure. They already see the BBC, which provides content for nothing, as a major competitor. The latest Ofcom survey showed that, when people want to go online to access news content, 62% go to the BBC website, 34% go to Google and 10% go to any local newspaper site. So already local commercial providers feel that the BBC is a threat and that is why Frances Cairncross said in her report that the BBC needs

    “to think more carefully about how its news provision can act as a complement to, rather than a substitute for”

    private news provision. Yet this, the area where the BBC is going to invest more, is bound to have an even greater competitive impact on commercial news providers. So I hope that Ofcom, which has a duty to look at the impact of the BBC’s activities, will examine that. I hope it will also look at the operating licences for BBC local radio and, if necessary, strengthen them to make sure that they continue to provide genuine local content, not local content across eight counties.

    If the BBC wants to support local news provision, there is an easy way in which it can do so. When I was Secretary of State, I played a small part in the creation of the Local Democracy Reporting Service, where the BBC pays for local journalists who are employed by local news providers to collect and distribute local news content across all the local news providers. That scheme has been a huge success. It is welcomed right across all the local newspapers. The BBC acknowledges that it is a great success. So, if the BBC wants to put more money into local news provision, it should do it by increasing its support for the Local Democracy Reporting Service, which works with local newspapers, rather than by increasing the amount of money it spends competing with local newspapers.

    It is not for us here or for the Government to tell the BBC how to spend its money, but the message that will go out this afternoon is that the BBC has got this wrong and it needs to think again.

  • John McDonnell – 2022 Speech on BBC Local Radio

    John McDonnell – 2022 Speech on BBC Local Radio

    The speech made by John McDonnell, the Labour MP for Hayes and Harlington, in the House of Commons on 8 December 2022.

    I speak not only in my capacity as secretary of the National Union of Journalists parliamentary group, but to represent my constituents. The NUJ has circulated a briefing to all Members of Parliament who have expressed an interest in local radio. I will refer to elements of it because it sets what the right hon. Member for Hemel Hempstead (Sir Mike Penning) said in context.

    I congratulate the right hon. Gentleman on securing the debate. It is interesting that on this particular subject we have come together over the years on a cross-party basis to exert an influence on the BBC as best we can. Our debates in this House have exerted an influence: hon. Members who have been around for a while will remember previous debates in which we have fended off onslaughts on BBC radio.

    Let me put our concerns on the record—I hope the BBC is listening. The current plans mean that most of the afternoon and evening output will be shared. Overall, BBC local staffing is expected to reduce by 48 posts. After 2 pm on weekdays, the BBC will produce 18 afternoon programmes across England. Local stations will be forced to share information. What will that do? Exactly as the right hon. Gentleman says, it will seriously diminish a service that is highly valued by listeners and plays a role for all in underpinning local democracy by holding us to account and reporting on what is happening— not just with MPs, but with local councils and local agencies.

    As the right hon. Gentleman says, there is example after example of local BBC stations providing a conduit of information during crisis after crisis. From weather crises and covid to accidents and other unfortunate incidents, they provide the information people rely on. Why are they important, as against other stations? Because they are seen as a reliable source of information and they provide a vital service on which all our communities depend. The cuts mean that there will now be just 40 hours a week of guaranteed local programming.

    Let me reiterate the role that constituents have told us BBC local radio does. It connects communities. It provides local news. It provides reportage of sport, entertainment and religious services. It has been the bedrock of the BBC’s role as a public service. Interestingly, it is not just us saying that, but the BBC itself. In its latest annual report, the BBC boasts about how local radio

    “delivered real value by keeping people safe and informed through challenging times such as Storm Arwen, where audiences in the North East were left without power for weeks.”

    The BBC itself gives examples from the pandemic, when many people were isolated in their homes. The BBC itself says “it makes a difference.” That is why we are bewildered when 5.7 million people listen to local radio and it comes under attack once again.

    There is quotation after quotation from people who may not be working in the service at the moment and may therefore be more independent. I agree with the right hon. Gentleman that people do not want to put their jobs at risk at this stage. The former voice of BBC Radio Suffolk’s afternoons, Lesley Dolphin—who was very well known to a lot of people—wrote this to the director-general of the BBC:

    “BBC managers are proud that they have journalists on the ground in every county, but local radio is so much more than a news service—it is embedded in local communities and gives people a sense of place, a chance to celebrate heritage and art. It will be impossible to do that if programmes are shared across a wider area.”

    When we debated this issue recently, early in November, there was huge cross-party support for local radio. One Member said that local stations

    “provide a lifeline for news and education, mitigate against rural isolation and support people’s rural mental health.”

    Another said that it was

    “a great incubator for new talent”

    in his area, and a third described it as

    “one of the crown jewels of our public sector broadcaster.”—[Official Report, 1 November 2022; Vol. 721, c. 774-778.]

    The importance of local broadcasting becomes even clearer when all of us are reporting the decline in local newspaper circulation in our areas. The BBC local radio service has stepped into that gap to an even greater extent to ensure that there is local reportage, holding us all—at every level of representative democracy—to account. Press Gazette has reported that 265 local newspaper titles have gone. The BBC says that it is pursuing a digital-first policy, chasing younger viewers, but the NUJ and others have put forward alternatives so that broadcasters can improve the whole system more effectively by working differently and using technological solutions. Unfortunately, the BBC has not engaged in that discussion constructively enough.

    I agree with what the right hon. Gentleman said about staffing. All BBC local radio staff have now been told that their jobs are at risk. They have been told that the managers will “roll out” the plans, which means that some of those staff will not know their futures for up to a year. We can imagine the sense of insecurity that that creates.

    During the November debate, the Media Minister, the hon. Member for Hornchurch and Upminster (Julia Lopez), said the Government were

    “disappointed that the BBC is reportedly planning to make such extensive cuts to its local radio output.”—[Official Report, 1 November 2022; Vol. 721, c. 764.]

    The view that we can express to the BBC is that this is a cross-party issue. It is certainly of concern to the Opposition parties, but it is also of deep concern within the Government. I will not let the Government off the hook, because I want to put on record my opposition to the freezing of the BBC licence fee, but in the context of the resources that the BBC now has, as the right hon. Gentleman said, there must be some element of prioritisation for the valuable role played by BBC local radio.

    Let me quote from another broadcaster most people will recognise, Fi Glover, who has been a prominent broadcaster over the years. When she was interviewed recently on “The Media Show”, she said:

    “There has never been a more important time in the dissemination of information to have a strong local news network. If you can’t tell the story of the people around you, who you know and see every day then into that void can fall really unpleasant things. Once that part of the forest has been cut down, it won’t ever grow again.”

    So what did she think of these plans? She said,

    “it is bonkers.”

    I agree with her completely. I hope that the BBC is listening, and I hope it will think again.

    Let me say this on behalf the of NUJ: it stands ready to be involved in any consultations or negotiations to find an alternative way forward, which I think the majority of Members would also seek.

  • Mike Penning – 2022 Speech on BBC Local Radio

    Mike Penning – 2022 Speech on BBC Local Radio

    The speech made by Sir Mike Penning, the Conservative MP for Hemel Hempstead, in the House of Commons on 8 December 2022.

    I beg to move,

    That this House has considered the future of BBC Local Radio.

    I thank the Backbench Business Committee and the 100-odd colleagues from across the House who joined the application for this debate. For those who are watching and perhaps thinking that the Benches are a bit sparse, actually if everybody speaks for 10 minutes, we will fill the time perfectly. This is a great opportunity for colleagues across the House to send a message not only to the excellent Minister on the Front Bench, but to the BBC. I also thank the House of Commons Library for its excellent and balanced paper on the subject. I will try to explain to the BBC, with colleagues, where it has gone fundamentally wrong with the demise of local radio. Local radio provides a service to our constituents and our communities that commercial radio cannot provide. If the BBC is trying to compete with commercial radio in that space, then frankly it has lost the ethos of what the BBC is supposed to be about.

    There is a tax on all our constituents who have a TV or a computer that is able to receive a BBC programme. It is called the licence fee and it is a criminal offence not to have it. It was put in place all those years ago so that the BBC could provide a service that people could trust was impartial and was not going to come from any other source.

    Mr David Davis (Haltemprice and Howden) (Con)

    Does my right hon. Friend agree that impartiality is right at the front of the BBC’s ethos, but that in practice many of us in this Chamber—certainly, I do—find that BBC local radio, in my case Radio Humberside, is far more impartial than any national programme?

    Sir Mike Penning

    My right hon. Friend hits the nail on the head. I will come on to explain the matter of trust and how local radio is not allowed a level playing field, when it comes to programmes such as “Newsnight” or the cost of some BBC presenters. During covid, my constituents were massively reliant on the information coming from Three Counties Radio. They trusted it, they understood it and the presenters were literally their voice of information about what was going on during the pandemic.

    As the cold weather hits parts of the country—fortunately, although my part of the country is cold, the weather there will be nowhere near as difficult as the sort that some will have—there is no doubt that some schools will close. Where is the information that people can trust going to come from? Clearly, it will come from their local radio station. Some commercial radio stations will pick that up—that is fine—but actually that is the job of the BBC, because it takes the licence fee.

    The BBC gets about £3.5 billion from the licence fee and a further £1.5 billion from other sources. It is not for this House to tell the BBC how to spend that money, but we can give it advice. Some of that advice has been brought to me by my constituents, who are literally in tears that some presenters on local radio stations in my part of the world have been given pre-redundancy notices before Christmas, telling them that they should apply for their jobs. In some cases, those jobs will not be there.

    Let us look at what the BBC has decided to do. It is proposing to allow our local radio stations to go a bit longer in the morning, until about 2 pm, and then we will be regionalised.

    Colum Eastwood (Foyle) (SDLP)

    I am grateful to the right hon. Gentleman for securing the debate. An announcement was made last week about my local radio station, Radio Foyle, and we will not even get morning programming. There will not be a local voice on Radio Foyle in the north-west of Northern Ireland until 1 o’clock in the afternoon. The breakfast programme is being stripped away and more than half of the news staff are being got rid of to save £420,000. BBC Northern Ireland’s budget is £55 million. In effect, it will destroy a local radio station, going against what its own charter says about providing local people with access to local news, all to save a measly £420,000. The BBC has a massive number of staff in Belfast and two massive buildings, but the axe is falling on the local community in the north-west of Northern Ireland. Surely the right hon. Gentleman would agree that that is an absolute disgrace.

    Sir Mike Penning

    The hon. Gentleman represents the voice of his constituents in an excellent way in the House this afternoon. Knowing the Province as I do—once in uniform and then as a Minister of State in the Northern Ireland Office—I know how important the local radio stations are. The interesting thing is that I do not think the BBC really knows what it wants to do. What is its ethos? Where is it going? For instance, in my part of the world it will cut local radio in the afternoon, but in his part of the world it will cut it in the morning. I would argue that both are very important.

    To go back to my earlier point, we are now in winter. Parents will take their children to school, and it is quite possible that sometimes—especially in the northern parts of this great country of ours—those children will have to go home early. Schools will do their level best, but it is the local radio stations that will tell parents which schools will be open the following day, which will be open that evening, and whether they need to collect their children early—I hear that all the time on my local radio station. The people involved are dedicated, and they are not the very rich people who work for the BBC.

    When the Secretary of State came to the House to answer questions on this issue a few weeks ago, it was shocking that the Department had been told what was happening only the day before, because I had been told on the Friday by some local radio stations that they knew about it then. It is shocking that what is really an extension of Government—because the BBC takes the licence fee—did not tell the Government what was going on so that we could tell the House. That is absolutely disgusting and fundamentally wrong. Mr Speaker quite rightly complains bitterly when things are announced outside the House, but this was also about people’s jobs and our communication with our constituents.

    I went back to listen to some of the comments from people in local radio—I have to be careful here, because I want to protect them and not put them in an even more difficult position—and they said, “Mr Penning, it is not a level playing field. I’m not allowed to have another job, apart from working for the BBC.” A few people are on slightly different contracts, but the vast majority have contracts that say they cannot have another job in broadcasting.

    I named a gentleman in this Chamber who works for the BBC and who has been on our TV quite a lot recently because of the World cup—the gentleman’s name is Gary Lineker. I said that I thought that it was fundamentally unfair that he earns £1.35 million, or slightly more—that has been declared by the BBC as his income—and others, such as Zoe Ball on Radio 2’s “The Zoe Ball Breakfast Show”, earn just short of £1 million. I do not know about Zoe Ball’s contract, but what we know about Gary Lineker’s contract is that not only does he do advertisements for a certain company that makes crisps, but he works on BT Sport. My local radio people are not allowed to do that.

    I got lambasted by a Daily Mail journalist who said, “Stop picking on Gary Lineker.” I am not picking on him; I just think it is unfair that our local radio people are now prevented from having a job, while he can go and do jobs galore. I am not going to be a hypocrite; I have declared other interests outside this House. That is within my contract. Others who work in local radio cannot work in other ways. There are people who have been given their pre-redundancy notice and told that they need to apply for their job, but their jobs will not be there.

    What can the Minister do for us this afternoon? He is an excellent Minister, but his job, rightly, is not to run the BBC. It is for this House, however, to send a message to the BBC that it has got it fundamentally wrong to attack that low-hanging fruit—our local radio station presenters—without understanding the damage that that will do to our communities around the country.

    Andy Carter (Warrington South) (Con)

    This is a message that we need to send not only to the BBC, but to the regulator, Ofcom. The service licences under which BBC local radio operates are so woolly that, frankly, there are no obligations in place that require it to be specifically local to the area that it is required to serve. Given that we are in a mid-term review of the BBC, is it not time that Ofcom had some teeth and required the BBC to do what it is set out to do?

    Sir Mike Penning

    My hon. Friend has read my mind. As he may have noticed, I do not read speeches in this House because my dyslexia prevents me, so I try to memorise what I am going to say, and I was about to move on to Ofcom.

    Because the licence fee is a tax and people have to pay it, there has to be regulation. Ofcom provides that regulation. It is for the Government to set the parameters, for Ofcom to regulate and for the BBC to decide how to deliver its services. I find it inconceivable that Ofcom would sit back and allow this to happen when it is Ofcom’s job to ensure that the BBC fulfils its role and does what it was supposed to do when we set it up with a licence fee all those years ago.

    I am conscious that many colleagues across the House want to speak this afternoon, and I am really interested to hear what they say. The BBC has done brilliant things and has some brilliant programmes. I have fallen out with it many a time; I do not go on “Newsnight” these days, because it is cheaper just to phone up all the people who watch it—200,000, which is smaller than the number of people who listen to their local radio station in my part of the world.

    Dean Russell (Watford) (Con)

    My right hon. Friend and I share a local station, BBC Three Counties Radio. I am sure he agrees that every single one of its 250,000 listeners must enjoy the shows. As he says, it gives important local voices the power to reach into people’s homes when they are needed—it did that perfectly during the pandemic. I pay tribute to BBC Three Counties and all its presenters for their work.

    Sir Mike Penning

    I too congratulate BBC Three Counties, not just because of its work in the pandemic but because it picks up many local issues for us.

    I congratulate the BBC on managing to unite this House in a way that we probably have not seen for quite some time. This Chamber is confrontational by nature—it does what it says on the tin, really—but I can almost guarantee that colleagues are here today because they want to look after their constituents and want their constituents to get the best possible value from the BBC.

    If this is all about money, I cannot understand why the BBC is spending £5 billion, of which £3.5 billion is taxpayers’ money, but it cannot find a better way. If people cannot look after Radio Foyle instead of saving peanuts in cash terms, and if they cannot look after our local station Three Counties Radio, frankly they need to get another job, because they are not running their organisation correctly.

  • Helen Whately – 2022 Speech on Cancer Services

    Helen Whately – 2022 Speech on Cancer Services

    The speech made by Helen Whately, the Minister of State at the Department of Health and Social Care, in the House of Commons on 8 December 2022.

    I very much thank my hon. Friend the Member for Winchester (Steve Brine) for raising the Select Committee’s report on cancer today. I know that he is passionate about this issue both as a former cancer Minister and for the personal reasons that he mentioned, as do I. The Committee’s 12th report makes valuable recommendations, and I am grateful to it for all its hard work. I assure him and hon. Members that we are working night and day, together with our colleagues in the NHS, on three priorities for cancer in particular. They are: to recover from the backlog caused by the pandemic; to get better at early diagnosis and treatment, using the tools and technologies that we have; and to invest in research and innovation, because we know that advances in such things as genomics and artificial intelligence have the potential to transform our experience of cancer as a society.

    This is my first opportunity to congratulate my hon. Friend on his election as Chair of the Health and Social Care Select Committee, where I know he will do an excellent job, bringing his expertise as well as his passion on the subject to bear. I also welcome the focus that he will bring to the Committee on cancer and prevention, as he mentioned in his remarks. I am truly sorry that he has lost members of his family to cancer, including, as he said, his father. He rightly said that cancer affects pretty much everyone in our country in one way or another.

    My hon. Friend talked about some of the challenges that we and our NHS face in the diagnosis and treatment of cancer. In his time as cancer Minister, he was absolutely right to focus on early diagnosis, because we know that that makes such a difference. As he said, he set the 75% ambition for early diagnosis to be achieved by 2028, and the NHS is indeed working towards that at the moment. He talked about wanting to see the plan for achieving that ambition—I say “ambition” because, as he will know, it was intentionally set as a stretching target—and about the importance of us having the capacity to treat cancer. I think that is currently higher than it was before the pandemic, but I certainly see the need to expand it further.

    My hon. Friend talked about the importance of surgical hubs. We have 89 of them, but more are planned, with £1.5 billion of capital funding recently approved for their expansion and future new hubs. He rightly talked about the importance of cancer research and the alignment of that with cancer treatment and cancer services. He also talked about the significance of health disparities and the prevalence of risk factors such as higher smoking and obesity rates in more deprived communities. I will address some of those points during my speech.

    The hon. Member for Easington (Grahame Morris) spoke in particular about radiotherapy as well as giving a broader perspective. As he said, we met the other day together with Professor Pryce, and he raised his concerns with me about the use of radiotherapy, the impact of tariffs, the potential for better use of radiotherapy machines, staff, and several other points in the plan. It is too soon to give him the quality of answers that I would like on those points, but I am looking into exactly what he raised and will get back to him and those others we met as well.

    My hon. Friend the Member for Erewash (Maggie Throup)—I have huge respect for her, including the work that she did as a Health Minister and the expertise she brings to the debate—is absolutely right about the importance of community diagnostic centres. We are rolling them out around the country, with 19 more just announced, increasing our capacity to diagnose cancers promptly. She also spoke about workforce pressures. I am sure she will know that the 2017 cancer workforce plan was delivered and, in fact, exceeded by over 200 additional staff. Since then, Health Education England has received additional funding of £50 million for the cancer workforce in the last financial year and this one.

    I agree with my hon. Friend that we should continue to focus on ensuring that we are training, supporting and retaining the cancer workforce that we need. That is so important to achieving our ambitions in cancer as well as the wider NHS workforce. Indeed, many of those who work in the NHS will be looking after patients with cancer, not just those who might have a specific cancer workforce label. I am sure she will know that we are well on our way to achieving our ambition of 50,000 more nurses in the NHS, with over 29,000 more at the moment.

    My hon. Friend also spoke about cancer equipment. For instance, since 2016, £160 million of capital investment has been invested in radiotherapy equipment. I will take away her call for an equipment audit. She also importantly talked about obesity and alcohol as risk factors, although I appreciated that she said we should focus on alcohol reduction after the festive season. I thank her for allowing us to enjoy a drink over Christmas.

    Grahame Morris

    I am amazed that figures are not to hand on how many radiotherapy machines are more than 10 years old. Is it unreasonable to expect that NHS England would have an ongoing audit to identify which machines need replacing on a planned basis? Will that be addressed?

    Helen Whately

    There will be huge numbers of figures on things that NHS England will be monitoring. I said to my hon. Friend the Member for Erewash that I am very happy to look at her specific suggestion, on the extent to which the data already exists or whether we should be collecting it. That is part of what I will be looking into when I follow up on that.

    We heard from the hon. Member for Coventry North West (Taiwo Owatemi), who brings really valuable experience to this topic. She said that she is a former oncology pharmacist and, if I heard her right, that she also volunteers as a pharmacist in her local hospital. That is hugely welcome experience to bring to the debate. I am very happy to speak to her more about some of the challenges she raised. I will follow up after the debate to see if we can get that in our diaries.

    The hon. Lady pointed out that we are not achieving our targets on treatment rates, which is absolutely true, but she also spoke about cancer referrals. On that point, I want to share some good news. More people than ever before are being referred to hospitals by their GPs to see if they have cancer. The latest data for October this year, published only this morning, shows that almost 250,000 urgent cancer referrals were made by GPs in England, which is up about 109% on the levels in October 2019. It is 10,000 more than in October last year and over 35,000 more than in October 2020. That is thanks to the hard work of GPs, to the 91 community diagnostic centres which have carried out more than 2 million additional scans, tests and checks already, and to all the people who have come forward and got themselves checked. We know it is not always easy if you are worried that you might have something that could be cancer. We are working hard to encourage people to come forward if they are worried, so that we can improve early diagnosis. That is why we are working to raise awareness with campaigns such as “Help us, Help you” alongside targeting case-finding efforts such as targeted lung health checks. Such initiatives are successfully countering the pandemic’s negative impact on cancer referrals.

    In further important news, NHS England announced it is expanding direct access to diagnostic scans across all GP practices. That will cut waiting times and speed up diagnosis or the all-clear for patients. Since November, every GP team has been able to directly order CT scans, ultrasounds or brain MRIs for patients with concerning symptoms, but who fall outside the NICE guidance threshold. Non-specific symptom pathways are transforming the way that people with symptoms not specific to one cancer, such as weight loss or fatigue, are either diagnosed or have cancer ruled out. That gives GPs a much-needed referral route, while speeding up and streamlining the process so that, where needed, people can start treatment earlier. Thankfully, with the increased level of referrals, the majority of people referred will be given the all-clear. However, it is crucial to start treatment promptly for those who are diagnosed, while giving peace of mind to those who do not have cancer.

    On treatment, my Department has committed an additional £8 billion for the next two years, on top of the £2 billion elective recovery fund, to increase elective activity including for cancer services, because speed of treatment following early diagnosis is of course very important.

    I am looking at the time and I know that I need to try to wrap up promptly. I will skip as fast as I can to a conclusion, while answering a couple of points that were raised as we go.

    Many hon. Members commented on the pandemic. I recognise that the pandemic severely disrupted health services. The recovery of performance is a multi-year effort. The NHS is working very hard with a delivery plan specifically to tackle the covid elective care backlog. Under the plan, reducing the number of patients waiting over 62 days for treatment is a top priority.

    Many hon. Members are interested in the progress of the 10-year cancer plan. We are reviewing the responses we have received on the call for evidence to that plan. In parallel, I am closely scrutinising holding the NHS to account on its elective recovery plan, a major part of which is cancer care, as well as looking to the future and making sure we drive forward research and innovation, including, for example, with our recently announced life sciences cancer mission which will invest over £22 million in a vaccine taskforce approach to cancer research.

    I would like once again to thank my hon. Friend the Member for Winchester for securing this debate today. I look forward to working with him and other hon. Members on improving cancer outcomes.

  • Liz Kendall – 2022 Speech on Cancer Services

    Liz Kendall – 2022 Speech on Cancer Services

    The speech made by Liz Kendall, the Labour MP for Leicester West, in the House of Commons on 8 December 2022.

    I thank the Backbench Business Committee for granting this hugely important debate and the hon. Member for Winchester (Steve Brine) for securing it. Ever since he was elected in 2010—the same year as me—he has championed health issues. We have sat on several Bill Committees together and I know that he will continue to champion health issues in his new role as Chair of the Health and Social Care Committee. I was particularly pleased to hear him say he is determined to continue focusing on cancer care as that issue touches so many of our lives personally and professionally. I wish him well in his role.

    The central point made in the Select Committee report is that early diagnosis and prompt treatment of cancer is critical to improving survival chances and to bringing the UK up to the standards of other countries. The grim reality is that patients are having to wait longer at every stage of the process and the fundamental reason for that is a shortage of staff. The report says:

    “Neither earlier diagnosis nor additional prompt cancer treatment will be possible without addressing gaps in the cancer workforce and we found little evidence of a serious effort to do this.”

    I am afraid this is a terrible indictment of the Government’s record on cancer care, and that is despite repeated warnings not only from Members on this side of the House but from cancer charities, NHS staff and a range of other organisations.

    Members may know that the former Chair of the Select Committee and now Chancellor used to rightly say that the Government needed to do far more in terms of the workforce and that they did not have a proper workforce strategy; indeed, I think he may have joined Labour Members in the Lobby in voting to try to make that happen. Since becoming Chancellor he has been more silent on the issue. Labour, on the other hand, does have a clear workforce plan that would help make serious improvements in cancer care alongside many other parts of NHS treatment. I will say more about that later.

    I want to start, however, by setting out some of the current situation on waiting times for cancer care, and there are problems every step of the way. More than 60% of cancers are diagnosed following a GP referral, yet the report rightly says pressures on general practice mean there is a big increased risk of cancer being missed in primary care. The report says:

    “The NHS has lost 1,704 fully-qualified full-time GPs since 2015 despite repeated commitments to recruit more”.

    The impact of these GP shortages is clear.

    The standard is supposed to be that 93% of patients should wait two weeks between initial referral from a GP to cancer treatment. As of October this year only 77.8% of patients were seen within two weeks. That means 53,128 patients waited longer than they should. That is in contrast to when Labour last left Government, when over 95% of patients were seen within two weeks. The Government will no doubt say that that is entirely down to the covid pandemic. I am absolutely clear that covid has had a huge impact on cancer care, but let me remind the House that the Government were failing to hit the two-week referral target even before the pandemic. There are many problems in many other steps along the way. The Government have never hit their diagnosis target of at least 75% of patients being told whether they have cancer within 28 days of an urgent referral from either their GP or a cancer screening programme.

    As hon. Members have said, patients are waiting longer and longer for treatment. If we look at the two-month target, we see that in the East Kent Hospitals University NHS Foundation Trust, which serves the Minister’s constituents, 27% of patients are waiting longer than two months to have their treatment. That is two months when people will be terrified and anxious about what will happen to them. Will their cancer be getting worse? Their family members will be worried, too. In Leicester, the city that I represent, more than half of patients are waiting longer than two months for their treatment. I am afraid that the human cost of that has yet to be fully recognised by the Government.

    The key reason for that is a lack of staff. Alongside the shortages of GPs that I mentioned, the report says that

    “the NHS is estimated, on a full-time equivalent basis, to be short of 189 clinical oncologists, 390 consultant pathologists and 1,939 radiologists, and will be short of 3,371 specialist cancer nurses by 2030.”

    It adds that there is “no detailed plan” to address that. When the Minister rises, I hope that she will set out what she intends to do about that. The Labour Party has set out its long-term workforce plan, which will have independent workforce projections, new career paths in the NHS and new types of health and care professionals to help solve those problems. That includes doubling the number of medical school places to 15,000 a year, doubling the number of district nurses who qualify each year and creating 10,000 more nursing clinical placements, paid for by scrapping the non-dom tax status, because we believe that people who come and live in this great country should pay their fair share of tax.

    I could say far more about transforming cancer care and the need to fundamentally shift the focus of support towards prevention and early intervention, with more action on tobacco, on obesity, on exercise, and on alcohol —all the things that we know make such a difference. I could say far more about end-of-life care, which the hon. Member for Erewash (Maggie Throup) spoke about, and the need to join NHS services with social care and support so that people have choice about how and where they die. Within these time constraints, I want to say that I am optimistic about the future facing cancer patients in this country. There have been huge advances in science, medicine and technology, and Britain has been leading the way in much of that. It gives us hope for the future, but cancer patients and their families need the Government to act to solve the huge problems in the NHS, starting with the workforce, to get those waits down, get early diagnosis up and transform survival rates for cancer treatment.

  • Taiwo Owatemi – 2022 Speech on Cancer Services

    Taiwo Owatemi – 2022 Speech on Cancer Services

    The speech made by Taiwo Owatemi, the Labour MP for Coventry North West, in the House of Commons on 8 December 2022.

    It is a pleasure to follow the hon. Member for Erewash (Maggie Throup), a former Health Minister, who spoke with so much authority about the current workforce challenges, but also the need to improve and invest in better diagnostic equipment. I also commend the Select Committee Chair, the hon. Member for Winchester (Steve Brine), for perfectly outlining the Committee’s report.

    As somebody who worked in our NHS as a cancer pharmacist before entering this House and has worked as a regular volunteer pharmacist at my local hospital in Coventry, I know just how overwhelmed and over- stretched NHS cancer services are. The recently published report from the Health and Social Care Committee on cancer services uncovered that, in September, only 60.5% of patients started treatment within 62 days of urgent referral. In Coventry this year, only 57.2% of patients at University Hospitals Coventry and Warwickshire NHS Trust began their treatment within two months of being referred to the hospital by their GP. That is against a national target of 85%, so in Coventry and across the country cancer patients are being failed, making the Government’s declaration earlier this year of a war on cancer look more like a retreat than a tactical advance.

    The reality is that waiting lists are up, referrals are slower than ever, screening is in crisis, patient satisfaction has plummeted, medical professionals are leaving the sector in droves and the sector faces major structural challenges. If the Government are serious about making inroads into improving cancer care over the long term, it is crucial that they build a cancer workforce that is fit for the future. I welcome the Government’s commitment to publish a workforce plan next year, but they must commit to publishing the plan in full and deliver the much-needed funding for any workforce growth to succeed.

    Just to take clinical directors as an example, 99% have said that they are concerned about morale and burnout across the clinical radiology workforce. If we continue to treat our medical professionals with contempt, no one should be surprised if they decide to look for pastures new. If allowed to worsen, I fear that this workforce crisis will lead to expensive outsourcing and it will inevitably place greater strains on the public finances. Equally, I am deeply concerned that the Government have so far failed to recommit to a long-term cancer strategy.

    Under the last Labour Government, there was a long-term strategy and by and large we delivered it. That was reflected in record high patient satisfaction, record low waiting times, speedy referrals and improving survival rates across the board, so that is exactly what cancer services deserve.

    We know that one in two of us will get cancer in our lifetime, yet cancer outcomes in the UK continue to lag behind those of comparable European countries, as many Members have mentioned. This is disappointing to hear and highlights why we need a 10-year cancer plan. I am concerned that there are rumours that the plan may have been scrapped; given how many resources and how much energy have been put into developing the plan, I hope the Minister will confirm whether that is the case.

    Many Members have spoken about prevention, which is at the heart of the Committee’s latest cancer report. Four in 10 cancers in the UK are preventable, yet only through taking action to prevent cancer developing in the first place will we save lives and reduce pressure on our NHS. I welcome the successful public health campaigns on smoking and obesity in recent years, but much more needs to be done to ensure patients are made aware of the risk factors in developing cancer and can recognise its early signs and symptoms.

    Shockingly, smoking is still the biggest cause of cancer and death in the UK, causing around 150 cancer cases every day and 125,000 deaths each year. Recent Cancer Research UK modelling suggests that England will miss its smoke-free 2030 target by seven years for the population as a whole and by almost double that for the most deprived communities, who will not meet this target until the mid-2040s. So I urge the Government to invest in the resources and services that encourage and support people to quit smoking for good. Only through this long-term investment are we going to see the preventive results we urgently need.

    As the recently elected chair of the all-party pharmacy group and a former oncology pharmacist, I will briefly focus on drugs. As Health and Social Care Committee Chair the hon. Member for Winchester said earlier, drug research and development is not within the remit of the NHS. However, much investment is needed on research and development for new drug treatments, particularly for rare cancers such as liver cancer.

    I also want to speak briefly about aseptic services. I still work in aseptic pharmacy and understand the challenges and difficulties facing pharmacy aseptic services. The failure of the firms who make the cancer drugs to meet demand and the subsequent delays in patient treatment mean many treatments are repeatedly rescheduled. Frustratingly, this also means more work for NHS staff, who are already under enormous pressure. Also, increasing vacancy rates in aseptic services mean that services are working at, or above, capacity. These posts are hard to fill due to the fact that only a small group of healthcare professionals have the specific skills required, and given the small number of new staff entering aseptic services the filling of a vacancy at one hospital often results in a vacancy at a neighbouring hospital. I urge the Minister to take this challenge seriously, and to recognise that delays to treatment and referrals and cancellations must be addressed as they impact the ability of hospital pharmacy teams to supply these vital treatments.

    The Government must also take note and understand that the relationship with the firms supplying these drugs and NHS units is of fundamental importance. Hospitals must work in partnership with these companies to ensure that all parties do all they can to make sure the treatment is available on time and when patients need it; at the moment this is not happening. Pharmacy teams must be part of all capacity planning discussions; they are the ones on the frontline and they know what patients need. Aseptic units with capacity must also have the power to support other hospitals within their integrated care system areas. There will always be a small number of products that have to be prepared locally on a patient-specific basis; however, currently no mechanism exists for these products to be made without relying upon the manufacturers. I would welcome the opportunity to discuss these issues with the Minister further, and I hope she recognises the serious challenges aseptic pharmacies currently face.

    I have covered a lot of ground in my remarks today, but that is because of the scale of the challenge facing cancer care across the NHS. Whether driving down waiting times and eliminating needless delays, growing the workforce to treat cancer patients, boosting cancer prevention services, or facing down the challenges facing aseptic services, the Government certainly have a lot to do to improve cancer services and patient outcomes. I know the Minister is committed to improving those services and outcomes, and as a member of the Health and Social Care Committee I look forward to seeing, I hope, the much-awaited cancer plan and scrutinising it. I sincerely hope that this time next year the situation has improved for my constituents and all cancer patients nationally.

  • Maggie Throup – 2022 Speech on Cancer Services

    Maggie Throup – 2022 Speech on Cancer Services

    The speech made by Maggie Throup, the Conservative MP for Erewash, in the House of Commons on 8 December 2022.

    It is a pleasure to follow the hon. Member for Easington (Grahame Morris), who speaks with much knowledge and personal experience, which makes a huge difference. I welcome the report of the Health and Social Care Committee on cancer services, and the subsequent response from the Government. I commend all Select Committee members involved in producing that excellent report and I have every confidence that more quality reports will be produced on this subject and many others under the leadership of my hon. Friend the Member for Winchester (Steve Brine).

    I am grateful for the opportunity to discuss the report further. I will focus on community diagnostic centres and the role of diagnostics more generally in supporting cancer services. With 91 community diagnostic centres already open, a further 19 announced yesterday and 40 more to come before March 2025, this is definitely a good news story. I am delighted to have a community diagnostic centre in my constituency at Ilkeston Community Hospital. It opened a year ago. In its first eight months, it delivered more than 6,500 tests, checks and scans. To date, across all the community diagnostic centres that have opened, 2.4 million tests, checks and scans have been carried out. That is excellent news, but not the full story.

    The success of the upcoming 10-year cancer plan—we hope that it is upcoming and has not been shelved—as well as tackling the backlog, elective recovery plans and levelling up, depends heavily on diagnostics. Diagnostics, whether in vivo or in vitro, are crucial to the overwhelming majority of patient pathways and are central to health outcomes. I know that the royal colleges, specifically the Royal College of Radiologists, and many other organisations support investment in improving cancer services across England and, at the same time, addressing historic postcode lotteries created over recent decades.

    Community diagnostic centres have an important role to play in this, but they bring their own problems. There are already existing chronic workforce shortages and ageing equipment that prevent cancer diagnosis and improvements in cancer care. There is a shortfall of 30%—1,453—full-time equivalent clinical radiologists and a 17%—148—shortfall of clinical oncologists. Those shortfalls vary in severity for each region, but I take a particular interest in the east midlands, where my constituency is. The east midlands has the same shortfall of clinical radiologists as the national average, which is 30%, but the shortfall in clinical oncologists is above the national average, at 28%, while 19% of clinical radiologists and 18% of clinical oncologists are forecast to retire in the next five years, adding even further pressure on a workforce already struggling to meet demand.

    A global study has found that a treatment delay of four weeks, which could be caused by a workforce shortage, is associated with a 6% to 13% increase in the risk of death, and that worries me as it could have a detrimental impact on the outcomes for cancer patients across Erewash, however hard those in post work. If we are to improve cancer services in England, we must invest in clinical radiology and clinical oncology training places to ensure that there are enough clinicians throughout a cancer patient’s pathway. I know there is competition for clinicians across all disciplines, but, if we are to improve outcomes for our cancer patients, we need to attract radiologists and oncologists.

    I pay tribute to everyone involved in this aspect of medicine, whatever their role, and of course our NHS workforce across all disciplines. I include all the amazing people, whether healthcare professionals or volunteers, at my local hospice, Treetops Hospice Care, who each day make the end of life a better experience for so many of my constituents—a huge thank you to everybody.

    I have mentioned that one of the other barriers to community diagnostic centres reaching their full potential is the lack of investment in equipment in the existing system. The UK has fewer scanners than most comparable countries in the OECD: it has 8.8 CT scanners per million of the population while France has 18.2 and Germany has 35.1; it has 7.4 MRI scanners per million of the population, while France has 15.4 and Germany has 34.7. Industry surveys have shown that one in 10 CT scanners and nearly a third of MRI scanners in UK hospitals are over 10 years old, and 10 years is usually the age at which this equipment can be considered obsolete and must be replaced.

    In June, the Royal College of Radiologists surveyed a representative sample of its members in England about equipment needs, revealing that 49% of clinical radiologists and 21% of clinical oncologists said they do not have the equipment they need to deliver a safe and effective service for patients in their department or cancer centre. Only 32% of clinical radiologists and 54% of clinical oncologists said their equipment is fit for purpose, with the rest saying it is substandard or only acceptable to some extent. There must be a comprehensive audit of all diagnostic equipment across England so that investment is made in the right equipment where it is needed most.

    I have some questions for the Minister, for whom I have great respect. I know just how much she cares about getting it right for patients. First, are clinical radiology and clinical oncology training places being invested in to ensure there are enough clinicians throughout a cancer patient’s pathway and, if so, will that investment include both the 50% of trainee costs covered by Health Education England and the other expenses incurred by trusts? When it comes to equipment, are community diagnostic centres taking the investment preference over and above the replacement of obsolete diagnostic equipment in hospitals, and will an audit of all diagnostic equipment be carried out? Of course, as has been mentioned, one of the elephants in the room—or, more correctly, in the Chamber—is: how do we help to prevent people from getting cancer in the first place?

    Across the UK, there are huge health disparities. When heat map after heat map is laid over the UK —whether for high smoking rates, high levels of obesity, high rates of cardiovascular disease, high rates of cancer, excess alcohol consumption or poorer health outcomes—they all show that the same areas are affected detrimentally. Therefore, we need to consider how we are going to achieve the Government’s targets to become smoke-free by 2030 and to halve childhood obesity by 2030. Perhaps, after the festive season, there can be a fresh look at measures to tackle excess alcohol, because alcohol, smoking and obesity are all markers of and can all cause cancer. If we are serious about tackling cancer, we need to be serious about preventing it as well, and it is never too late. We are always excited to hear about new therapies that have been proved to be effective, but surely we need to get as excited about preventing cancer in the first place, so my final question for the Minister is: when can we expect the health disparities White Paper to be published?

    There are many innovations to harness across all diagnostics, while community diagnostic centres, genomics and AI have a role to play, as do many more innovations, but until the unprecedented challenges—including the huge workforce pressures, out-of-date equipment and preventive measures continuing to be watered down—are addressed, cancer diagnosis and treatment will never reach their true potential. The Government state in their response to the Select Committee’s report that

    “the Government’s forthcoming 10 Year Cancer Plan will set a new vision for how we will lead the world in cancer care, including ensuring we have the right workforce in place.”

    That is an admirable ambition, and we all want the Government to succeed. Indeed, they must succeed, as this will be transformational for the life chances of my constituents in Erewash and those of the whole nation. As my hon. Friend the Member for Winchester has said, I look forward to reading the Government’s 10-year cancer plan very soon.

  • Grahame Morris – 2022 Speech on Cancer Services

    Grahame Morris – 2022 Speech on Cancer Services

    The speech made by Grahame Morris, the Labour MP for Easington, in the House of Commons on 8 December 2022.

    It is a privilege to speak in this debate, and I want to express my appreciation for the work of the Select Committee and for the way its Chair, the hon. Member for Winchester (Steve Brine), presented the report and the way forward. It is very instructive and informative, and I cannot disagree.

    I must make some declarations of interest. I am, and have been for some time, vice-chairman of the all-party parliamentary group for radiotherapy. I want to confine my remarks to radiotherapy, although I do have a broader interest as vice-chairman of the all-party parliamentary group on cancer. People might not believe this, but I worked for almost 15 years in an NHS diagnostic laboratory, so I have a little bit of knowledge of the front- line. I served for five years as a member of the Health Committee when I was first elected, under the chairmanship of Stephen Dorrell initially and then Sarah Wollaston. I found that to be one of the most interesting and rewarding things I have done in the House of Commons since being elected.

    I also served on the Health and Social Care Public Bill Committee—I must thank you, Madam Deputy Speaker, for putting me on that Committee—which was a marathon. I remind Members who were not around at the time that part of the justification put forward by the then Prime Minister and the coalition Government for those major reforms and restructuring of the national health service, including the commissioning of cancer services, was the poor outcomes on cancer. The system we have now was born out of a recognition that we needed to do better.

    I pay tribute to the hon. Member for Westmorland and Lonsdale (Tim Farron), who chairs the APPG for radiotherapy, and the hon. Member for Strangford (Jim Shannon), who is an assiduous advocate for improved cancer services, not just in Northern Ireland but throughout the country.

    I am delighted that this report signposts the way to future work. I am very pleased that the hon. Member for Winchester indicated that it is his intention, with the agreement of the Committee, to do further work on how we might achieve the laudable 75% diagnosis target by 2028. I am pleased that the Minister of State, Department of Health and Social Care, the hon. Member for Faversham and Mid Kent (Helen Whately), is responding to the debate. I am sure that, like some of her predecessors, including the hon. Member for Winchester, she will grow tired of me banging the drum for cancer services, and for radiotherapy in particular, but there are some very important points and sound advice that come not from me, although I should say that I am a cancer survivor. I have had lymphatic cancer on three occasions, and I have benefited from surgery, chemotherapy and radiotherapy, so I understand what is involved and I value the vast improvements there have been in all those pillars of cancer treatment.

    The sexy thing on cancer services is early diagnosis. It captures a lot of headlines, and the hon. Member for Winchester was right to point that out, but it goes hand in glove with having the requisite treatment capacity. With the best will in the world, the investment in new diagnostic hubs, which I welcome and is laudable, will simply increase the number of patients in the system. If we are to improve outcomes for cancer patients, we simply must address the issues around cancer treatment capacity.

    I believe the Minister has a copy of the six-point plan for improving outcomes from the APPG and the charity Radiotherapy UK. We are not saying that radiotherapy is somehow in competition with the other pillars of cancer treatment; rather, it complements them. Advancements in science, technology and skills, with the introduction of artificial intelligence, the ability to map tumours precisely and incredible advancements in MRI scanning facilities, used in parallel with precision radiotherapy machines, gives us an opportunity to make a quantum leap in treatment and to improve productivity.

    The cancer workforce is very small; it is only around 6,500 nationally. They are a highly skilled, highly motivated group of individuals who are doing a fantastic job, and I pay tribute to the cancer workforce, particularly those who work in the field of radiotherapy, who are holding the line at the moment and facing growing pressures in the system.

    As a country, we spend about 5% of our dedicated cancer budget—not 5% of the entire NHS budget—on radiotherapy. If we look at international comparators, which we must do, we see that the OECD average is about 9%, so we are spending about half as much as other similar developed industrial nations. To put that into context—because sometimes we get lost in the figures—the NHS spends more on a single cancer drug, Herceptin, than on the entire radiotherapy service across the country.

    I want to touch on commissioning, which is an issue that can be readily addressed and that came about as a consequence of the 2012 Lansley reforms. We took that up directly with the Minister when she kindly met a delegation earlier this week. Cancer services are currently nationally commissioned by NHS England, but there are things that could be done rapidly to increase treatment capacity by addressing some of the anomalies in the current tariff system.

    Perversely, NHS trusts that have the latest advanced precision radiotherapy equipment are financially disadvantaged from using it because of the tariff system. Bizarrely, patients are being treated with 30 fractions of radiotherapy when it is perfectly possible to treat them with four, five or six fractions of precisely delivered radiotherapy if the machines are available and the staff are trained to do it. In many cases, the machines are there but the tariff system works against rolling out that facility. That is completely perverse and it is crazy that we do not do that.

    We can learn from examples of what is happening in similar European countries. The Chair of the Select Committee mentioned the rapid improvements that have been made in Denmark as a result of having a well-thought-through, well-developed and well-scrutinised plan to improve cancer services. Rightly, some European countries also have diagnostic hubs, but in many cases they are combined diagnostic and treatment hubs, so it is conceivable that patients go in for diagnosis and rapidly begin their treatment—in some European countries, on the same day. Many patients here wait a month, and far too many wait more than two months—62 days—before their treatment starts.

    I have some particular points to make to the Minister, which we also raised with her directly. The Chair of the Select Committee mentioned the new cancer plan. As a House and as a nation, we need some clarity on whether there will be a new 10-year cancer plan and whether the Department and the Ministers are making the case to the Treasury to secure the necessary funding. I hope that, as part of that, the Minister will look at the six-point plan for improved radiotherapy services that she has in her possession. Even without a cancer plan, however, there are things that could be done immediately to address the issues around the tariff system and the bureaucracy that holds back technology, which NHS England could easily resolve.

    We are going to move to a new commissioning system with integrated care boards over large areas, but they have no capital budget and their funding is revenue based, so we must address the issue of those centres across the country. It is wonderful if people live near the Royal Marsden, which is one of the finest hospitals not just in the country or in London, but probably in the world, but if people live in the south-west, Cumbria or the north-east, they cannot readily access such a tremendous centre. We must address some of those health inequalities before the new commissioning arrangements come in, so that we have a systematic approach to replacing machines that are more than 10 years old, rather than having to make out a business case and compete against other centres that may already be well provided with the latest technology.

    We are on a time limit, so I will wrap up, because I do not want to incur the wrath of Madam Deputy Speaker. I give the Minister credit for her commitment and aspiration to improve cancer outcomes and to have a first-class service. I hope that the Health and Social Care Committee will play its role in scrutinising the cancer plan, or the Minister’s plans to improve cancer services. I am pleased that she recognises the validity of the representations that have been made already and that there is an urgent need to address the tariff issue. I would like an assurance that that will be done quickly, not in a year or two, because there is clear evidence that it could improve outcomes and it is what we call low- hanging fruit.

    There is a lot more that I could say and lots of figures that I could quote—for example, I am concerned about the latest cancer waiting times; the Minister attended our presentation where it was shown graphically that there are huge variations across the regions. The Government must address that. I think we could get cross-party support for a sensible cancer plan, so I look forward to seeing the proposals that she comes up with when she has consulted with her colleagues and the Treasury.