It is a pleasure to serve under your chairmanship, Ms Buck, not least because of your interest and tireless work in the field we are considering. I congratulate my hon. Friend the Member for Bermondsey and Old Southwark (Neil Coyle) on his opening speech and on his work with the hon. Member for Colchester (Will Quince). There need not be an issue of rough sleeping, which is why we are having this debate.
I want to challenge the Minister, as have many hon. Members on both sides of the Chamber, about ambition. I believe that she is committed to the agenda, but that she lacks ambition in talking about 2027 as the date for the end of rough sleeping. That is far too late, because of the many statistics we have heard, and because of the lives involved—lives of people we have personal contact with. People urgently need redress. If the metro Mayor of Manchester can shorten the timescale, and in the light of the progress that has been made in Worthing, there is no reason why the Minister, with the resources in her hands and the power of office, cannot make a significant difference and change the landscape. I therefore urge her to reflect on the debate and to shorten the timescale, so that in 2022 street homelessness in our communities will have been obliterated.
We have today heard many reasons for the level of homelessness and rough sleeping, and we recognise how the country’s housing market has completely failed. In York, luxury apartment after luxury apartment is built while there is a housing crisis and people cannot access the market. There are 1,500 people waiting for a house, and people sleep rough every night. However, what shook our city was hearing at the end of last year that 11 homeless people had died in York. I went to the council to investigate and find out more about those individuals’ lives. A quarter of the deaths of homeless people in Yorkshire were in my city—a city that everyone tells me is lovely, which it is. Why, then, are these things happening? There is affluence as well as huge poverty in the city. There is huge inequality.
The council told me that it was not a question of homelessness; drug dependency and alcohol were the factors. In fact, one person did not count, because they had come down from Scotland. Who do those people belong to? Who has responsibility for those lives? The reality is that often local authorities hand out train tickets so people can return where they came from. We must say that we are all responsible. If people reside on our doorstep, we must take responsibility for their lives and give them every opportunity. That includes people with no recourse to public funds—perhaps people who are here without legal documentation. They are human beings. We cannot and must not turn away from that, and it is a matter of shame that so many people have, for such a long time.
Before I go on to focus on deaths related to homelessness, I want to raise with the Minister the fact that local authorities still fail people and put them on to the
streets. It was bitterly cold last week, and in York it was due to go down to minus 6 °C at night. My office had a phone call from a young woman. She had not complied with all the rules put upon her in the context of the support and services she was given. She was therefore turned away from accommodation, on to the streets. My office intervened and found a bed, but we cannot have such things happening on the council’s watch. It is a disgrace. I have talked to the Minister many times about what is happening about homelessness in the city. In the summer, a homeless person came to see me after not being allowed access to their tent, and being evicted from it by the local authority. If that is happening, something has gone seriously wrong.
We have heard the statistics, including the figure that 597 people are reported to have died while rough sleeping in the past year. That is a serious crisis and a stain on our systems. It means that people have died unnecessarily. I have reflected on the fact that in many such deaths there are related problems and issues of comorbidity, with 32% being related to drug poisoning, compared with a figure of 0.7% for the rest of the population. Ten per cent. of deaths in that group are alcohol-related, compared with 1.2% in the rest of the population; and mental health is involved in 13%, compared with 0.9% in the rest of the population. That shows the complexity of homelessness, which the Minister understands, but it also demonstrates the need for a public health approach to address the whole issue.
Professor Nicholas Pleace of the University of York has provided evidence for the importance of putting housing first. The evidence is there. We do not need pilots anymore. The work has been done, as we have seen in global examples from Canada, New Zealand and Scandinavia. Let us get the programme rolled out across the country. It will make a significant difference.
I understand that Nottingham has a nurse working with people on the streets; let us put such approaches in place. What a difference that will make. It will affect physical health: many communicable diseases including tuberculosis and hepatitis can affect rough sleepers. It will also make it possible to address serious concerns about substance misuse and alcohol dependency, among other factors. Foot care and podiatry and general practice services can also be provided in that way. A rough sleeper in my constituency had serious respiratory problems but was denied anywhere to stay and had to sleep out in the damp and cold. The relevant services need to be in place to provide holistic care for individuals.
We also need to get upstream, however. Many people are on the streets because they have experienced trauma, including ex-members of the armed forces, people who have had broken relationships or those who have lost their job. I had a conversation with a gentleman in my constituency. Life turned against him when he lost his job, and he could not afford to live in a city where housing is so expensive. Many rough sleepers are lonely, and many are broken individuals. During the day they may not have anywhere to go. I ask the Minister whether we can ensure that there can be a safe place for people to go 24/7, day and night, where they can get food at meal times. Can we ensure that homeless people get the basic amenity of 24-hour access to public toilets? Those simple things can make such a difference to people who sleep on the street. We must put such systems in place.
I want to mention the question of ownership again. When it comes to the deaths of homeless people, who has responsibility? Currently no one does. Where is that data held? What is the definition of a homeless death, and can we learn from carrying out proper investigations how to improve things?
I ask the Minister to make a commitment today that for every person who is homeless and who dies, a safeguarding audit review will be carried out, so that we can learn the right strategies that we need to prevent deaths—to have no more deaths—this year and moving forward. Without ownership, we are not only saying to those individuals that their life has not counted; we are saying that they did not exist. Somebody who has had their identity suppressed by the circumstances around them throughout their life does not have dignity in death either, so will the Minister at least make that commitment today in order to move this debate forward?
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