Technology in Public Services

I beg to move,

That this House has considered technology in public services.

It is the first time I have had the privilege of speaking under your chairmanship, Madam Deputy Speaker, and I am grateful for it. May I start by welcoming the hon. Member for Arundel and South Downs (Andrew Griffith) to his place? I had his job, and I realise just what a privilege it is. Today, I think we have nine Members seeking to catch your eye, Madam Deputy Speaker, to make their maiden speech. In advance, I offer them my very best wishes in this nervous moment. I look forward to hearing them. I am about to perform my maiden speech as a Secretary of State, so we are all in it together.

My mum was scanned three times in 18 months because of chest pain, and each time the scan came back clear. Not one of the scans detected the disease—lung cancer—that without warning would take her away from her family. Today, it takes an artificial-intelligence-powered scanner in Huddersfield hospital just seven seconds to detect the earliest signs of lung cancer. Seven seconds is all it takes to give somebody back decades with the people they love. I firmly believe that had my mother received that kind of care, she would still be alive today. I would have celebrated her 80th birthday just this weekend gone. It is that belief in the power of technology to change our lives for the better that will guide this Government’s approach.

It is all too easy to think of technology such as AI as being impersonal, alienating or distant, but the first thing I think about is people—the teachers in our schools who will deliver a personalised lesson to every pupil and help them fulfil their potential, and the patients in our hospitals who can access lifesaving drugs for diseases that until recently were untreatable. Technologies can change our everyday lives in ways that are both ordinary and extraordinary.

The Secretary of State is making a fine maiden speech in his start at the Dispatch Box. As a previously practising doctor, I know that one thing that could really help is using some of the AI we see coming forward in the back office. The previous Government committed to a £3.4 billion NHS productivity plan. Are the Government still committed to taking that forward, because that investment would have significant benefits for staff and patients?

I am grateful for that intervention and welcome the hon. Member to his place, too. The Government take extremely seriously the role that AI and digital technologies have in productivity in all public services and, as my speech unfolds, I hope that he will hear more detail about the scale of our ambition. To take just one of the schemes that we will be unfolding, the fit for the future programme—a £480 million commitment in our manifesto—will be responsible for driving innovation through the NHS, with adoption of the very latest scanning equipment as well as other equipment right across the NHS in England. Those are just some of the things that we are committed to, and I assure him that the Government are wholly committed to this agenda.

Nothing about change is inevitable. The future of technology is ours to shape, and the opportunities it offers are ours to seize. My ministerial team and I want to see a future where technology enriches the life of every single citizen and a future with safety at its foundation, because only when people are safe and feel safe can they embrace technology and the possibilities that it presents.

Today, Britain’s tech sector is showing us what that future might look like, but far too often our public services are simply stuck in the past. The contrast could not be clearer. Much of the century so far has been defined by the sheer speed of technological advancement. The digital revolution has transformed our lives in ways that would have been unimaginable just a couple of decades ago. Most of us can access our bank accounts anywhere, at any time, and transferring money takes just seconds. Social media and video calls have given grandparents back precious time with their grandchildren, no matter how far away they may live. Young people live in a world where they can find thousands of jobs at the click of a mouse and work for a global brand without having to leave the community they love living in. Yet, as innovation has accelerated, the state has fallen further behind. Our citizens still need to contend with up to 190 different accounts, with 44 different sign-in methods, to access Government services online. Each of them is easy to lose or forget.

This is obviously a positive debate, as there are so many benefits for us all. I could not remember 191 passcodes—I struggle to remember my own to log in every day in Parliament—but of course we have to underpin everything that we are talking about in terms of technology with cyber-security. In Cheltenham, we have a 4,900 member-strong community speaking for our industry in CyNam, and of course we have GCHQ, where thousands of people work every day; they do not ask for our thanks, but they deserve it in bucketloads.

The Secretary of State may be aware of the golden valley development in Cheltenham, which I recently sent him a letter about and which would include the national cyber innovation centre. I wonder whether he might like to find out more about that by sending members of his team—or he could come himself—to have a chat with me about it.

The hon. Gentleman, who I welcome to his place, spent quite a bit of time on his intervention, but I realise that there is simply so much to talk about in his constituency. I pay tribute to the organisations he referenced, including GCHQ and CyNam. The work that they do often goes unthanked, but it is absolutely essential to the security, wellbeing and economic welfare of our country. I certainly intend to visit as soon as I can, and it would be great to meet any of his representatives at any point; I am sure that my ministerial team will be willing to do so as well.

One of the things that comes up all the time in my constituency is the great difficulties that elderly pensioners have with online commitments. They do not understand them, not because they are silly or anything, but because the processes are too technical for them. Will the Secretary of State assure me that when it comes to ensuring that pensioners are looked after, nothing will disadvantage them in any way when it comes to getting their moneys?

I am grateful for the hon. Member’s intervention, which was his first on me in this Parliament; I doubt that it will be the last. I will come to digital exclusion a bit later in my speech, which I hope will answer his question. If not, I am happy to return to the point. I will also return to cyber-security—I do hope that the hon. Member for Cheltenham (Max Wilkinson) learns his parliamentary sign-in codes as quickly as possible, as that would be a good start to a secure and safe parliamentary career.

I realise that every one of these log-in details is easy to forget. Engaging with the state has become a bureaucratic burden on working people—one that they can scarcely afford. Unbelievably, UK adults spend 3 billion hours each year dealing with Government-related admin; for the average citizen, that is 1.5 working weeks every single year. That is less time to spend with their kids when they get home after a long day’s work and less time to get outside or see friends to stay healthy and be happy—put simply, it is less time to do the things they like and to be with the people they love.

I commend my right hon. Friend on his excellent, moving speech, which is his first from that Dispatch Box. My condolences about his mum. He will be aware that during the pandemic, the evidence review commissioned by the former Health Secretary exposed widespread inequity and racial bias in the use of oximeters—little gadgets used to look at oxygen in blood. It also revealed that algorithms used in artificial intelligence—in social security, for example—have inequity potential. How can we ensure that, along with all the benefits that he correctly mentions, there is also protection around equity?

I am grateful to my hon. Friend for making that incredibly important point. I hope she will see that one of the themes of my speech is indeed tackling inequality and inequity, as well as outlining how I believe this is one of the progressive causes of our time. If we are not careful and do not shape this agenda in the right way, with progressive values and safety baked in from the start of everything we do, we will not have the trust of the public, and every citizen will not benefit as they should.

My hon. Friend references issues in the life sciences aspects of the agenda. The Health Secretary and I are joined at the hip on this; we co-developed the life sciences action plan, which we are jointly rolling out, he and I both chair some of the work relating to the life sciences action plan, and the two of us—working for a Government and a Prime Minister who care so much about tackling the inequities that currently exist in society—will ensure that these issues will be central to the agenda as it unfolds.

Every day, people in Britain are confronted with a glaring technology gap between the private sector and public services—a gap that has become impossible to ignore, between the personalised and paper-shuffling, the efficient and the inconvenient, the time-saving and the time-wasting. That gap is not just a policy problem to solve but one of the great progressive causes of our time.

The previous Government promised us a small state, but after 14 years all they did was give us a slow one. They gave us a state that takes away time from those with too few hours to give: parents on low income who are already missing out on time with their families because they are working overtime just to make ends meet; and the people at the margins of our digital world, or excluded from it all together. By closing the technology gap, we will restore every citizen’s belief that the state can work for them.

Could the Secretary of State explain what that means in reality for the Cabinet Office and the role that DSIT now has? Who has the organisational responsibility and the control over what goes on in Whitehall and his Department?

I am grateful for the question. The delivery functions of digital transformation have moved from the Cabinet Office and other Departments into DSIT. Governance of such services remains shared between us, including a powerful role for Treasury oversight. We want to harness the best of Government, and we must do so by working collaboratively. That is the missions-led approach that the Prime Minister has championed, and it is a belief that I have baked into DSIT and the way that we work. I recognise that the challenges that we are seeking to solve with a powerful digital centre of Government can work only if we provide a resource that other Governments aspire to draw down on and work collaboratively on. That is the target that we have set ourselves and that we are setting about trying to achieve.

As I said, the Government are under no illusions about the scale of the challenge that we face. We promised to mend Britain’s broken public services. Now, we must do so with the worst set of economic circumstances since the second world war. With taxes at a 70-year high and a £22 billion black hole in the public finances, we cannot afford to duck the difficult decisions. The solution is not unchecked spending. It is long-term, sustainable economic growth, delivered in strategic partnership with business.

My right hon. Friend is making an excellent speech. Women in business could add £200 billion to the economy if they were invested in at the same rate as men in business. The female founders community has been in uproar since it was announced that Innovate UK would award only half of the 50 £75,000 grants from its women in innovation fund, even though almost 1,500 women applied for them. Innovate UK has since reversed that decision. Would the Secretary of State meet those from the community to understand their experiences, find out what went wrong and ensure that Innovate UK better supports the Government’s growth mission by better supporting female founders?

I am extremely grateful for that intervention; my hon. Friend makes an incredibly important point. First, on the broad themes of under-represented communities in the tech sector, the issue is multifaceted. It is not just about some people being excluded from the products that are emerging from the tech sector; it is also about access to the great jobs that are being created in the tech sector itself. It is clear that there is regional and socioeconomic imbalance, and that there are other equality issues. I remember very well in the 1990s trying to get into university, and the system back then diverting people like me away from it. I had to apply four times and go back to secondary school at the age of 25 to get into university. Now I see a tech sector that is not dissimilar—sometimes it diverts people from certain backgrounds away from it or fails to attract into the sector those people with great potential.

We need to do better than that. We need to lead from Government. When I saw Innovate UK’s decision, I was unsettled, but I was very pleased that it then came out so rapidly—not only reversing the decision and going back to the full 50 grants but issuing a forthright apology for the mistake that led to the problem in the first place. Such issues should not emerge. I know that Innovate UK will learn those lessons, but we need to ensure that the Government are at the forefront of delivering support for the sector and creating the jobs and technology of the future, and making sure that it does so in an equitable way. I am grateful to my hon. Friend for giving me the opportunity to put that on the record, and I look forward to meeting the community she mentioned.

A missions-led approach to reforming our public services will harness the power of technology to make them more productive. Let us take artificial intelligence. It is not just doctors and teachers who are using AI to change the lives of the public they serve. In Greater Manchester, citizens advice centres are using Caddy, an AI-powered co-pilot tool developed with my officials to help staff and volunteers provide more helpful advice to the people who need it. Digital experts in my Department are thinking about how we can use AI to connect clean energy projects to the grid more quickly. Stories such as these are just the starting point, but they remain all too rare. Why should any citizen be denied cutting-edge healthcare, clean energy or a world-class education? Why should a vulnerable person struggling with eviction or debt struggle to get the help they need?

I welcome the Secretary of State to his position. Transforming the public sector is something that I think we all, across the House, can get on board with. I wonder whether in any of the pay negotiations that have happened or will happen across Whitehall, the acceptance of technology in the public sector will be part of a quid pro quo for the future.

I think the right hon. Gentleman pits productivity-enhancing tools against the interests of workers. I do not believe that is the case. If we take my example of Huddersfield hospital, which I had the pleasure of visiting, people have been retrained because AI is very good at giving all-clears—20% of people were given all-clears. Therefore, the radiologists are retrained and come back on a higher pay scale for doing so, and productivity has gone from 700 scans a week to 1,000 scans a week. It is not only cost-neutral but cost-beneficial for the Department. Those are the kinds of productivity gains that enhance work and the satisfaction of workers in the workplace.

We are the Government. We have some agency in how this technology is used and rolled out and how it supports people in the workplace. We will ensure that we deliver value for money for the taxpayer and services that are cost-effective for the taxpayer, but we will also aspire to ensure that workers’ rights and satisfaction in the workplace increases. We are a Government who respect the work of the civil service and the value it provides to our country. We want to ensure that these tools sit alongside that ambition to deliver greater outcomes for the country, while ensuring that the civil servants who work so hard for our country take a bit more pleasure from their work, by being assisted by some of this technology that we will introduce to the work of Government.

Will the Secretary of State give way?

It will be a pleasure to give way to the hon. Gentleman, but I do not want to cut into the time for the maiden speeches that are coming up, so I will not take too many more interventions after this.