Workplace Exposure to Silica Dust

I will call Liz Jarvis to move the motion, and I will then call the Minister to respond. I remind other Members that they may make a speech only with prior permission from the Member in charge of the debate and the Minister. As is the convention for 30-minute debates, there will not be an opportunity for the Member in charge to wind up.

I beg to move,

That this House has considered silica dust exposure in the workplace.

It is a pleasure to serve under your chairship, Dr Allin-Khan. I want to begin by paying tribute to my constituent Caroline Hudson and her sister Sandra, who are both here today. I thank them for their determination in bringing this issue to me and the wider public. None of us should underestimate how difficult it is to relive the loss of a loved one in public, but they are doing so because they do not want other families to suffer the same heartbreak.

Sandra’s husband, George Elliott, was a keen golfer, a proud Spurs fan and a man deeply loved by his family and friends. He was a highly skilled stonemason who worked on buildings including 10 Downing Street. George died in November 2023 from silicosis, a devastating lung disease caused by inhaling respirable crystalline silica dust. His family did not know that he had silicosis until his post-mortem. By then it was too late. Before his death, George suffered through severe breathing difficulties, constant exhaustion, oxygen dependency and the cruel deterioration that the disease inflicts upon its victims.

Silicosis is progressive and incurable. Tiny silica particles become embedded in the lungs, causing inflammation and permanent scarring. Over time, lung capacity is destroyed. Victims struggle to breathe, struggle to work and struggle to live normal lives. It also dramatically increases the risk of other serious illnesses, including tuberculosis, kidney disease, chronic bronchitis and lung cancer.

The key thing about silicosis is that it is preventable. The Health and Safety Executive estimates that around 600,000 workers in the UK are exposed to silica dust every year, yet for far too long the Government’s response has not matched the scale or seriousness of the threat. One of my uncles died from mesothelioma. We cannot let silica dust inhalation become another scandal on the scale of asbestos.

It is important to note that silicosis is increasingly affecting young workers—people in their 20s and 30s—and that the increase is largely due to engineered stone. The rise in the popularity of engineered stone has transformed modern kitchens, and these products are now everywhere, but many engineered stones contain extraordinarily high levels of silica—in some cases, up to 95%. When dry cut without proper controls, they release enormous quantities of deadly dust into the air.

The current system is leaving workers vulnerable. I welcome the recent steps the HSE has taken, following public concern and pressure from campaigners, clinicians and affected families. It has declared the dry cutting of engineered stone to be unacceptable, and introduced new guidance requiring water-suppression techniques, respiratory protective equipment and health surveillance, and a programme of more than 1,000 inspections across the UK.

I commend the hon. Lady for securing the debate. Exposure to RCS dust causes significant occupational health issues, and the Health and Safety Executive for Northern Ireland estimates that silica dust exposure is responsible for some 20 lung cancer deaths per year. A quarry worker in Northern Ireland is five times more likely to die from chronic obstructive pulmonary disease than the general male population. Does the hon. Lady not agree that we must ensure that workplaces have the tools and knowledge required to put in place effective protections for workers and visitors to such sites?

I thank the hon. Member for his question and for all his work with the APPG. He is of course right: it is vital that we ensure that all workers have the proper protection.

Experts repeatedly warn that silicosis is being underdiagnosed and under-reported, so will the Minister consider how best to collect comprehensive national data on silicosis? Why are we not routinely publishing figures on diagnoses, deaths and occupational exposure? How can policymakers, clinicians and regulators properly respond to a growing occupational health crisis if we do not even have accurate national data?

The APPG for respiratory health and experts have argued that silicosis should once again become a notifiable disease. There are also calls for mandatory or greatly strengthened reporting through schemes such as SWORD —the surveillance of work-related and occupational respiratory disease. I hope the Minister will respond positively to these proposals today.

Early diagnosis matters enormously. Removing workers from exposure early can prevent disease progression in many cases. It can save lives and prevent long-term costs to the NHS. I know the Government have committed to increasing capacity in respiratory services and that the NHS has specialist centres for diagnosing and managing lung diseases such as silicosis. That is welcome, but we need to go further than treatment alone. Prevention must come first, with earlier detection, stronger enforcement and dramatically improved awareness.

By prior agreement, Ian Lavery will now speak. There is sufficient time for him to have five minutes, if he would like.

Thank you, Dr Allin-Khan. As always, it is a pleasure to serve under your chairmanship. I congratulate the hon. Member for Eastleigh (Liz Jarvis) on securing this timely debate on a really serious issue, and on making a very strong speech.

This debate is on silica dust in the workplace, which causes the deadly disease silicosis. What is silicosis? It is a progressive, incurable lung disease caused by inhaling respirable crystalline silica. It leads to scarring, reduced lung capacity, respiratory failure and increased risk of infection. Accelerated silicosis develops after only a few years of high exposure, and is increasingly common among individuals using engineered stone. Silicosis carries significant social and economic consequences for all affected workers and, of course, their families.

Who is affected by silicosis? The highest-risk groups include engineered stone fabricators and installers, construction and demolition workers, those involved in quarrying, mining and tunnelling, and foundry workers. Younger workers are disproportionately represented in new cases. Migrant workers and workers in precarious employment also face heightened risk due to poor protections.

Silicosis is preventable, but only if we actually act. Engineered stone is the new asbestos, and we are repeating the same mistakes. Young workers are being exposed to lethal dust for the sake of kitchen worktops. If we wait, we will be paying for this, in people’s lives and in compensation, for decades. We have to ask: should anybody lose their life for kitchen worktops? That is the basics of it.

It is a pleasure to serve under your chairmanship this afternoon, Dr Allin-Khan. I congratulate the hon. Member for Eastleigh (Liz Jarvis) on securing this important debate. I also pay tribute to her for her consistent work on this issue in supporting her constituent, Caroline Hudson, whose brother-in-law, George Elliott, tragically died of silicosis, as we have heard.

I am very pleased to see my hon. Friend the Member for Blyth and Ashington (Ian Lavery) in his place, as he invariably is for debates on health and safety matters, and to see the hon. Member for Strangford (Jim Shannon), too.

I am the Minister responsible for health and safety in the workplace and for the Health and Safety Executive, or HSE. There has rightly been a lot of interest and correspondence lately about the increased dangers of silicosis resulting from engineered stone, the concerns that have been raised in this debate. Workers—often quite young people, as we have heard—who have worked with engineered stone have been made seriously ill or even, on occasion, lost their lives. I want to extend my deepest sympathy to all individuals and families affected.

We have been rightly informed that respirable crystalline silica—RCS—is a fine dust. It cannot normally be seen by the naked eye when airborne, but it does generally arise in visibly dusty processes. It is breathed in through the nose and mouth, can stay in the lungs for years and can cause irreversible lung damage before any symptoms become apparent. The illness it causes can continue to worsen after exposure stops. Breathing in RCS can lead to silicosis and the very serious harms we have heard about. It can also lead to other problems, including chronic obstructive pulmonary disease and lung cancer, as the hon. Member for Eastleigh said.

Will the Minister give way?

Not just at the moment. I may be able to later.

Last month, the HSE launched a campaign specifically on this area of risk, with dedicated pages and resources on the HSE’s Work Right website. Media activity supported the launch; there was coverage in national publications and trade media, as well as the HSE appearing at the Natural Stone Show at the Excel centre in London.

Also last month, the HSE published new COSHH guidance for those working with engineered stone. Businesses now have unambiguous instructions on what the law requires for compliance to be achieved. The guidance sets out what is expected to protect workers: water suppression of dust and mist control, appropriate respiratory protective equipment and effective ventilation. Those are not optional extras; they are what is required to comply with the law. Dry cutting of engineered stone is not acceptable. It must not happen anywhere. When dry cutting happens, workers will be inhaling significant quantities of silica dust. Where it remains on their clothing, they are also potentially spreading that silica dust to others.

The HSE has also strengthened its guidance on health surveillance to make it clear that where there is a risk of exposure, employers must ensure that workers’ health is regularly monitored. That addresses the point that the hon. Member for Eastleigh correctly raised.

I thank the Minister for his comprehensive response. The dangers are significant for those who visit factories and quarry sites. The Minister outlined that there is a strict statutory need for protective clothing and respiratory mouth covers. Is that the true for people who visit these sites, so they are not affected by this as well?

Employers need to take care that visitors to their premises are protected. What is being done includes making sure that workers at risk are having respiratory health checks, lung function testing and X-rays at intervals decided by an occupational health professional, and that employers have clear processes for identifying and reporting symptoms. In this debate, the importance of carrying out reporting has rightly been identified. The HSE is currently consulting on expanding the requirements in the Reporting of Injuries, Diseases and Dangerous Occurrences Regulations to include silicosis once again. The consultation on that is under way, and it will conclude at the end of the month. The hon. Member for Eastleigh was quite right to raise that issue.

For those who choose not to comply with the law, we need effective enforcement. Starting in April and throughout the summer, HSE will be carrying out more than 1,000 inspections across the industry. It will inspect every place that we know of where this stone is being cut— if anyone knows of a place that we may not be aware of, please let me know; I want to make sure that HSE can go and look at it. HSE has carried out 13 inspections since they started at the end of April. Those were visits to places that concern was expressed to us about. Out of the 13 inspections so far, two businesses had ceased trading, but six of the remaining 11 were made to stop processing immediately. Prohibition notices were served for dry processing, unguarded machinery or both. Eight businesses received improvement notices for failing to provide the correct respiratory equipment, while eight received them for failing to provide health surveillance for employees. Just one of the 13 was operating in an exemplary way.