Junior Doctors: Industrial Action

Andrea Jenkyns Excerpts

Thursday 24th March 2016 Commons Chamber

[Ben Gummer]

I thank the hon. Lady for her question, but I suggest that listening to junior doctors on their need to have a better work-life balance, to ensure that the contract is safer for patients and to address their legitimate complaints about the way the existing contract works is significantly different from listening to the junior doctors committee, whose actions seem to have ulterior motives. All I would say is that we have listened consistently to the concerns of junior doctors both through the negotiators they have appointed and in relation to those they have raised on the ground. That is why we have come to an agreement on 90% of the contract.

Many of the issues settled within the contract were not requested by the BMA. For instance, one of the complaints made by junior doctors for many years is the fact that they have to book leave so far in advance that they often have to miss important family events. We sought to change that, and we did so in the new contract of our own accord. It is one of myriad changes that will make this contract better for junior doctors. That is why the sooner they have it in front of them—we are working very hard to make sure that happens soon—the sooner they will see that this contract is better for them and that they have been misled.

[Andrea Jenkyns (Morley and Outwood) (Con)]

I thank the Minister for coming to the House today to set out the Government’s position on this dangerous and irresponsible strike. Quite frankly, I am appalled by the fact that the Labour party has not condemned these strikes. Throughout the negotiation, the Government’s door has been open, and the BMA was given more than enough notice before the Government were forced to impose the contract. In this negotiation, the BMA got 90% of what it wanted, so this strike is essentially about pay for working on Saturdays. What other essential public servants, from firefighters to the police, would get such terms for working on a Saturday? Will my hon. Friend please tell me what impact the strikes will have on patient safety?

[Ben Gummer]

We will do everything in our power to ensure that patients are protected. We have a very robust assurance programme, conducted by NHS Improvement and NHS Employers. We will do everything we can to ensure both that the number of elective operations cancelled is as low as possible, consistent with the needs of safety, and that emergency cover is provided. Withdrawing the number of doctors that the BMA will withdraw in this action means that there is an increased risk of patient harm, and I am afraid that the BMA and its members need to consider that very carefully in the weeks ahead.

BMA (Contract Negotiations)

Andrea Jenkyns Excerpts

Monday 21st March 2016 Westminster Hall

[Andrea Jenkyns (Morley and Outwood) (Con)]

Thank you, Sir David, for calling me to speak in this incredibly important debate.

There is no denying that this strike is totally unprecedented. No group of doctors has ever before been willing to walk out and put patient safety at risk over a dispute about pay, which is essentially what the dispute is about. It is about pay, about unsociable hours at weekends, about working the sort of hours that other people across the public and private sectors work every week. That is not to do down the incredible work that our junior doctors do. They work incredibly hard and entirely selflessly to keep us fit and healthy and I thank them for that but, like any other body of workers, doctors are not infallible.

Like the rest of us, doctors are driven by considerations of making enough to get by and to support their families, and of getting a fair reward for the work they do. Historically, they have got a pretty good deal, and like any other body of workers they have the right, through their union, to seek a better deal in pay and conditions. Seeking that better deal requires, as the petition notes, a meaningful negotiation between both sides in the debate.

I would like to cite the definitions of the two words that are so crucial in today’s debate. Meaningful is defined as “serious, important or worthwhile” and a negotiation is a “discussion aimed at reaching an agreement”. My argument is that it is the British Medical Association, and not the Secretary of State, the Department of Health or any of their negotiating team, that has failed in its duty to hold a proper, meaningful negotiation.

The history of the dispute is littered with resentment and half-truths. The BMA has repeatedly had the chance to negotiate with the Government and come to an agreement that is acceptable to all sides and, most importantly, that is safe for patients. Patient safety should be at the centre of the debate but, unfortunately, it has fallen by the wayside in the BMA’s entirely partisan quest to defeat the Government.

For many months we heard from the BMA that it was the Government and not the union who were not willing to come to the negotiating table. That is untrue, and it is backed up by the House of Commons Library’s account of the dispute, which I will not rehash in the short time we have available. Time and again the BMA has walked away from the negotiating table and balloted for industrial action, while the Department of Health negotiators have offered it the chance to come back to talks. The BMA even balloted for industrial action on the basis of the Government’s being unwilling to talk, when the Government had set a clear deadline for the BMA to come back to the table or risk imposition of the new contract. The BMA knew that imposition was a possibility, yet time and again did as little as it could to avoid it, all because it is driven by a desire, according to one of the doctors involved, to

“be the first crack in the edifice of austerity”.

Again, I do not want to go over old ground, but it is well documented that the BMA’s senior medics are Corbynites of the most militant kind. [Laughter.] Dr Chand, the association’s deputy chair, tweeted:

“Goebbels must be turning in his grave when he hears the lies and propaganda of Cameron.”

Dr Tom Dolphin congratulated the right hon. Member for Islington North (Jeremy Corbyn) on his victory and told him to take the fight to the Tories—if that is not partisan, I do not know what is. The BMA so misled its members when it put an utterly wrong pay calculator on its website, suggesting that doctors were in line to lose thousands of pounds, that the tool had to be taken down. Does that suggest that the BMA is taking the negotiation seriously? I would say that it does not. All the while, the Secretary of the State waited, and appointed the head of Salford’s trust to lead the negotiations, to ensure they were being led as well as possible by an expert in the field.

[Andy Slaughter]

Is the hon. Lady aware that 98% of junior doctors supported the BMA’s decision, and that her rather desperate attempt to portray the BMA as some sort of Scargill–like extremist organisation simply makes her look risible?

[Andrea Jenkyns]

I thank the hon. Gentleman. I think he needs to learn his facts. I think that it was 98% of BMA junior doctors, not junior doctors in their entirety.

The imposition of the contract is not something that the Health Secretary wanted. He wanted to reach a meaningful resolution. He wanted the union, which got 90% of the things it asked for, to put its political gripes to one side, do what was best for patient safety and follow the will of the millions.

[Helen Jones]

Will the hon. Lady give way?

[Andrea Jenkyns]

I am sorry—I am carrying on. I am talking about the millions who voted for a proper seven-day NHS in the general election. The seven-day NHS is not some distant pipe dream. Several trusts across the UK, including Northumbria’s, have established consultant-led care across seven days. The only reason the rest of the country cannot enjoy the benefits of that is the BMA’s political posturing. The Labour party’s suggestion that the Government have not negotiated well is difficult to take, when it was the party that signed off on the consultant contract in 2003 that gave an opt-out on weekend work, and gave GPs the ability to opt-out of out-of-hours care in 2004.

[Helen Jones]

Will the hon. Lady give way?

[Andrea Jenkyns]

I am going to finish. Can a policeman say that he does not want to cover a Friday night? Can a firefighter turn down a shift because it is a Sunday morning? No.

[Dr Philippa Whitford (Central Ayrshire) (SNP)]

I thank the hon. Lady for giving way. I want to point out that the opt-out clause for consultants is for routine work at the weekend. If they run an emergency service they are not allowed to opt out of emergency care.

[Andrea Jenkyns]

I thank my hon. Friend for that. We work together closely on many matters. At the end of the day, life has moved on from the time when the NHS was set up. Life has got to change.

Moving on to my next point, firefighters cannot turn down shifts. They are public servants, just like doctors. The new contract proposed by the Government is safe and fair. No doctor working legal hours will get a pay cut thanks to the 13.5% increase in basic pay and the unsociable hours pay for nights, Saturday evenings and Sundays. The NHS must adjust to the modern world if it is to survive. Seven-day working is vital to that, and the BMA needs to recognise that. The Government and the Secretary of State have gone out of their way to talk to the BMA and to accommodate its demands. A negotiation in which someone gets 90% of what they want would seem pretty successful to me, and it is a shame that the BMA does not see it that way.

--- Later in debate ---

[Andrea Jenkyns]

First, the Select Committee on Health is on an away day today, otherwise there would have been more Members here. I should have been on the away day, but this is an important debate and I wanted to be here.

On the allegation that I have accused all junior doctors of being Corbynites, I said that key members of the BMA are strongly linked to the Leader of the Opposition. I was talking about not junior doctors but people on the BMA council.

[Andy Slaughter]

I will move on, because when someone is in a hole, they should really stop digging.

End of Life Care

Andrea Jenkyns Excerpts

Wednesday 2nd March 2016 Commons Chamber

[John Howell (Henley) (Con)]

It is a great pleasure to participate in this debate today. A number of common themes run through the debate, the first of which is the fact that most people want to die in their own beds. Before coming to this debate, I tried to find some statistics on the subject. I trawled through a whole lot of figures on the internet, and what I came up with was the fact that 70% of us want to die in our own beds, yet 60% of people die in hospital.

Why is there such a discrepancy in the figures? Is it a ridiculous aspiration for 70% of us to want to die in our beds, or do we need to be better at organising end-of-life care services? The evidence from the Netherlands suggests the latter In particular, there needs to be more emphasis on the social care aspect, the reorganisation of that and its delivery.

What does that come down to in practice? The issue came to the fore in my constituency with the re-provision of a hospital in Henley, the Townlands hospital. The hospital will be re-provided with a greater range of services for people to access and a limited number of beds at the side of the hospital in a care home. The gap is being taken up by a system that has come to be called ambulatory care, involving greater use of social care packages. This follows a change in practice, where the aim is to reduce the number of beds and keep people out of hospital for as long as possible.

[Andrea Jenkyns (Morley and Outwood) (Con)]

My own father died at home. The Government’s response to the report states that a priority is to ensure that families are kept in the loop in the final days, but in our case, we did not know it was my father’s final days. A nurse turned up on the last day with an end-of-life care kit. In front of my father she said, “Here’s the end-of-life care kit,” and he died a few hours later. Does my hon. Friend agree that better communication is needed with those who want to die at home?

[John Howell]

I thank my hon. Friend for making that point. As many hon. Members know, I recently lost my mother. Contrary to what I said earlier, she died in hospital, but I have to say that the services provided were exemplary. We were taken into the thinking of the clinicians as her illness progressed, we were told exactly what would happen, and this led to a greater feeling of comfort with the whole process when she eventually died. I am reconciled with the idea that it was what she wanted. That fits in with the idea of personal choice, where that is possible. In my mother’s case it was not possible because of the illness, but I do not know the circumstances of my hon. Friend’s case. It is something that needs to be borne in mind.

There are still those locally who cannot see that the best interests are served by reducing unnecessary admissions to hospital and moving people out of hospital as soon as possible. I have listened to the clinical advice and the clinical evidence that this is the best way to go. Hospitals, contrary to what they may seem, are not necessarily healthy institutions. Even a short stay reduces the ability of muscles to function and affects quality of life. I spoke to the Alzheimer’s Society about this. The evidence was clear: although admission to hospital or, better still, to care homes will inevitably be required, the best advice was to keep people out of hospital for as long as possible. That was true even in the case of people suffering from Alzheimer’s.

This approach is not just about providing services to those who need periodic treatment, especially end-of -life care. It demands a revolution in the way social care is provided. I am a great advocate of integrated social care and healthcare, and I have heard from doctors about the way in which they decide on the services to be provided. When somebody presents to them with an illness, whatever it might be, the choices are a medical solution—they can be shipped off to hospital or given a prescription—or a social care solution. The feedback I have received from doctors is that they do not have control over the social care aspect, they cannot provide the services and it is very difficult for individuals to access those services, particularly at weekends.

We need this revolution for better control of social care by clinical commissioning groups. We need this revolution for the better use of providing medicine in the home, for example by using internet services, as has been mentioned, which I think is a magnificent way to go. We need this revolution for the timeliness of the provision of services. I agree with my hon. Friend the Member for Poole (Mr Syms) that we need to work across organisations to get this right, including those in the charity sector. If we do that, we can get a really integrated approach.

Oral Answers to Questions

Andrea Jenkyns Excerpts

Tuesday 9th February 2016 Commons Chamber

[Mr Speaker]

Well done.

[Andrea Jenkyns (Morley and Outwood) (Con)]

By refusing to condemn the junior doctors strike, the hon. Member for Lewisham East (Heidi Alexander) has shown that she has little regard for patient safety. [Interruption.] Will my right hon. Friend repeat his condemnation of this strike, which will seriously endanger patient safety, and assure me that he will continue to press for the new contracts, which will guarantee safer patient care and a better contract for doctors?

[Mr Hunt]

I think my hon. Friend got a bit of a reaction with those comments. The Labour party is saying that if a negotiated settlement cannot be reached, we should not impose a new contract—in other words, we should give up on seven-day care for the most vulnerable patients. There was a time when the Labour party spoke up for vulnerable patients. Now it is clear that unions matter more than patients.

Hand Hygiene: NHS

Andrea Jenkyns Excerpts

Wednesday 13th January 2016 Westminster Hall

[Andrea Jenkyns (Morley and Outwood) (Con)]

It is a pleasure to serve under your chairmanship, Sir Alan.

I thank my hon. Friend the Member for Amber Valley (Nigel Mills) for securing the debate and for his support of my campaign on hand hygiene. I also thank the hon. Member for Central Ayrshire (Dr Whitford) who, with the hon. Member for Wolverhampton North East (Emma Reynolds), worked with me on a cross-party campaign on hand hygiene. Recently, we got more than 50 MPs to sign up to it. I ask anyone present who has not signed up to join us, please. Hand hygiene is a bit of a personal crusade of mine. We simply cannot ignore the importance of hand hygiene in hospitals and the community. It is the single most effective, yet simple, way to prevent avoidable infections and so reduce the burden on the NHS.

I will talk a bit about my background and why I am such a fierce advocate of hand hygiene. My father, Clifford, was diagnosed with lung cancer in 2011; the prognosis was good, but he got fluid on his lungs and he went into hospital for a routine operation. The simple procedure should have taken about 20 minutes, but a junior doctor practised reinserting the lung drain with medical students for two hours. My father subsequently became infected with MRSA. What we saw in the hospital was shocking. One nurse walked in, put antibacterial cream on her hands, put something up my father’s nose and did not wash her hands. Basic things were not happening. I constantly observed a failure to follow basic hygiene procedures, which I mentioned to nurses at the time, but I was ignored and even rebuked. A few months later, in November 2011, he died from MRSA.

Afterwards I got in touch with MRSA Action UK, the charity, and became its regional representative. In Parliament, I set up an all-party group for patient safety for the Patients Association—I commend the Minister, the Secretary of State and the shadow Minister, the hon. Member for Ellesmere Port and Neston (Justin Madders), for supporting it. From my conversations with the Secretary of State and other Ministers, I know they are taking hand hygiene seriously and have plans to deal with it.

On areas for improvement, the World Health Organisation has taken a lead in establishing good practice in hand hygiene around the world, although through Dame Sally Davies, our chief medical officer, and the Prime Minister we have put the issue of antimicrobial resistance on to the global agenda. The WHO talks about the five moments for hand hygiene and identifies when medical workers should wash their hands, providing clear guidance that could make a real difference to hand hygiene routines. I commend the work done by everyone at the WHO.

In England, hand hygiene is most frequently monitored through direct observation—a member of the ward staff will take time to observe colleagues and their adherence to the five moments of hand hygiene. Such studies often produce incredibly high rates of compliance, nudging around 80% or 90%. That is because direct observation is ineffective. Only a minimum of 10 moments have to be observed, which on a busy ward is negligible. Furthermore, staff are aware that they are being monitored and will often change their behaviour—I know that from personal experience.

The APPG had an evidence session at which a lady from the Royal College of Nursing was present. I asked her a simple question—whether she had ever disciplined anyone or taken any of her nursing staff to one side to discipline them on lack of hand hygiene. The answer was no. That was in a 20-year career. We need to ensure a place of consequence if hand-washing is not adhered to.

The hon. Member for Amber Valley and I were presented with some startling statistics at a recent meeting with the Deb Group, which kindly sponsored our cross-party Handz campaign. They included registered rates of hand hygiene compliance as low as 20% to 40% in hospitals in which Deb systems were installed. Such figures are common to other companies offering a similar service in the healthcare sector. We cannot ignore the fact that, although the hospital statistics show a high rate of compliance with the five moments, in reality it is not always the case.

We need to implement a new system for proper observation and monitoring, hand in hand—excuse the pun—with proper awareness of the risks of poor hand hygiene. The hon. Member for Central Ayrshire has told me a lot about the fantastic work being done in NHS Scotland, educating the public with a proactive campaign of posters and information.

[Douglas Chapman (Dunfermline and West Fife) (SNP)]

As the hon. Member for Bridgend (Mrs Moon) has suggested, there are simple ways in which to improve hand hygiene. Recently, when visiting a school, I noticed that children were washing their hands to the two verses of “Happy Birthday to You”, which seemed to be going down well and was doing the trick. Does the hon. Lady accept that that is a good way of introducing children to hand hygiene at an early age? It is cost-effective, simple, memorable and starts the hand hygiene routine at a very early age.

[Andrea Jenkyns]

I thank the hon. Gentleman for making that point. With MRSA Action, the charity that I am involved with, I have been going into schools and we use that technique of singing “Happy Birthday” twice. The Handz campaign with the hon. Members for Central Ayrshire and for Wolverhampton North East is about education in schools and promoting hand hygiene from a young age. It is a year-long campaign running through to October and we are also going to go into care homes—there was a recent Westminster Hall debate on care homes—to emphasise the importance of good hand hygiene with the vulnerable in care homes.

Going back to what I was saying, hospitals in Scotland are covered in reminders for people to wash their hands and about the risks brought on to the ward if they do not. I am sure that the hon. Member for Central Ayrshire will mention this herself, but, in Scottish hospitals, people observe staff members when the staff members do not know they are being observed, which is a much better system than the one we use.

To sum up, we need to do a number of different things to improve hand hygiene compliance. First, we need to improve observation and reporting of hand-hygiene breaches so that we can get real and effective reports on compliance. As I said earlier, we need a place of consequence when that does not happen.

Secondly, we need to make it clearer to patients and staff when a ward is not hitting its compliance targets. NHS staff strive for brilliance and we thank them for their hard work, but we need to ensure that they are aware of areas in which they need to improve.

Thirdly, we need to ensure that people are properly aware of the risks of poor hand hygiene compliance in hospitals and elsewhere. Those achievable aims would make a real difference. The hon. Members for Wolverhampton North East, for Central Ayrshire and I are working hard to increase awareness through the Handz campaign and are planning further events.

Hand hygiene goes beyond people catching infections in hospital. More infections means that more antibiotics are needed for treatment, which leads to antimicrobial resistance, which is a huge global threat. Dame Sally Davies, our chief medical officer, has been an advocate on that issue and supported our campaign.

Hand hygiene is incredibly important. I reiterate my thanks to my hon. Friend the Member for Amber Valley for securing the debate, which will make a valuable contribution to discussions on the subject. The UK already leads the fight and it is great to see so many colleagues from the Government and other parties with such great enthusiasm for the subject.

Care Homes: England

Andrea Jenkyns Excerpts

Wednesday 13th January 2016 Westminster Hall

[Joan Ryan (Enfield North) (Lab)]

It is a pleasure to follow the hon. Member for Bexhill and Battle (Huw Merriman). I echo what he said about some of the excellent care that we see in care homes.

I congratulate my hon. Friend the Member for Hove (Peter Kyle) on securing an important and timely debate. He highlighted many of the key concerns of care providers in the UK. One is the current funding crisis in social care. Over the past five years we have seen social care budgets across the country cut by almost 11%. In Enfield, the local authority has had to deliver net savings in its adult social care budget of 16% over the past four years, and by 2019, the savings requirement that the council will need to initiate will further reduce the budget by £19.8 million, from £80.8 million this year to £61 million. That is equivalent to another 25% reduction in the net budget. How do the Government seriously expect local authorities such as Enfield to cope with a cut of that level?

[Andrea Jenkyns (Morley and Outwood) (Con)]

I have been a councillor, so I know that budgets have been quite tight in local authorities over the years. A care home in my constituency, Siegen Manor, is possibly due to close. Does the right hon. Lady agree that we need to look at the way councils spend money? In my new city council, there is a lot of wastage. We need to look at how councils spend their money, because I could give a lot of examples of how they could—

[Mrs Anne Main (in the Chair)]

Order. I call Joan Ryan.

NHS Bursary

Andrea Jenkyns Excerpts

Monday 11th January 2016 Westminster Hall

[Paul Scully]

That is on a band 5 salary. I would expect nurses to increase that. The point of the student loans system is that it is a finite time period of 30 years.

[Andrea Jenkyns (Morley and Outwood) (Con)]

I am on the current student loans system as I only graduated a couple of years ago. I am paying it back out of my salary and I am thankful for the opportunity to do that. Does my hon. Friend agree that the current system for nurses limits the number of applicants? The new system, rather than denying thousands of applicants the opportunity to study healthcare subjects at university, will release more people into the system so that we have more nurses. It will also help to sort out the problem of reliance on expensive agency staff and overseas applicants. We will have more home-grown nurses with the new system.

[Paul Scully]

I totally agree with my hon. Friend. The new system will certainly help with overseas applicants and agency staff and, as is the aim, it will release extra people into the profession. One concern that we need to address and that I will touch on a little bit later is about the placements and opportunities available after graduation. It is important to ensure that those opportunities are there for nurses. There is no point having a paper-based exercise if there are not enough positions for nurses.

--- Later in debate ---

[Paul Scully]

I would rather that we re-examined the overall system and reconsidered how we work with student nurses to give them a fair salary. I would rather it be more straightforward, open and transparent, rather than calling it a bursary. Bursaries are effectively gifts, which can be taken away. If someone is working hard in a position that is not supernumerary, we need to examine that. At the end of my speech, when I talk about the petition, I will say that this is the start of an exercise. This is a welcome time to have the petition, because student nurses and the 154,000 people who signed it can help to shape the policy over the next academic year ready for whatever is in place for the 2017-18 academic year and beyond.

[Andrea Jenkyns]

We have talked about nursing being a vocation, but does my hon. Friend agree that teaching and being a doctor are also vocations? This proposal puts nurses on the same system as for teachers and doctors—nursing is a vocation, too.

[Paul Scully]

Absolutely.

Sugary Drinks Tax

Andrea Jenkyns Excerpts

Monday 30th November 2015 Westminster Hall

[Helen Jones]

The public health responsibility deal has had a fair trial over the past five years. The House of Lords Science and Technology Committee said of it that

“the current Public Health Responsibility Deal pledge on obesity is not a proportionate response to the scale of the problem.”

The reason for that, as the British Medical Association has pointed out, is that the deal does not set targets for individual food and drink products, or a timescale in which changes have to be made. That is why I have come to believe that there is a great deal of merit in what the petitioners are asking for, as one method among a whole lot of ways to tackle the problem.

A tax on sugary drinks would probably have to be at the level of 10% to 20% to make a change in behaviour, apparently—Public Health England suggests that range. There is evidence from Mexico and France that at that level, people’s behaviour starts to change and they start to choose sugar-free alternatives. However, that has to be part of a whole-Government effort to reduce obesity, which has to begin in schools.

Much work has been done on improving school meals, setting better nutritional standards for them and removing vending machines from schools. The problem is that those things do not apply to academies and free schools, and as more schools become academies we are putting more children at risk of poor nutrition. We should not tolerate that. It is good that food and nutritional education is compulsory at key stage 3, but we need to look at how that operates. Much more investment in equipment is needed. Schools need to be outward-facing and need to encourage local people to visit them to talk to children about food and how it is grown. The best schools do that, but often the curriculum is not appropriate for all children.

In my entire school career I did a term and a half of cookery, because it was considered that those who were academically inclined did not need to learn how to cook. The only thing I can remember being taught is how to make rock buns, something that I have not indulged in before or since. Another example is that my son specialised in Indian cooking. It was supposed to be brought home for the evening meal, but anyone who suggests that has never met a teenage boy. That was interesting, but expensive. What most of us need to know when we first set out in the world is how to eat healthily on a restricted budget. That is the sort of thing that we need to look at with our children.

In fact, all public institutions should be promoting healthy eating. Dare I suggest that we start with some of the vending machines in this place, so that I do not walk down the corridors thinking, “Get thee behind me, Satan”, every time I pass machines full of chocolate and fizzy drinks? That needs to be done in hospitals as well—there have been a number of articles about that recently.

I challenge people to walk into the foyer of many hospitals. There are machines selling chocolate and fizzy drinks, and the outlets often sell cake and biscuits quite cheaply but overcharge for a piece of fruit. If someone wanders in to buy a paper, they will be offered a big, discounted chocolate bar at the till. That makes it much harder for people to resist temptation. Of course, that is difficult to do, but the message that hospitals are giving their patients, staff and visitors is, “Don’t do as we say; do as we do.” The Government urgently need to negotiate with trusts and with NHS England to see how the issue can be remedied. It is nonsense to take an income from those sorts of outlets in one part of the hospital and then to deal with the effects of poor diet in another.

[Andrea Jenkyns (Morley and Outwood) (Con)]

Does the hon. Lady agree that it is also down to personal responsibility and choice, and that it should not be down to the state to tell people how to live their lives? Childhood obesity is more prevalent in deprived areas, so a sugary drinks tax will hit the poorest. Surely education, better labelling and personal responsibility are key.

[Helen Jones]

If we were dealing with a level playing field, the hon. Lady might be right, but we are not. We are dealing with goods that are heavily marketed, especially to children. I am sure she cannot really be arguing that it is great for hospitals to profit from unhealthy food and then for the other end of the hospital to deal with the consequences of that.

Oral Answers to Questions

Andrea Jenkyns Excerpts

Tuesday 17th November 2015 Commons Chamber

[Mr Hunt]

I am not quite sure I understand what the hon. Lady is referring to. We are not reducing A and E hours; we are investing. We have nearly 2,000 more consultants in our A and E departments than five years ago and we need to support strong A and E departments as much as possible.

[Andrea Jenkyns (Morley and Outwood) (Con)]

Over the weekend we learned of the close links between the leadership of the British Medical Association and the Labour party. It seems that the BMA is more interested in pushing its own political agenda than in securing the best deal for its members. Can my right hon. Friend assure me that he will hold his nerve and deliver the seven-day NHS that will make the NHS safer for our patients?

[Mr Hunt]

I can absolutely give my hon. Friend that assurance. This is essential for the constituents of all hon. Members, whichever side of the House they sit on, and this Government will always stand on the side of patients. The weekend mortality rates are not acceptable. That is why we are doing something about them.

Junior Doctors’ Contracts

Andrea Jenkyns Excerpts

Wednesday 28th October 2015 Commons Chamber

[Andrea Jenkyns (Morley and Outwood) (Con)]

It is important to make the point that these reforms are categorically not about saving money—their impact on the pay bill for junior doctors will be cost-neutral—so any suggestion that they represent a pay cut for junior doctors, as The BMJ has claimed, is dishonest. Junior doctors’ basic pay will increase, as will their pension contributions, and they will be awarded pay rises for progression, rather than simply time served, which is in line with most other industries.

NHS employers, who are part of the NHS Confederation, the only body that speaks on behalf of the whole healthcare system, have said in a briefing note that the previous increases, linked to time served, were unfair and did not reflect real progression in terms of increased skills and greater responsibility. The world has changed. People are living longer and have busy lives, and our population is increasing, meaning there are pressures on our health service that were not there 10 years ago. NHS employers have also said that the current contracts are not fit for purpose.

Doctors provide a vital public service, but the NHS must adapt to the needs of the people they serve. This means we need more services available at weekends and in the evenings, and we need doctors to give people the peace of mind that comes from knowing they can get the help they need when they need it.

Opposition Members claim that the reforms will have a detrimental effect on patient safety, but what is safe about a young trainee medic working the maximum 91 hours per week? The reforms will drastically reduce this to 72 hours in seven consecutive days, meaning we will be working our new doctors less hard, while striving towards the seven-day NHS the Government were elected to deliver.

I would like to turn to some of the concerns raised in the BMA’s briefing document. On page 3, it claims that the reforms will not protect doctors from having to work “dangerously long hours”. As I have said, the reforms will reduce the number of hours junior doctors have to work and introduce new safeguards on work-life balance by ensuring that all work schedules are mutually agreed between doctors and employers. No junior doctor will be expected to work more than a 48-hour week or more than four consecutive night shifts, and thanks to the Government’s reforms to childcare all working parents with three to four-year-old children will have access to 30 hours a week of free childcare. The rise in childcare costs claimed by the BMA are therefore a fallacy.

In conclusion, these reforms will bring doctors’ contracts into line with modern lives and working practices. They are important and right. They will improve outcomes for patients, which is the most important thing, and improve conditions for junior doctors. I welcome the Government’s amendment to the motion, and I implore all colleagues from across the House to follow us into the Lobby this evening.