National Health Service

Debate between Bill Esterson and Andy Burnham

Wednesday 21st January 2015 Commons Chamber

[Andy Burnham]

My hon. Friend makes his point very well. This is what we must challenge as we move forward. Before the general election, people need the facts about what is happening to the NHS. There has been a big drop in the number of nurses working in the community, as my hon. Friend mentioned, and these are the facts that we need to bring home to people.

It is not just the fact that the GP headcount has gone down. One of the present Government’s first acts was to scrap the guarantee of an appointment within 48 hours and incentives to open GP surgeries in the evenings and at weekends. That, combined with cuts to the GP budget, means that it has got harder and harder to get a GP appointment in recent years. The constituents of all the Members present say, “I am ringing the surgery at 8 or 9 every morning and being told that nothing is available for days.” In 2010, the vast majority—80%–of people said they could get an appointment within 48 hours; now, according to the GP survey, one in four people say they must wait a week or more to see a GP.

[Bill Esterson (Sefton Central) (Lab)]

One of the problems in my constituency is that GP surgeries are relying on locums because it is not possible to find GPs to recruit on a full-time basis. Those locums provide a very erratic service; sometimes there is not even a locum available. That is adding to the problem, because as a result, all that is left to people is to go to A and E. I am sure that my right hon. Friend agrees that that is one of the contributory factors, and it proves his point that a chronic shortage of GPs has come about under this Government.

[Andy Burnham]

That is an absolutely vital point. It is not just about GP locums; there are also A and E locums. The Government have, throughout, cut training places, which were another victim of the reorganisation. Ever since then, the number of places commissioned for doctors—and nurses, I might say—has gone down. That leaves us with a bill for agency staff that is literally out of control—it has gone through the roof—and that means that money is now being siphoned out of the NHS at an alarming rate. That is mismanagement; that is what has happened. How must staff working in the NHS feel when they see the bill for agency staff spiralling in this way and know that they will not even get a 1% increase from this Government? They will draw their own conclusions about how this Government value them.

Health and Social Care Bill

Debate between Bill Esterson and Andy Burnham

Tuesday 13th March 2012 Commons Chamber

[Andy Burnham]

I agree with the hon. Lady. It is that ideology that the NHS and health professionals are rejecting. They want to work in an essentially collaborative health service. They do not accept the vision that pits hospital against hospital and doctor against doctor.

Barely anybody has a good word to say about this busted flush of a Bill, which has lurched from one disaster to another. The unprecedented pause did not address the real concerns, but simply added bureaucracy and complexity. The 1,000-plus amendments are not a sign of improvement, but of confusion, complexity and contradiction. They have left a mess of a Bill that even the Health Secretary cannot recognise as his own. If that was not bad enough, an unfolding communications disaster has alienated the very people the Government are depending on to implement their Bill. A Downing street summit was called to discuss the implementation of a reform that is about clinical leadership, but doctors’ and nurses’ leaders were shut out of Downing street. It was hard to see how the situation could get any worse, but it just has.

First, on Friday, the Information Tribunal ruled against the Government and in favour of my right hon. Friend the Member for Wentworth and Dearne (John Healey). I pay tribute to the assiduous way in which he has pursued his principled case. The tribunal ruled against the publication of the strategic risk register, but in favour of the publication of the transition risk register, vindicating our position and dismissing the Prime Minister’s claims against my actions as Health Secretary.

Let us be clear about what that ruling represents. It is an incredible state of affairs for any Government to suffer such a serious legal reversal at this stage of a protracted parliamentary process. It is an indictment of the judgment, or lack of it, of the Minister of State, Department of Health, the right hon. Member for Chelmsford (Mr Burns) and others in the Department, in their handling of the Bill. Where is the Minister’s good grace in defeat? It is simple: my right hon. Friend the Member for Wentworth and Dearne won and the Government lost. What are they waiting for? They must publish the risk register today and give Parliament the courtesy of knowing all the relevant information on Ministers’ plans before they ask us to approve them. Instead, what do we get? Silence and playing for time. They are hoping to string it out until after 20 March. That is simply not good enough.

[Bill Esterson (Sefton Central) (Lab)]

My right hon. Friend is, as ever, making the case for the NHS, not for the privatisation that the Tories and their Lib Dem friends are pursuing. We are talking about the future of the NHS, so let me quote Victoria Roberts, a student nurse from Merseyside, who starts her training in two weeks. She says:

“I am a student nurse due to start my training in 2 weeks. This is not the NHS I want to serve or work in, but rather will help only those who can pay the most.”

Does my right hon. Friend agree with that assessment of where the Tories are taking the NHS?

Sure Start Children’s Centres

Debate between Bill Esterson and Andy Burnham

Wednesday 27th April 2011 Commons Chamber

[Andy Burnham]

It is a mixed picture. We will get to the bottom of the true picture on the ground as we get into the debate today. If Conservative local authorities are not just keeping the centres open, but protecting the services within them, I will of course recognise that that is what we want and what the Government said they would do. If that is the case, then good. But other Conservative-controlled authorities are not doing that. My question back to the hon. Gentleman is: what are he and his Front-Bench colleagues saying to Conservative authorities that are disinvesting from Sure Start and siphoning the money out? I look forward to an equally fulsome answer on that question.

If the Government accept the vision in the review that they commissioned my right hon. Friend to produce, I put it to the House that it must urgently consider what is happening on the ground and ask the Government to change course to preserve the network of children’s centres and services. As I will show today, children’s centres are closing right here, right now. Highly trained staff are being made redundant. Some children’s centres are keeping the lights on, but no more. That is the reality on the ground that the Prime Minister must urgently confront.

[Bill Esterson (Sefton Central) (Lab)]

I draw my right hon. Friend’s attention to what is going on in Sefton. The council faces 30% cuts in its budget and it has had to review all 19 of its Sure Start centres. A Conservative-Liberal Democrat coalition has made that decision, which emphasises my right hon. Friend’s point about the cuts being made by Conservative-run or led authorities. Families in Sefton are clear that they need the entire network. It is essential for people from all the different parts of the community that the network should be maintained. People from different parts of the community need different elements of the service.

[Andy Burnham]

My hon. Friend points out that coalition councils are not acting to protect Sure Start. He has come to an important point. The Government will have to decide. When the Prime Minister made promises last May, was he promising to keep Sure Start as a universal service? If he was, he really has to act. If, however, he had decided to let it become a targeted service—available in some communities and not in others, available to some parents and not others—he needs to be honest about that. He needs to say that and it needs to be clear that that is the Government’s policy.

The Government built a clear expectation among parents that they were preserving Sure Start as a universal comprehensive service that would give all children the best start in life. Indeed, at the last Education questions, the Secretary of State said that he would guarantee all children a high-quality place. The Government will have to live up to that promise.

If today the Prime Minister believes as strongly in Sure Start as he appeared to on the eve of polling day, he must act to save it. He must stop the disinvestment in Sure Start by councils and reinstate the Sure Start ring-fence in the next financial year, as our motion suggests, to protect a service that is still very much in the early years itself.

Education Bill

Debate between Bill Esterson and Andy Burnham

Tuesday 8th February 2011 Commons Chamber

[Bill Esterson]

Will my right hon. Friend give way?

[Andy Burnham]

One final time, then I shall make some progress.

[Bill Esterson]

In my right hon. Friend’s opening remarks, he mentioned contradictions and the ability to overrule local authorities when it comes to schools. In Sefton, the 12.9% cut in the early intervention grant means that all the children’s centres are now under review, but the Secretary of State says that he wants all children’s centres and the network to be maintained. My hon. Friend the Member for Hammersmith (Mr Slaughter) describes what is happening in his constituency. Does my right hon. Friend agree that, if closures go ahead, they will undermine any good measures in the Bill to boost early years provision? Does he agree also that, if the Secretary of State is prepared to intervene on schools, he should take the same approach and intervene on local authorities when it comes to protecting the network of Sure Start centres?

[Andy Burnham]

My hon. Friend makes a very important point. I was struck yesterday by the comments of my right hon. Friend the Member for Birkenhead (Mr Field), who feels that his report, which was commissioned by the Prime Minister, will be undermined if cuts on such a scale proceed, because the delivery system for early intervention will simply no longer be in place in constituencies throughout the country. Let us remember that this Prime Minister accused the former Prime Minister of trying to scare people about Sure Start. This Prime Minister said that he would build on Sure Start, but that is yet another broken promise.

Let me turn to how the Bill takes power from the profession. The Education Secretary says that he wants to put teachers in the driving seat, but again we see a widening gap between rhetoric and reality. There has been a 10% drop in applications for teacher training this year, which does not say much for his powers of recruitment. The drop has been blamed on his decision not to allow the Training and Development Agency for Schools to run its usual advertising and marketing campaigns to attract people to the profession. With the Bill’s abolition of the TDA, teacher training places cut by 14% and most bursaries scrapped, surely we can expect to see teacher shortages in a few years’ time.

The Bill restricts teachers’ freedoms, undermines the status of their profession, reduces their entitlement to ongoing professional development and fails to protect the rights of support staff. Ongoing development is a hugely important issue for many teachers. The TDA provided a vehicle for identifying the training needs of the profession, and its abolition raises concerns about the future of teacher training and professional development.

The think-tank million+ says that

“the TDA avoided teacher training being the subject of political interference”,

and that

“given the current ministerial view”,

there is a

“real danger that teaching as a profession is being downgraded.”

Those are its words; that is what million+ says.

School Sports Funding

Debate between Bill Esterson and Andy Burnham

Tuesday 30th November 2010 Commons Chamber

[Bill Esterson (Sefton Central) (Lab)]

Will my right hon. Friend comment on the increase in the take-up of club sport by young people and the link between that and the investment in SSPs? The figures show that there been an increase not only in school sport participation, but in club sport, which gives the lie to what the Government are saying about the impact of SSPs.

[Andy Burnham]

Anyone who has dealt with sports policy knows that this has been the key issue we have been working to crack. I pay tribute to my hon. Friend the Member for Bradford South (Mr Sutcliffe) for working so hard on it, by not only getting kids to play sport in schools but then encouraging them into the clubs at weekends and in the evenings. The figures show that links between schools and local clubs have increased significantly. It is very important to raise that point, and, again, it seems to be lost on the Government.

Funding and Schools Reform

Debate between Bill Esterson and Andy Burnham

Wednesday 17th November 2010 Commons Chamber

[Andy Burnham]

My hon. Friend makes the point. We should aspire to the best possible environment for every single child in this country. We should start where aspiration, expectation and ambition are lowest and transform what those children have. I remember a child in my constituency going into a new school and saying, “It’s too good for us.” That is what we need to challenge and break down. The depressing comments from the Conservatives show that they have no understanding of the message that the environment sends to a young person.

[Bill Esterson (Sefton Central) (Lab)]

Aintree Davenhill primary school in my constituency is near where my right hon. Friend used to live. Phase 1 of the rebuild is nearly completed, but phase 2 is yet to be approved by the Government. If phase 2 does not go ahead, the children there will be left to learn in a corrugated iron hut, which is freezing at this time of year and boiling hot in the summer. Does my right hon. Friend agree that that is not the kind of facility in which our children should expect to learn?

[Andy Burnham]

It most certainly is not, although the Conservatives do not seem to mind, as far as I can tell. Such a facility is too good for our children, as far as I can make out.

Schools all over the country are in chaos because the Department promised a capital review to clear up the problems and give clarity to schools. Instead, schools all over the country are in limbo, waiting to hear. I hope they will hear some clarity from the right hon. Gentleman today. It is clear that he has made a mess of the capital budget, but I hope he will acknowledge today the anxiety in schools right now about revenue budgets for next year.

“Schools protected” was the headline that schools wanted on spending review day, but here is the second charge that I lay at the door of the Secretary of State: has he not raised expectations that he now cannot fulfil? As the Institute for Fiscal Studies said, when rising pupil numbers are taken into account, the “Schools protected” headline turns into a 2.25% real-terms per pupil cut. Further changes to funding may mean it is far worse for some schools. Specialist schools fear losing the extra money that comes with their status. I hope that today the Secretary of State may provide them with some clarity on that.