NHS Shared Business Services

Debate between Jeremy Hunt and Philip Hollobone

Monday 27th February 2017 Commons Chamber

[Mr Hunt]

Let me gently remind the hon. Gentleman that, because of the decisions this Government have taken, we are actually now investing more than the European average in the NHS, which would have been much more difficult to do if we had followed his party’s spending plans. He tries to characterise our approach as one of suggesting that the NHS does not have problems. We think the NHS has some very big problems—it is working very hard to tackle them—but we are providing more doctors, more nurses, more funding and more operations than ever before in its history.

[Mr Philip Hollobone (Kettering) (Con)]

May I commend the Secretary of State for his response to the situation once he was told about it and welcome his pledge to provide constituency-wide data to the House? However, my constituents in Kettering will be amazed that, for five years, no one spotted that 700,000 records had gone missing. How was that discovered, and why in the three areas did such a large amount of data in effect disappear from public view?

[Mr Hunt]

I wish I could give my hon. Friend the answer to that question. I think it is completely extraordinary that for such a long period it was not noticed that the data had gone missing. It was discovered towards the end of the SPS contract. There are lessons for the NHS—this relates very closely to what other hon. Members have said—about the dangers of over-reliance on paper rather than electronic systems, with which it is much easier to keep track of what is happening. [Interruption.] Let me say to the hon. Member for Leicester South (Jonathan Ashworth), who continues to make comments from a sedentary position, that when it comes to making the NHS electronic, people will compare his Government’s records and ours and will say which is better.

Oral Answers to Questions

Debate between Jeremy Hunt and Philip Hollobone

Tuesday 7th February 2017 Commons Chamber

[Mr Philip Hollobone (Kettering) (Con)]

1. What steps he is taking to ensure that foreign nationals who are not entitled to free NHS treatment pay in full for the treatment they have received.

[The Secretary of State for Health (Mr Jeremy Hunt)]

Under this Government, the amount recovered from international visitors has trebled from £81 million to £289 million. Yesterday, I announced that we were going further by introducing upfront ID checks and payment for elective care, stopping IVF being available for those who pay the health visa surcharge and asking GPs to help to identify European citizens at the point of registration so that we can recharge their costs to their home country.

[Mr Hollobone]

My constituents in Kettering welcome the Government’s latest crackdown on this abuse of our national health service at a time when we are struggling to find enough money to pay for the care of elderly people who have paid into the NHS all their lives. We simply cannot afford to provide a free international health service.

[Mr Hunt]

My hon. Friend is absolutely right. It is a national health service, not an international health service. I was disappointed to see comments from the Opposition yesterday that the money this would raise would be a drop in the ocean—[Hon. Members: “It is.”] We are seeking to raise £500 million. That is enough to finance 5,000 GPs, who could help the constituents of everyone in this House.

CQC: NHS Deaths Review

Debate between Jeremy Hunt and Philip Hollobone

Tuesday 13th December 2016 Commons Chamber

[Mr Hunt]

It is a difficult one, because access to lawyers is a matter for the Ministry of Justice. I am not trying to duck the issue, but my responsibility, in what we are trying to do today, is to try to make sure that families do not feel as though they need to go to lawyers, because the NHS is open and transparent enough. With the values of people in the NHS, I think that ought to be achievable. I am happy to look at the case that she raises, and to bring it up with my colleague the Lord Chancellor.

[Mr Philip Hollobone (Kettering) (Con)]

Will the Secretary of State tell the House more about the healthcare safety investigation branch? How big will it be, who will head it up, where will it be based and how will it use its forensic detective work locally to get to the nitty gritty of the things that cause problems for hospitals?

[Mr Hunt]

I am happy to do that. The best way to understand what we are trying to achieve—this relates to what the right hon. Member for North Norfolk (Norman Lamb) said earlier about the speed of investigation—is to think about the tragedy of the recent Croydon tram crash. Within one week of the accident, the rail accident investigation branch produced and published a full investigation into exactly what happened, which made it possible to transmit that learning around the whole tram industry. That is what we are looking for. We have modelled the healthcare safety investigation branch on what happens in the transport industry. It has already been set up, and we are lucky that the person heading it up is Keith Conradi, who headed up the air accident investigation branch and knows exactly how these things should happen.

NHS Funding

Debate between Jeremy Hunt and Philip Hollobone

Monday 31st October 2016 Commons Chamber

[Mr Philip Hollobone (Kettering) (Con)]

People in Kettering appreciate plain speaking. Can the Health Secretary tell the House what the NHS budget was in 2014-15, what it will be in 2020-21 and what the difference is between the two numbers?

[Mr Hunt]

I want to get the exact figures in order to live up to my hon. Friend’s reputation for plain speaking, which is second to none. The NHS budget in 2014-15 will be £98.1 billion and in 2021 it will go up to £119.9 billion. In real terms, that is a £10 billion increase.

Oral Answers to Questions

Debate between Jeremy Hunt and Philip Hollobone

Tuesday 11th October 2016 Commons Chamber

[Mr Hunt]

The extra money we are putting in to the NHS is going to better cancer care, better mental health care and better GP provision—it is going to all the things that Members on both sides of the House know matter. It will also mean that we can support our hospitals better. With our ageing population, we will continue to have great demand for hospital care, but the best way to relieve pressure on those hospitals is to invest in better out-of-hospital care, which has not been done for many years.

[Mr Philip Hollobone (Kettering) (Con)]

Kettering general hospital is treating a record number of patients with increasingly world-class treatments, yet despite being located in an area of rapid population growth, due to an historic anomaly, the funding for the local clinical commissioning groups is among the worst in the country in relative terms. What can Her Majesty’s Government do to correct that?

[Mr Hunt]

I am happy to look at that particular funding issue for my hon. Friend. I know that Kettering hospital is under a great deal of pressure. The one thing that it could do to relieve its financial pressures is to look at the number of agency and locum staff that it employs. As with many hospitals, there are big savings to be made in that respect in ways that improve rather than decrease the quality of clinical care.

Junior Doctors: Industrial Action

Debate between Jeremy Hunt and Philip Hollobone

Monday 5th September 2016 Commons Chamber

[Mr Hunt]

I completely agree. I am afraid that this is where I am very, very disappointed with the Labour party. Thrilled though it might be to have so many supporters of the leader in the more extreme ranks of the BMA, it helps no one to try to use the NHS as a political pawn and to weaponise the NHS as it tried so destructively to do before the last election.

[Mr Philip Hollobone (Kettering) (Con)]

Kettering general hospital is under pressure on a number of fronts. Even if the industrial action does not take place, the threat of it diverts key personnel from their normal difficult task of contingency planning, filling rotas and making sure that patients stay as safe as possible. Does my right hon. Friend agree that even the threat of industrial action does huge harm to our hospitals and the NHS?

[Mr Hunt]

I am more than happy to agree with my hon. Friend. The staff at Kettering general hospital work extremely hard. I have been there, as he knows. It is a very busy hospital. One shudders to think what the impact would be if we removed a third of the doctor workforce in a hospital such as that.

Oral Answers to Questions

Debate between Jeremy Hunt and Philip Hollobone

Tuesday 5th July 2016 Commons Chamber

[Mr Hunt]

The health surcharge that this Government have instituted for people on long-term visas to come and work and live in the UK is the right thing to do, because it is important that everyone makes a fair contribution to the cost of NHS services. In terms of future arrangements for EU nationals in the UK, that would obviously be subject to the negotiations that now happen, and a very important part of those negotiations will be access to the EU health systems for British citizens currently living in EU countries.

[Mr Philip Hollobone (Kettering) (Con)]

Will the Secretary of State tell the House how many EU nationals work in the national health service and how many EU nationals use the national health service? Is it not the case that the number of eastern Europeans, especially, coming to this country has simply overwhelmed GP practices and A&E centres up and down the country, and now we have got a chance to redress the balance?

[Mr Hunt]

Without wanting to reopen the debate that concluded on 23 June, the overwhelming view in the NHS is that we are very lucky to have the incredible support of 110,000 EU nationals working in the health and social care system. I want to put on record to this House what a fantastic job they do and how much we are all in their debt.

Junior Doctors Contracts

Debate between Jeremy Hunt and Philip Hollobone

Monday 25th April 2016 Commons Chamber

[Mr Hunt]

My hon. Friend speaks extremely wisely. I say to every junior doctor in the country that what they want from our NHS—safe service and safe care for patients across every day of the week—is what we want as well. This Government are committed to the NHS. We are this year putting the sixth biggest increase in resources into the NHS in its history, so we are putting our money where our mouth is. We want to sit down with the medical profession and make this work for patients.

[Mr Philip Hollobone (Kettering) (Con)]

Will my right hon. Friend tell me whether my understanding of the Saturday pay dispute is correct? On the one hand the BMA wants time and a half throughout a Saturday. On the other, Her Majesty’s Government are offering time and a half between midnight on Friday and 7 on a Saturday morning, time plus 30% between 7 o’clock in the morning and 5 o’clock in the afternoon for those who have worked more than one in four Saturdays, time plus 30% between 5 o’clock in the afternoon and 9 o’clock, and time and a half between 9 o’clock and midnight. My constituents in Kettering had sympathy for the junior doctors but are totally opposed to the withdrawal of lifesaving emergency care, especially when the difference between the doctors’ position and that of the Government is so narrow.

[Mr Hunt]

My hon. Friend speaks wisely, as ever, on this. The fact is that we have moved a very long way to meet one of the BMA’s biggest concerns: that there should still be premium pay on Saturdays. For doctors who work regularly at weekends this is a very good deal—better than that for pretty much anyone else in the public sector. That is why we think that the reasonable thing to do would have been to accept the deal and not to call these wholly unnecessary strikes.

Junior Doctors Contracts

Debate between Jeremy Hunt and Philip Hollobone

Monday 18th April 2016 Commons Chamber

[Mr Hunt]

Just to be absolutely clear, the new contract is legally binding and it will apply to all junior doctors in the NHS. On restoring confidence, obviously morale is low at the height of an industrial relations dispute. I think the real way to restore confidence is to point out to the doctors who work incredibly hard inside the NHS that the Government are this year giving the NHS the sixth biggest funding increase in its history, that we are committed to making the NHS the safest and highest-quality system in the world, and that we believe that if that happens it will also be a better place for them to work. I believe that all those things will come together, but obviously there is a very difficult period that we have to get through first.

[Mr Philip Hollobone (Kettering) (Con)]

Against the background of Kettering general hospital being under huge pressure, there is a great deal of local sympathy for junior doctors, but increasingly people are bemused as to what the strike is about, given that the contract involves a reduction in hours from 91 to 72 and a 13.5% increase in basic pay. My constituents are opposed to strike action, and they are completely opposed to any strike action that involves the withdrawal of emergency cover.

[Mr Hunt]

My hon. Friend is absolutely right, and I am sure that that position is shared by many members of the public. I think people are very perplexed, because both sides in the January negotiations concluded that there was only one area of outstanding difference, which was Saturday pay. I adopted a compromise position on Saturday pay, which I thought was the fairest thing to do, but the BMA was not prepared to countenance any flexibility on that whatsoever. I therefore had to make the very difficult decision of whether we go forward, or whether we do not address the big issues that we need to address for a seven-day NHS. I share his concern about whether the strikes are really worth it, and I am concerned about the impact on the residents of Kettering.

Oral Answers to Questions

Debate between Jeremy Hunt and Philip Hollobone

Tuesday 13th October 2015 Commons Chamber

[Mr Hunt]

I must confess that I have not yet read that report, but my hon. Friend has reminded me of how important it is that I should do so. I will read it carefully while thinking about whether it could help us to get through the winter pressures this year.

[Mr Philip Hollobone (Kettering) (Con)]

Kettering general hospital, the local clinical commissioning group and the Government are all agreed that the best way to help the NHS in north Northamptonshire to cope with pressures all year round, including in the winter, would be to develop a £30 million urgent care hub at Kettering general hospital. That project is with Monitor. What can the Secretary of State do to encourage Monitor to speed up its deliberations?

[Mr Hunt]

Once again, I thank my hon. Friend for his persistent campaigning on behalf of Kettering general hospital. It is a very busy hospital under a great deal of pressure, and I know that people work very hard there. The Under-Secretary of State for Health, my hon. Friend the Member for Ipswich (Ben Gummer), who has responsibility for hospitals, met campaigners from Kettering recently to discuss this issue, and I will bring the matter up with Monitor as well.

Oral Answers to Questions

Debate between Jeremy Hunt and Philip Hollobone

Tuesday 2nd June 2015 Commons Chamber

[Mr Hunt]

I am happy to ensure that inner-London MPs have a meeting with the Minister to discuss those issues. The underfunding of general practice has been an historical problem, because we have had very strong hospital targets, which have tended to suck resources into the acute sector and away from out-of-hospital care. We want to put that right.

[Mr Philip Hollobone (Kettering) (Con)]

The problem in Northamptonshire is that because of rapid population growth, the gap between the appointments required of GP surgeries and the slots available is one of the biggest in the country. There are 333 Northamptonshire GPs at the moment; Healthwatch Northamptonshire estimates that another 183 will be required within the next five years. How are we going to fill that gap?

[Mr Hunt]

My hon. Friend is absolutely right to draw attention to that issue. We have plans to train another 5,000 GPs across the country. In the last Parliament, we increased GPs by about 5%. We need to go much further, as part of a real transformation of out-of-hospital care.