NHS Funding (Ageing)

Debate between Jim Shannon and Thérèse Coffey

Tuesday 25th March 2014 Westminster Hall

[Jim Shannon (Strangford) (DUP)]

It is a pleasure to make a contribution to the debate. I congratulate the hon. Member for Suffolk Coastal (Dr Coffey) on bringing the matter before the House for consideration and giving us all the opportunity to contribute.

We are long past the days when people who die at the age of 68 would be considered to have had a good innings. Now, we would shake our head and describe them as in their prime. The rising age of our population has meant an increase in the pension age, with further increases to come. That is something my parliamentary aide has questioned, saying that she will have to work until she is 72. She wonders who will hire her to write speeches and come to the House then. At the age of 35 or thereabouts, she is already thinking of the future.

One of the figures in the press last week, which hon. Members have referred to, was that we in the United Kingdom now have the greatest number of people living to the age of 100 since records began. Approximately 600 people have lived to 105, which is another indication of the statistical trends. Although that is perhaps great for families who use the free grandparent babysitting service offered nationwide—that is what grandparents do—and which has ensured that families get to enjoy time together, with stories and wisdom passing easily down the generations, it has also put a lot more pressure on our NHS. The NHS is not equipped to handle that pressure without major investment or a redirection and reprioritising of funding.

The sheer beauty of my constituency and the area’s strong links to Belfast and other cities make it one of the most desirable places for older people to retire to—indeed, Strangford and the neighbouring constituency of North Down are the top two retirement locations in Northern Ireland. The hon. Member for Suffolk Coastal said that people want to retire to her constituency because it too is beautiful, and quieter and more serene than many places. As they do in my constituency, people might look forward to seeing the sea in the morning and taking walks, because these are the attractions of such locations. More people retiring to such places, however, certainly puts pressure on our local NHS.

If the Government took account of this debate and increased the funding given to the NHS, offering additional ring-fenced funding to the devolved Assemblies, the level of care would be much greater. I look forward to the Minister’s response, as I always do, because he understands the issues and I respect his comments. It is fantastic to read about the available drugs, treatments and therapies, but the fact is that the NHS cannot afford to provide them fully. Any additional funding would benefit not simply the ageing population, but the entire community. There are pressures on the NHS, given the prioritising of funding to the sections where it is needed most, but I am sure I am not the only person in the Chamber to have read the media speculation about the NHS and the ageing population. Statistics from the Institute for Fiscal Studies indicate that spending per patient will have fallen by 9% within four years even if health service funding is ring-fenced and protected.

I have already alluded to the reasons: 2 million more over-65s on the UK mainland, which is a 20% rise, will place far greater demands on the NHS. To give the Northern Ireland perspective, new figures released by the Northern Ireland Statistics and Research Agency show that the number of people aged 65 and over is projected to increase by a quarter, to 344,000, by 2022. That indicates the pressures on the NHS in Northern Ireland, where health is a devolved matter.

[Dr Coffey]

Has the hon. Gentleman seen the figures circulated by the Royal College of Physicians, which show that two thirds of people attending A and E and admitted to hospital are aged over 65? We all recognise that we need to do more to prevent people going into hospital when they might not need to, and certainly to expedite their leaving. Does he recognise that, right here, right now, we still need to allow CCGs to have appropriate funding to address that need?

[Jim Shannon]

I agree with that. If more preventive action is taken at an early stage in surgeries, that will have dividends further down the line. The hon. Lady is quite right and I wholeheartedly agree with her.

Rail (East Anglia)

Debate between Jim Shannon and Thérèse Coffey

Tuesday 3rd July 2012 Westminster Hall

[Dr Thérèse Coffey (Suffolk Coastal) (Con)]

Mr Hollobone, it is a great pleasure to serve under your chairmanship. I am delighted that many colleagues from our counties are here today. I extend a warm welcome to the hon. Member for Nottingham South (Lilian Greenwood), who will be alone on her side of the Chamber because East Anglia has not a single Labour Member of Parliament. However, she will be pleased to know that Labour councillors have worked through their district and other councils, local enterprise partnerships, rail passenger groups and MPs to put together a vision, so she should not feel completely alone. I was delighted to be able to send both her and the Minister a copy of the prospectus before today’s debate.

Investing in East Anglia’s rail will benefit local residents and the national economy. Connecting our economic hubs, moving freight on to rail and improving our branch line services, alongside smarter ticketing, new and refurbished trains and better stations, will make a huge difference to people in Suffolk, Norfolk, Essex and Cambridgeshire. That is why we are all united with the people I mentioned earlier to try to deliver a document, “Once in a generation—A rail prospectus for East Anglia”, which was launched yesterday. I am delighted that many MPs were able to put their name to our proposals.

I know that some colleagues are planning to speak and some are planning to intervene. I will indicate the appropriate point, if that is okay, because I will be referring to some colleagues who are not able to be here today. That will be clearly signalled, and I hope that the signalling is better than that which we experience on the great eastern main line.

In putting the matter into context, if I paint a negative picture, I am afraid that it is, sadly, a true one—poor reliability, cramped commuters, old stock, unsmart ticketing and a poor deal for East Anglian rail passengers, who, with the premium in the last franchise, are net contributors to rail services in the rest of the country. However, I am delighted that we have come together to say that we can have a better service. It is possible and feasible, and there is a genuine commitment to try to ensure that the infrastructure for East Anglia is among the best, so that we can harness the economic benefits and a better quality of life for people.

I have just dashed from a meeting of my Select Committee, in which we were interrogating Broadband Delivery UK and the Under-Secretary of State for Culture, Olympics, Media and Sport, my hon. Friend the Member for Wantage (Mr Vaizey), who has responsibility for broadband. Broadband is another key asset, but better broadband for our counties will not replace the need for people to travel to work and for investors to come out to our communities.

I have mentioned the prospectus already, and I am not planning to regurgitate every single priority in the document. I will try to give an overview and focus on Suffolk.

Some colleagues are not able to attend today—some are ministerial colleagues who approached me to say that unfortunately they have meetings and cannot attend. They include my hon. Friend the Member for Norwich North (Miss Smith), whom I think should be given great credit for trying to pull together, on a long journey—even longer than from my local station at Darsham—the different interests into one compelling vision for our counties and for growth. She has led the way, and she should be thanked for trying to ensure that her constituents will get a better service out of the vision.

Unfortunately, my right hon. Friend the Member for South East Cambridgeshire (Mr Paice) is also unable to be here today. He wanted me to stress the importance of the Ely North junction. I am sure the Minister will hear the words “Ely North” many times in today’s debate, as it is a key interchange, not only for residents in Ely and north Cambridgeshire, but for unlocking our freight corridor and services to Cambridge and the other hubs of Norwich and Ipswich. It is also important to an east-west link so that, instead of going via London, commuters can go from Oxford to Cambridge to Norwich, linking three great universities of knowledge and investment.

My right hon. Friend the Member for Chelmsford (Mr Burns) cannot be here, sadly, because he is trying to run the national health service, but he has been pressing for greater capacity, a new station in his constituency and the track improvements that are required on the great eastern main line to make a difference for passengers.

My hon. Friends the Members for Great Yarmouth (Brandon Lewis) and for Waveney (Peter Aldous) wanted to remind us that we need green transport, enabling green growth in the green enterprise zone shared between Norfolk and Suffolk. The hon. Member for Cambridge (Dr Huppert) wanted to remind us about increasing connectivity in the key east-west interchange. My hon. Friend the Member for Ipswich (Ben Gummer), who is in a Select Committee meeting, has been pivotal in trying to improve investment into Ipswich and surrounding constituencies, including mine and that of my hon. Friend the Member for Central Suffolk and North Ipswich (Dr Poulter), who is present. My hon. Friends the Members for South Suffolk (Mr Yeo) and for Harwich and North Essex (Mr Jenkin), who are also in Select Committee meetings, continued to stress, quite rightly, the importance of Manningtree as a commuter station and key attributes such as the investment in the station, but also the important need for accessible platforms.

I will happily welcome interventions from colleagues now.

[Jim Shannon (Strangford) (DUP)]

The hon. Lady is probably thinking, “What is a Northern Ireland Member going to say about East Anglia rail?”, but I would like her to take on board my point. A great number of Army camps are stationed in Norfolk, and service personnel use trains to get from base to camp—one of them reported to me last week that it took an hour and a half extra to get from A to Z. Does the hon. Lady feel that the usage of trains by Army personnel puts a greater onus on rail improvement in the area?

[Dr Coffey]

The hon. Gentleman makes an important point. I have not considered military travel, although there is an Army regiment in my constituency. However, we should ensure, through our county councils and as Members, that the document—which, although it is a prospectus, is not exhaustive—includes such considerations. I note that the constituency of the hon. Member for Colchester (Sir Bob Russell), who is present, has a significant Army presence, which is quite close to the railway station, but I am sure that other colleagues whose constituencies have RAF bases, including Marham in the constituency of my hon. Friend the Member for South West Norfolk (Elizabeth Truss) and Wattisham in the constituency of my hon. Friend the Member for Bury St Edmunds (Mr Ruffley), will want to follow that issue up.

Other Members present are from different counties, so they will talk about specific lines or issues there in more detail. For investors, including in tourism, the issue is capacity to get out of London to our different economic hubs. We should ensure that it is as easy as possible to get on the train to come to some of our beautiful beaches and our cultural highlights in different parts of our counties. Commuting into London is also an issue. There is no doubt, particularly in Essex, that people are fed up of terrible trains, having to stand for a long time and being crammed in. It is not fair on them. There is a two-way process: one thing that we need to do is boost off-peak services through tourism initiatives. LEPs and our county and district councils are keen to ensure more frequent and reliable services.

There is no question but that Cambridge with its research centre and development of capital, Norwich with the knowledge base in its university, especially in life sciences, and Ipswich and surrounding areas and their software development industry, provide a big opportunity for expanding connections between the counties. The risk is that the Government get it that the east of England is already a net contributor to the national economy and, therefore, do not think it needs investment, but we can generate a lot more investment as a consequence of such improvements.

Energy Prices

Debate between Jim Shannon and Thérèse Coffey

Wednesday 19th October 2011 Commons Chamber

[Dr Thérèse Coffey (Suffolk Coastal) (Con)]

It is always a pleasure to speak in these debates. The usual faces are here—the people who regularly show up when we discuss fuel poverty in Westminster Hall—and it is a pleasure to be debating with them.

I was intrigued by the shadow Secretary of State’s reference to meerkats. I always think of them as cute, cuddly animals that cover the ground quickly, which may be an appropriate description of the Secretary of State. My dog’s favourite toy is a meerkat, as was seen at last week’s Westminster dog of the year show. The right hon. Member for Don Valley (Caroline Flint) later asked what we are going to do about the situation. Given the fantastic adverts—dare I say it?—we are going to stand up for the consumer; anybody who watches “Meerkat Manor” will know that meerkats stand up and look around. I am not going to be overly critical of what the previous Government did, although it is a bit of a cheek to ask what this Government are doing given that no nuclear power stations had started being built under them.

We need to be constructive because this issue is very important for our constituents. That is the key point that we need to unite behind, and I am pleased that there will not be a Division on the motion.

I want to tackle something that came up in my exchanges with the hon. Member for Ynys Môn (Albert Owen), who is no longer in his place. I know that he is an absolutely fantastic champion on behalf of those in fuel poverty—especially for off-gas-grid households. I am not suggesting that the energy companies should be encouraged to make excessive profits; I think we should be critical friends to them, but we do have to be friends to them because this country needs £100 billion to be spent on energy infrastructure over the next 10 years, and it is absolutely right that that will come partly from the profits that those companies will make. I understand that, in effect, consumers are the people who make the profits for the companies, but, like anything else, if it comes in tax, it still comes from consumers—from our constituents. Let us not kid ourselves that we do not ultimately have to pay, together, for the infrastructure that our country desperately needs.

I welcome the contributions that were made by my hon. Friend the Member for Hexham (Guy Opperman), who also is no longer in his place. He, too, has been a doughty champion for off-gas-grid households. Earlier today, the hon. Member for North West Durham (Pat Glass) and I were at a briefing about the Office of Fair Trading report that I have here. It is quite a weighty document, but it is double-sided, so the OFT was trying to be friendly to the environment. Members should read the report because, although the press notice did not make it sound very exciting, when one digs into it, one finds quite a lot that will prove very useful.

The hon. Member for North West Durham had an exchange with my hon. Friend the Member for Hexham about another issue that has been raised today—the OFT and how people were quoted one price and then expected to pay another. I am pleased to report that Carmarthenshire county council has successfully prosecuted a supplier for that practice. If we believe that that is happening in our areas, we must make sure that our county councils or city councils take full advantage of that ruling and ensure that they go after the suppliers that behave inappropriately towards our constituents at their most difficult time of need.

Let me mention some of the other contributions that have been made, including that of the right hon. Member for Wentworth and Dearne (John Healey) and the interventions from my hon. Friends the Members for Truro and Falmouth (Sarah Newton) and for Halesowen and Rowley Regis (James Morris). It is important that we make sure that our constituents are fully aware of the opportunities to seek advice on these matters. I thought that the criticism made of the Prime Minister and the Secretary of State was a bit of a shame because I feel that there has been a genuine attempt to say to people, “There is information out there and there is an opportunity to switch, and we are going to try to make it easier to do so.” They will encourage people to do that. People do not need to pay a standing charge if they wish to receive gas from companies. If one is a low user, it makes sense not to want to pay that.

I was at a dinner last night with the hon. Member for Ellesmere Port and Neston (Andrew Miller) and we were talking about energy challenges for the next 30 years. People from the royal academies were saying that it was ridiculous that the pricing and tariff systems seem to incentivise greater use rather than less.

To return to being a critical friend of the energy companies, there is one practice that I know that my hon. Friend the Member for Battersea (Jane Ellison) would have intervened on me to make a point about if she were here, so I shall do it for her. I am talking about the practice whereby people pay so much a month by standing order or direct debit. I happen to know about this because I end up dealing with this situation for my mother—this might embarrass her. I work out that she somehow seems to be £400 in credit even though there is no way she is ever going to consume that much, but the company keeps taking the same sum each month if not increasing it. So I have to make the phone call once or twice a year and a big cheque comes back.

I experienced similar behaviour when I spoke on the phone with a very pleasant customer service adviser who was trying to persuade me that, for no particular reason, I would double the amount of gas that I would use in the next year. However, I was able to convince her that if she did not leave my standing order as it was, I would change supplier. We all know that that argument encourages companies to listen a bit more. I put out a call today to energy companies to be friendly to their consumers and to work on these issues. I say to them, “Do not use your consumers’ direct debits or standing orders as cheap ways of borrowing, but help people to make sure that they are paying what they need to.” I am not saying that people should be given false prices so that they end up with a huge bill at the end of the year. Energy companies need to make sure that the scheme works as it should, so that MPs do not have to keep writing to the companies to ensure that such practices are not tolerated.

[Jim Shannon]

In my constituency, and I suspect in many constituencies across the whole United Kingdom, elderly people come to me and ask, “Should it be oil? Should it be electric? Should it be coal?” Does the hon. Lady share my concern that there should be no penalty for those who want to transfer from one energy source to another? If after a year, or perhaps 18 months or two years, they want to transfer back, there should also not be a penalty from the energy company.

[Dr Coffey]

I thank the hon. Gentleman for that intervention. The reason I am hesitating is that I probably need to think about it a bit more. There is undoubtedly a significant capital cost for switching between fuel sources. If one has a coal boiler and switches to a gas or oil boiler, there is a significant capital cost to that. I am not clear what is being done at present, but energy modelling should make it possible to model the prices and understand the impact.

[Jim Shannon]

I thank the hon. Lady for her generosity in allowing me to intervene again. An example would be gas from different companies—we have two gas companies in Northern Ireland, and there are different electricity companies. The change should not be so costly. Sometimes unnecessary penalties are included.