(6 months, 1 week ago)
Lords ChamberMy Lords, this is my amendment, so I think my job is to bring this—
My Lords, the noble Baroness has already spoken, so it is not appropriate for her to continue.
My Lords, the infected blood scandal is an appalling injustice. We in the Labour Party want to ensure that justice and compensation for victims and their families are delivered urgently, with guarantees of no further delays. Campaigning and advocacy organisations, alongside the All-Party Parliamentary Group on Haemophilia and Contaminated Blood, have worked tirelessly to help secure justice.
At Third Reading of this Bill in the House of Commons, the Government lost a vote on an amendment in the name of the right honourable Dame Diana Johnson MP. The vote was a remarkable victory for victims of the infected blood scandal, and it was a victory for Diana Johnson. The Government are now obliged to do the right thing and take the steps necessary to bring forward a final compensation scheme urgently—the noble Earl has spoken to this. The Government have already confirmed that they fully accept that there is a moral case for compensation, while the Chancellor has said:
“This has been going on for far too long and … justice delayed is justice denied”.
We welcome that the Government have finally accepted the need to bring forward a compensation body promptly, as evidenced to some extent by the new Report stage amendments we are debating in this group.
However, adding a fixed timeline to the Bill is essential to help finally to give those who have suffered for so long the reassurance that they should soon get the compensation they deserve. My Amendment 119CA will amend the Government’s Amendment 119C, reinstating the three-month time period that was in the original new clause, currently Clause 40, added in the Commons.
I thank the noble Earl, Lord Howe. We have had very many meetings about this issue. I think he said he would not move government Amendment 157CA, which was a possible compromise that he put forward at one point. I absolutely agree with the noble Earl’s point about the need to work collaboratively with the victims community to re-establish trust as far as possible. Trust has been a theme running through this debate.
(11 months, 2 weeks ago)
Lords ChamberTo ask His Majesty’s Government what was the net change in the number of NHS general medical practitioners (GPs) in England, after taking account of resignations and additional recruits, in the past three years; and how much improvement in the retention of GPs they are planning to make as a result of the NHS Long Term Plan published on 30 June.
My Lords, as of September 2023 there are 2,025 more full-time equivalent doctors in general practice than in September 2020. We are working with NHS England to increase the general practice workforce. This includes measures to boost recruitment, address why doctors leave the profession and encourage them to return to practice. Last year, a record 4,000 doctors accepted a GP training place. The long-term workforce plan has committed to increasing this to 6,000 by 2031-32.
I suppose I should thank the Minister for that rather optimistic reply, but is he aware that the number of patients has increased by 20% since 2015 while the number of GPs has actually declined? I can tell him that 464 GP partners were lost last year and that a quarter of GPs work only part-time. A recent survey by the Royal College of General Practitioners revealed that 57% of GPs are now saying they will not be in general practice in five years. Can the Minister explain how the new long-term workforce plan will get us anywhere near the number of 6,000 that he mentioned, when the plan expects a retention figure that will expand the number of GPs by only 700 by 2036-37?
I am coming to the conclusion. Are we not in a situation where NHS England and the Department of Health and Social Care have failed and we need some new thinking to sort out the problems of GPs?
My Lords, I take this opportunity to congratulate the noble Lord on the work he did as a Labour Government Minister between 2003 and 2007. I am grateful for his question. We are incredibly grateful to GPs and their staff, whose hard work ensured that more than 32.6 million appointments were carried out until September 2023, more than two-thirds of which were face to face. On 30 June, NHS England published the NHS Long Term Workforce Plan. The plan sets out the steps that the NHS and its partners need to take to deliver the NHS workforce, including GPs, that meets the changing needs of the population over the next 15 years. We are working with NHS England to increase the general practice workforce in England. This includes measures to boost recruitment, to address the reasons why doctors leave the profession and to encourage them to return to practice. NHS England has made a number of retention schemes available to boost the general practice workforce.
My Lords, does my noble friend agree that it is also important to congratulate GPs and practices that are introducing innovations, such as weekend working, and their attention to the patients? They get an awful lot of attacks, but in my view they are in need of some congratulation as well.
I completely agree with my noble friend. The 2022 GP patient survey showed that 72% of patients reported a good overall experience at their GP practices. GP practices that innovate tend to get better results in customer patient satisfaction.
My Lords, how many doctors, including GPs, have come from outside the UK in the last year for which we have records? What long-term plan is there to stop us relying on having to bring in doctors from countries that need them far more than we do because they are much poorer than here in the UK?
The right reverend Prelate the Bishop of St Albans asks an important question but the recovery plan introduced new measures to support international medical students, who make up more than half of all doctors in GP training, so if we were to stop those students coming over we would be in real trouble ourselves. On his wider point he is absolutely right, but it is not just GPs and doctors; it is also healthcare professionals in social services and elsewhere.
My Lords, I declare an interest as a member of the GMC. On the increase in training places in medical schools, which is of course very welcome, does the Minister agree that this will not come off unless we increase the number of people training the GPs? Will he arrange for discussions between himself, the GMC, medical schools and NHS England to ensure that we get enough people to come in as trainers to enable even the modest workforce projections that are in the plan for medical schools to be put into action?
I absolutely agree with the noble Lord. If he is inviting me to do something with that, I will certainly take it back to the department based on his question.
My Lords, among the fastest-growing groups on the doctors register are so-called specialty and associate specialist doctors and locally employed doctors. These doctors are not currently able to work in primary care, although they are very skilled, and the long-term workforce plan says the Government will look into that. What progress have the Government made in talking to the relevant professional bodies about opening up general practice so that more sessions are available?
I do not have an answer in my pack to that specific question, but the noble Lord raises a very good point. It is very important that we bring more specialist skills into primary care, and GP practices are exactly the right place, but I will come back to the noble Lord on that specific point.
My Lords, what assessment have the Government made of the number of general practitioners required to meet the needs of the population and for training purposes by the year 2030?
We are working with NHS England to increase the general practice workforce in England but, as the population grows, with the amount of building that goes on throughout the country, it is the responsibility of local authorities. There are two ways to do this: they can apply for capital funding for new GP practices; or they can apply through Section 106 agreements through local authorities. It is for the regions and for local authorities to plan ahead on that front.
Has not the time come for every new medical student to contract that they will, on qualification, work for perhaps five years in the NHS, similar to the existing contract for men and women in the Armed Forces who are medical practitioners, and perhaps modelled also on the Singapore scheme?
I am grateful to my noble friend. I am aware of the Armed Forces scheme—that if you train as a pilot, for example, you cannot leave the Royal Air Force to become an airline pilot. It is not the first time that this question has been asked, and I will feed it back to the department.
My Lords, the Royal College of GPs reports that 40% of its members consider their premises not fit for purpose, something that is not addressed by the workforce plan. As the £10.2 billion backlog in maintenance continues to worsen as capital budgets continue to be raided for day-to-day spending, what strategy do the Government have to ensure that patients can receive care in modern, safe and properly maintained buildings, particularly where an increase in GPs and primary care staff teams is being promised?
The noble Baroness is absolutely right. GP practices’ premises vary throughout the country but, as I said earlier, there is capital funding available for new practices. From my own experience, when GP practices merge it gives an opportunity for them to have a purpose-built building. When I was a Member of Parliament there was a very good example of that where four GP practices throughout the constituency came together to form an outstanding modern GP practice with a new GP practice building.
My Lords, it is clear that allowing doctors to spend more time with their patients would permit more searching diagnoses, leading to fewer unnecessary referrals and helping to take some of the pressure off secondary care waiting lists. What allowance has been made for this in the calculation of the total GP requirement?
The noble and gallant Lord raises a very important point. The delivery plan for recovering access is backed by a major investment in primary care services, up to £645 million over two years, to expand services such as community pharmacies. Getting more people to use community pharmacies and other such facilities enables GPs to focus on exactly what the noble and gallant Lord is talking about: those people who need to have diagnoses and very quick scans in hospitals.
My Lords, England has 7.8 GPs per 10,000 of population, compared with the OECD average of 10.8. That is a gap of 16,700 GPs. Can the Minister explain how England has fallen so far behind other OECD countries and what the human consequences of this are?
The Government are working hard to make sure that we recruit more GPs. Last year we saw the highest ever number of doctors accepting a place on GP training—more than 4,000 trainees, up from 2,600 in 2014. The number of places available will grow to 6,000 by 2031-32.
(1 year, 1 month ago)
Lords Chamber(1 year, 3 months ago)
Lords ChamberMy Lords, I am grateful for those responses and again apologise for volunteering to read the Statement. I had initially been told that the usual channels had agreed to that. I obviously always wish to be of service to the House, but we are proceeding in a way that appears to please those present.
I was pleased by what those present said in response to the Statement. I would not accept the characterisation of the Prime Minister as “boastful”. He has many characteristics, but I do not think that boastfulness is one of them.
I was asked a number of important questions. It is right that this challenge should be here, and it is against the background of the unswerving support that all parties in this House have given to the Ukrainian people and the effort against Putin’s aggression. I underline the gratitude of the Government and, I am sure, of the whole British people, for the unanimity that has been displayed in our Parliament and in our House, which was displayed again today.
I was asked a number of specific questions. I agree with the noble Lord, Lord Collins of Highbury, that freedom can never be taken for granted. Former President Reagan—not perhaps one of the noble Lord’s great heroes—none the less famously said that freedom is
“never more than one generation away from extinction”.
We must fight for it always. That is a great characteristic that unites the three great parties represented here. The accession of Finland was, I agree, a very important and historic event. What an absurd effect Putin has created: by launching this unlawful and vicious invasion, he has done something that few of us ever thought would happen—Finland has joined NATO and Sweden possibly will join.
On the date of the Swedish accession to NATO, as the noble Lord knows, there have been detailed discussions with President Erdoğan and the Turkish Government. The Prime Minister spoke to him a number of times and there is a general agreement that NATO will be stronger with Sweden in it. Sweden is a country with great capabilities, technical and in defence terms.
The legal position is that President Erdoğan has said that he will transmit accession protocols to the Grand National Assembly of Turkey, which, following the recent election, his party controls, as I understand it. The next step is for the protocols to be voted through by the assembly. While I have some control over business in your Lordships’ House through the usual channels, it is clearly a matter for the Turkish Government and Parliament to decide how swiftly they proceed. We obviously hope that they will proceed swiftly. We are dependent on our allies, and we are in no doubt that Sweden’s membership will strengthen the NATO alliance and make us all safer, as Finland’s membership has done.
On deterrence and defence, some scepticism was expressed about Britain’s defence posture and our commitments on spending. The defence Command Paper was published today, and there will be a Statement in your Lordships’ House tomorrow, when noble Lords will be able to probe that more deeply. I can reassure the House that on defence our core business is to deter and defend against all threats to our security in the modern world in the way we regard as the most effective. That is set out in the latest Statement.
These are questions on the Statement, rather than just the Statement, so I thought I had more than three minutes .
Just to clarify, the Clock did not start correctly. I think that it would be reasonable to say the Leader of the House has until the clock says 15 minutes, and then we will open for 20 minutes of Back-Bench questions.
(7 years, 7 months ago)
Commons ChamberI know from personal experience that my right hon. Friend the Secretary of State for Transport takes very seriously his responsibility to ensure that hon. Members receive accurate and comprehensive replies to points that they make about their constituencies. I will draw to the attention of the Secretary of State’s office the need for that reply to be sent.
May I take this opportunity to thank you, Mr Speaker, and your staff—I notice Mr Deputy Speaker there—for the way you all conducted yourselves yesterday? Indeed, I also thank the Leader of the House and the Serjeant at Arms? As chairman of the all-party beer group, I invite everyone and their staff to share a great British pint and then to carry on at a later date and place to be confirmed. May we have a debate on the contribution of the brewing industry to the United Kingdom and its culture?
I thank my hon. Friend for his kind remarks. One of the remarkable things we have seen in the brewing industry in the past couple of decades has been the surge in the growth of small-scale breweries. It is a real tribute to the sector’s enterprise that we have seen microbreweries and craft breweries taking off and continuing to win new discerning drinkers as their customers.
(7 years, 9 months ago)
Commons ChamberI do not think that the Prime Minister needs any additional resources to trigger article 50 once the authority has been given.
Will my right hon. Friend join me in welcoming today’s growth figures? May we have a debate on the fundamental strength of the UK economy, which grew by 2% last year?
I would like to think that that good news on growth, which is also good news for jobs and living standards, would be welcomed right across the House. That achievement is a tribute to British industry and British workers.
(7 years, 9 months ago)
Commons ChamberIn Labour’s la-la land, nuclear energy has no part to play in the UK’s nuclear energy mix. In fact, the Labour leader said:
“I say no nuclear power, decommission the stations we’ve got”.
May we have a debate sometime soon to establish which is the party of nuclear energy, as nuclear energy creates wealth, jobs and prosperity in Weaver Vale and elsewhere in the north-west of England?
My hon. Friend is absolutely right that nuclear energy plays a critical role in ensuring that we have the right energy mix in the future. We have a key area for the nuclear sector in the north-west. Places such as Sellafield and Springfields provide high-quality, well-paid jobs in areas where they are much needed.
(7 years, 11 months ago)
Commons ChamberOn the hon. Gentleman’s first point, I am happy to have a discussion with him about that possibility, although as he acknowledged in the way that he framed the question, it is very difficult for Government business managers to understand in advance how much time Members from different Opposition parties and, for that matter, from our own Back Benches are going to want to spend debating particular amendments on Report, how many Divisions they may seek, and so on.
On the constituency case, although I do not know the details I will ask the Home Secretary to take a close look at it, as the hon. Gentleman asks.
The proportion of secondary schools that are good or outstanding in the north-west has increased by 3%, by comparison with a national increase of 13%. Can we have a debate on what measures we can put in place to support northern white working-class boys and girls so that they can achieve their true potential?
I point my hon. Friend towards Education questions on 19 December. The point he makes echoes the argument made in a speech earlier this week by Sir Michael Wilshaw, who drew attention to the gap in achievement between northern and southern England and called for a much more resolute, determined exertion of leadership in schools, local authorities and other agencies in the north, to drive up standards. I am sure that my hon. Friend will do all he can to champion that effort.
(7 years, 11 months ago)
Commons ChamberHaving visited Kilkeel a few years ago, I am aware of the importance of the fishing industry in the hon. Lady’s constituency, and I will certainly draw to the Home Secretary’s attention the points she has made. It is clearly important that we have arrangements to ensure that people from other countries who come and work here are legally entitled to be here, not least because legal status enables them to take advantage of the opportunities to work and, to some extent, access services they might need. Without legal status, they can so easily be exploited by rogue employers. I accept, however, that the fishing industry has for some time needed to take on labour from the Philippines and other countries, and I will make sure that Home Office Ministers are aware of this problem.
The House of Commons briefing paper on the northern powerhouse, issued on 1 November, states that the ability of the north-west to retain talented graduates was identified as a key factor in the success of the northern powerhouse. May we have a debate on how the Government, in partnership with north-west universities and business, will work to better retain skills developed in the north-west?
(8 years ago)
Commons ChamberThe Government, the former Prime Minister and the current Prime Minister have always been completely consistent. We have said that the referendum, while legally and constitutionally advisory, was something that we would regard as politically binding. That was also the view taken by the Opposition, and certainly Opposition Front Benchers, when the Bill was going through. I campaigned hard for the remain side, but I have to say that it takes us into very difficult and potentially dangerous territory if we lightly say that we set aside the results of an exercise in mass democracy that attracted a turnout on general election scale, and that had an outcome that, while close, was nevertheless decisive.
In the run-up to Halloween, I held an event with Sainsbury’s to raise awareness of the flame risk of children’s fancy dress outfits. Sainsbury’s has brought its fancy dress toys standards to the highest nightwear standards. Retailers should never compete on child safety matters. May we have a debate on that very important matter?
My hon. Friend raises a very important issue. Last year, following other concerns expressed in the House, the Government tasked trading standards with carrying out checks on a large number of such costumes, as a result of which various non-compliant products were withdrawn from sale by retailers. We are now in discussions with the British Standard Institution and the relevant European standards organisation to review, and if necessary revise, the fire safety regulations governing costumes. Of course, the advice to parents and anyone else buying or hiring such costumes must continue to be to check carefully the fire safety certification before they do so.