NHS Long-Term Plan

Debate between Lord Field of Birkenhead and Jeremy Hunt

Monday 18th June 2018 Commons Chamber

[Mr Hunt]

I thank my hon. Friend for that comment. If there is ever a memorial built to Sir Henry Willink for his role in the White Paper that critically announced to this House that we were going to have a national health service, my hon. Friend should certainly be the person to unveil it because he has done a huge amount to make the point that, although Nye Bevan’s role was absolutely critical, other people in other parties also played a vital role.

[Frank Field (Birkenhead) (Lab)]

Well done. But is it well done enough? For 20 years some of us have been calling for a reform of NHS and social care financing by showing that the public’s wish is for a reform of the national insurance base. When is the Secretary of State going to win that battle for us, please?

[Mr Hunt]

Given that I thought the response from the right hon. Gentleman’s Front Bench was a bit churlish, I am going to be very grateful for the fact that he said well done. I think that “well done enough” is what we say when we deliver the plan that is now being developed because, as he knows incredibly well, having a plan is not the same as delivering it. With respect to imaginative proposals as to how we fund the NHS, the right hon. Gentleman always speaks incredibly interestingly and powerfully on the subject. The Prime Minister has said that she will listen to all views on that ahead of the Budget.

NHS Investigations (Jimmy Savile)

Debate between Lord Field of Birkenhead and Jeremy Hunt

Thursday 26th June 2014 Commons Chamber

[Mr Hunt]

My hon. Friend raises a very important point. We received the reports only this week, but I will certainly take this away with me and look into exactly the point he makes.

[Mr Frank Field (Birkenhead) (Lab)]

I thank the Secretary of State for allowing me early advance notice of the report relating to St Catherine’s hospital in Birkenhead. Much more importantly, may I associate myself with the apology that the right hon. Gentleman gave to my constituent and others? He will know that that hospital has been bulldozed and that we now have a fine community hospital. To bulldoze these practices within the NHS, will the Secretary of State consider and come back to me later on these two issues? First, it took my constituent 48 years before she was believed and 50 years before she received an apology. What steps are we going to take to ensure that justice is provided much more quickly? Secondly, Jimmy Savile was escorted around St Cath’s Birkenhead by officials, who witnessed him jumping into bed with a young patient and who thought it funny. All the rules in the world provide some defence, but how do we get people to exercise judgment—whatever the rules say, whatever the circumstances and whoever does it—and say that this behaviour is not acceptable?

[Mr Hunt]

I would like to associate myself with the right hon. Gentleman’s comments; I share his disbelief and shock that it has taken so long. In some ways justice will never be done, because Savile died before it could be served on him, which is one of the biggest tragedies of all. I agree: there was a major lack of judgment, some of it because of the different attitudes prevailing at those times. One of the big differences today is that we make links between what is disgusting but not illegal behaviour and potential abuse in a way that did not happen in those days. I want to share with the right hon. Gentleman what most shocked me personally in the reports, and it was the way in which Savile interfered and abused people who had just come out of operations and were recovering from them. The fact that Savile was able to do that, without being supervised, is shocking and when those people spoke up about what had happened, they were not believed. That is one of so many lessons that need to be learned; I know that everyone wants to learn them.

Immigrants (NHS Treatment)

Debate between Lord Field of Birkenhead and Jeremy Hunt

Monday 25th March 2013 Commons Chamber

[Mr Frank Field (Birkenhead) (Lab)]

(Urgent Question): To ask the Secretary of State for Health what moves the Government intend to take to prevent the national health service becoming an international health service.

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

The current system of policing and enforcing the entitlement of foreign nationals to free NHS care is chaotic and often out of control. At a time when we are having to face the challenges of an ageing society, it places a significant and unjustified burden on our GP surgeries and hospitals and may well impact on the standard of care received by British citizens.

As the Prime Minister said earlier today, the Government are determined to ensure that anyone not entitled to receive free NHS services should be properly identified and charged for the use of those services. Currently, we identify less than half of those who should be paying and collect payment from less than half those we identify.

We also have some of the most generous rules in the world on access to free health care. Our rules allow free access to primary care for any visitor to the UK, including tourists, and free access to all NHS care for foreign students and temporary visitors. But ours is a national, not an international, health service, so last year, under my predecessor, we began a wholesale review of the rules and procedures on charging visitors for NHS care, with a view to making the regime simpler, fairer and easier to implement. In particular, we focused on who should be charged and how the rules can be applied and enforced more effectively. We have examined the qualifying residency criteria for free treatment; the full range of other current criteria that exempt particular services or visitors from charges for their treatment; whether visitors should be charged for GP services and other NHS services outside hospitals; establishing a more effective and efficient process across the NHS to screen for eligibility and to make and recover charges; and whether to introduce a requirement for health insurance tied to visas.

The initial phase of the review has concluded and we will shortly start a consultation on a range of options, including plans to extend charging to some visitors and temporary residents who were previously exempt so that the default qualification for free NHS care would be permanent, not temporary, residence; ending free access to primary care for all visitors and tourists; introducing a prepayment or insurance requirement for temporary visitors to pay for NHS health care; and improving how the NHS can identify, charge and recover charges where they should apply. We will retain exemptions for emergency treatment and public health issues.

We will work closely with medical professionals, NHS staff and partner NHS organisations during the consultation and then seek to introduce agreed changes as quickly as possible. We will need to take a staged approach, because some changes are likely to require primary legislation before they can be introduced, which will take longer to put in place. However, some changes can be made immediately, and we should proceed with those as quickly as possible.

--- Later in debate ---

[Mr Field]

I thank the Health Secretary for his reply. If he wants us to take him seriously, will he today give a commitment in respect of the directive his Department issued just as the House was rising for the summer recess, compelling doctors, if they have vacancies, to admit all those who have been in the country for 24 hours or more, including illegal immigrants? Will he ensure that someone in the NHS—not doctors—works out whether or not a person is entitled to claim, and will he implement such proposals forthwith?

[Mr Hunt]

The directive to which the right hon. Gentleman refers was issued by an independent NHS body, not my Department. The sorry truth is that it is consistent with the current rules on access to primary health care, which is what we believe is wrong. I think that one of the big problems in the current system is that we have free access to primary care for anyone visiting the UK, however short their visit is. Through that access to primary care, they get an NHS number, which should not entitle them to free care but is often treated by hospitals as such. That is what we have to put right. He is absolutely right that we need a system that properly identifies whether people should have care that is free at the point of access without impinging on the ease of access for British citizens, which is one of the things they treasure most about the NHS.