(9 months ago)
Commons ChamberI thank the right hon. Gentleman for his point of order. He speaks with his usual passion. He is absolutely right to say that what we now need to do is to move on. I want to put the Question and then we will move on to a further debate.
I do hope that Mr O’Brien is following in that spirit.
Further to that point of order, Madam Deputy Speaker. I believe that today the SNP has been treated unfairly. But it is not just the SNP that has been treated unfairly. Those of us who would like to vote for the SNP motion must now, if we want to do so, vote against the Labour party’s amended motion—a motion that the hon. Member for Rhondda (Sir Chris Bryant) has just said would, if we voted for it, lead to an immediate general election, so we are being placed in an unfair position if we wish to support the SNP motion. We have now seen the exit of SNP Members and many Conservative Members from the Chamber. We are clearly in an intolerable situation. It is a sad situation, Madam Deputy Speaker.
I believe that the current Speaker is a man of honour who has done a great deal over recent years to restore the reputation of the Chair after a dark period for this House. However, even if he believes that the constitutional innovation that he has introduced today is a good one, this was not the time to change the rules. We have heard from the Chair of the Procedure Committee that there is a serious question about the order here and the constitutional propriety of the order in which these questions are being taken—a question being put by the SNP too. May I suggest, Madam Deputy Speaker, that if you are not prepared to suspend the House, we at least defer the Divisions that are supposed to be happening this evening until we can resolve these issues?
Finally, because in this House it is courteous and traditional that the person about whom one is talking is always in the Chamber when they are discussed, we should defer those Divisions so that we can hear from Mr Speaker himself before we come to vote on these issues, because otherwise a great injustice is being done to the SNP and to other Members of the House.
I thank the hon. Gentleman for his point of order. I just want to be clear again that there was the ability to have a vote on all three motions that were before the House. The situation has changed, but that does not mean that I would then withdraw the questions and not put them, because they are still before the House, and I intend to proceed with them in the way that I have suggested.
(11 months, 3 weeks ago)
Commons ChamberOrder. Just before the Secretary of State takes an intervention, I wish to remind hon. and right hon. Members that if they are going to intervene on a speaker, it is polite to stay to the end of the speech—as well as to be there at the beginning. I believe that the Secretary of State was about to give way to Neil O’Brien.
(1 year, 11 months ago)
Commons ChamberOrder. I gently say to the hon. Gentleman that if he wanted to intervene, he ought to have been here right at the beginning, because it is the hon. Lady’s Adjournment debate, and it is about Salford and Eccles? I leave it to him to decide whether he wishes to intervene.
I am happy to take whatever interventions are appropriate.
We know that there are still further improvements to be made. Although I am pleased that over 75% of the patients who tried to get a dental appointment over the last two years were successful, this is not back to the level that we were seeing pre-pandemic, which was 92%. That is why in July and in our plan for patients, which the hon. Lady mentioned, we announced some improvements to the 2006 contract to ensure that patient access was improved, although I want to reassure her that we do not regard those as the end of the story; they were a stepping stone.
Those changes included: making sure that dentists were remunerated more fairly for complex work, which will improve access for patients; implementing a minimum value of £23 for each unit of dental activity, boosting incomes in the places where the UDA value is lowest; and enabling dental practices to deliver up to 110% of their contract levels, to increase activity and allow those practices that are delivering NHS care most effectively to deliver more. This effectively takes away the cap that has been in place since the 2006 contract, which the hon. Lady mentioned.
This package will increase and improve access to dental care for patients across the country. We have already taken action to implement these changes, including through regulations that came into effect on 25 November. The changes have all been decided with careful consideration, working collaboratively with the dental sector. The Department has worked with the General Dental Council on legislative proposals that will make registration processes for dental professionals qualified outside the UK more proportionate and streamlined, making the process to join the UK workforce more efficient for dentists from overseas. These changes are another way in which we are seeking to improve access for patients.
Finally, to make it easier for patients to find dentists taking on new patients, we have made it a requirement for NHS dentists to update their information on the NHS website, which has historically been out of date, but of course we are looking to go further to ensure that those appointments are there. These changes are just the beginning. They are the necessary first steps of our work to improve NHS dentistry. These are the measures that we can take immediately, and they will have a noticeable impact, but we will go further.
Looking forward into the new year, we have been working with NHS England and the sector on further changes to improve access. Our priorities for this next phase of reform include: improved access to urgent care for patients who need to see someone immediately; better access to care for new patients; and further workforce and payment reform. We aim to take the necessary steps to implement these changes next year, but I am keen to seek every opportunity to take action wherever I can, and ahead of those reforms we are also actively considering what support we can offer to help patients who do not currently have access to the dental system and those who are not attached to a practice, who have the worst access. We are also considering how the recruitment and retention of dentists can be improved, particularly in the parts of the country where the need is greater. We are also thinking further about how overseas qualified dentists can be supported to start working in the NHS more quickly.
I am strongly committed to improving our NHS dental system wherever I can for all those who need it. The hon. Lady has set out a powerful case today on why we need to go further, and we will go further. I thank her for raising this important debate, and I hope that she will be reassured that although the reforms we have made so far will make a difference, they are far from being the end of the story, and that we will continue to take action to improve access to NHS dentistry across the nation.
Question put and agreed to.
(3 years, 5 months ago)
Commons ChamberNone of us wants these restrictions to go on for a moment longer than they have to. All of us are proud of our world-leading vaccination effort, and I pay tribute to everyone involved in delivering it in Harborough, Oadby and Wigston. However, when we see that cases are doubling roughly every 10 days and that within a week or two we will be back to the same number of cases every day that we had at the start of the November lockdown, we can see why there is real cause for concern. That is why it is right to go for the delay that we will vote for this evening. We know that getting a second vaccination dose gives people a lot more protection against this dangerous new variant. We know that many more people will be fully vaccinated as a result of this delay and that will potentially save thousands of lives, so it is the right thing to do.
My pleas to Ministers are as follows. The first is that we use the time that we are buying tonight to really drive vaccination rates among that last 4%—perhaps 1 million people—among the most clinically vulnerable groups. As the number of cases accelerates, those people have a target on their back, and it would be a tragedy for them to die of fear, ignorance or simple lack of knowledge at this stage, at the very end of the pandemic.
My second plea to Ministers is to continue to improve our ability to detect at an early stage and close our borders against dangerous new strains. While the Indian variant is very dangerous, as this thing bounces around the world, one day there will potentially be something worse, and we need to be ready for that. Last but not least, we must improve our ability to nip future pandemics in the bud. I believe that involves reappraising our attitudes to things like challenge trials, so that we never have to go through this again.
It is the right thing to do to delay ending the restrictions for a few more weeks. It is a difficult decision but it is the right one. We need to put in place all the right measures to ensure that we are never in this position again, and that when we abolish these restrictions, we abolish them forever.
No. 47 has withdrawn, so the final Back-Bench speaker is Shaun Bailey.