(4 years, 10 months ago)
Commons ChamberI thank the Home Secretary for her statement. It is with a sore heart and great sadness that I associate my party, the Democratic Unionist party, with the sentiments expressed by everyone and convey our deepest sympathies to the families of the 39 people who have died. Some families may not yet know that they will grieve today for their loved ones. Our thoughts and prayers are with them, each and every one. That is the sentiment of the House. Will the Home Secretary outline what arrangements will be made to identify the victims of this tragedy? How will contact be established with the families? It is so important that the families know what is going on.
I thank my hon. Friend for his remarks. He hits a raw nerve when he speaks about the families of the victims. The investigation is taking place. There is much more work to do to identify the individuals, their families and their country of origin, and that work is taking place. If I may, I have said that I will come back to the House or to individual Members. I will provide updates once we have more information.
(4 years, 10 months ago)
Commons ChamberI thank the hon. Lady for her comments, and it was a real honour to be with her at the cathedral on Monday to pay tribute to Andrew Harper. She is right; there are many good examples of social enterprises across all our constituencies that do tremendous work to give offenders a second chance. Importantly, they educate and train offenders and give them the skills to move on and rebuild their lives. As with many of the Bills I have mentioned today, we can come together to demonstrate strong cross-party support on this issue.
The Government recognise that freedom and security are not opposite but equal and that ensuring that people can live their lives free from fear is the essential foundation of a life of liberty. There is no greater service that a Government can perform for the public than keeping them safe. That is at the very heart of our agenda. Monday’s Gracious Speech contained improvements for every stage of policing in the criminal justice system, each designed to make the United Kingdom a safer and a fairer nation. We live at a time of new and acute challenges to policing and justice, whether they involve tackling the established evils of serious violence, domestic abuse, the arrest of foreign national offenders or keeping people safe from online harms. Officers need to know that the Government have their backs, so we have brought forward measures to extend the protections offered to police officers, to establish a police covenant and to give the police the necessary powers to arrest foreign national offenders. We are also clear that tough measures to bring criminals to justice must be balanced with a fair approach to those who have served their time and support for those who genuinely want to turn their lives around.
The Home Secretary has outlined the Government’s strategy to deal with criminal gangs here in the United Kingdom. She will recognise, as we all do, that criminal activity reaches beyond the borders of the United Kingdom of Great Britain and Northern Ireland and is international. Will she outline what discussions have taken place with other countries to ensure that the problem of criminal gangs from Europe, including Romania, China and elsewhere, which we heard about in the Select Committee on Northern Ireland Affairs today, is dealt with internationally and together?
The hon. Gentleman is absolutely right. As an outward-looking country that prides itself on its security both domestically and internationally, a tremendous amount of work takes place not just bilaterally but across many other institutions. We have our own agencies, such as the National Crime Agency, working internationally to ensure that many of the issues in terms of serious organised crime, criminality and the sheer extent of the crime taking place are addressed, while at the same time preventing further criminal activity from taking place.
(5 years, 4 months ago)
Commons ChamberThis debate is quite extraordinary. There is no doubt that the British people feel anger, resentment and a great deal of disappointment towards this House and politicians over Brexit. They expected us to be leaving the EU today. I do not think we need to go over old ground, which has already been articulated, on why we have had to postpone our leaving by legislating through statutory instrument in this House.
The motion is yet another disappointment to everyone who voted to leave the EU. It follows a demand from the EU, made through the European Council decision of 22 March, to agree to extend the period under article 50. Under the provisions of that decision, the UK will be bound into staying in the EU until 22 May, if the motion is agreed to. Of course, agreeing to the motion also means accepting the withdrawal agreement in full and as drafted. Paragraph 11 of the preamble to that decision makes it clear that, by agreeing to the motion, the withdrawal agreement as drafted would be locked in, with no change possible. It binds the United Kingdom into accepting the withdrawal agreement, stating that it
“excludes any re-opening of the Withdrawal Agreement. Any unilateral commitment, statement or other act by the United Kingdom should be compatible with the letter and the spirit of the Withdrawal Agreement.”
I thank the right hon. Lady for giving way and commend her for the stance she has taken so far. May I say very gently to her and to the House, and to the Government in particular, that my party has been consistent in its stance over the past two years? A legally binding, time-limited backstop is what we have always asked for; that has not changed and we have not deviated. My right hon. Friend the Member for East Antrim (Sammy Wilson) has referred to that. Does she too hold to that stance?
I absolutely agree with my hon. Friend. Of course, the purpose of today’s motion—he and I have commented on this—is that once the withdrawal agreement is agreed, there is no turning back, because the UK will be bound into an international agreement with the EU. As right hon. and hon. Members will know, that means there will be no chance to change the withdrawal agreement, no chance to change the Northern Ireland backstop, no chance to put safeguards in place to protect our democracy from the harmful laws that will be imposed on us, no chance to freely negotiate new trade deals with the rest of the world, and no chance to change in any meaningful way the legislation coming forward to implement the withdrawal agreement, because seeking to amend the legislation would risk putting the UK being in breach of our international obligations.
Agreeing to the motion means facing a Brexit deal that is dreamed up, drafted and decided by the EU. Once the motion is passed, we will be forced to comply with the EU’s demands. That is not what the country voted for, when 17.4 million people voted to leave the EU in the greatest show of democracy this country has ever seen. However, once again we will see the EU’s will being imposed on the British people. Of course, the withdrawal agreement represents a legally binding treaty, which will deny the British people and our Parliament the sovereign right to choose our future and be in control of our destiny.
I was elected to the House of Commons with a mandate to deliver Brexit, and the withdrawal agreement does not give this country the freedoms, independence, democracy and control that people voted for. It is becoming increasingly clear that MPs elected on a mandate to take Britain out of the EU and the customs union are—we have to be honest—going back on those pledges and want to impose a customs union on this country. The withdrawal agreement already includes a single customs territory, which is a form of customs union, and we know that many MPs want to go further. That would prevent Britain from negotiating its own trade deals with the rest of the world and effectively keep us as a rule taker.
(5 years, 9 months ago)
Commons ChamberI am grateful for the opportunity to speak about this subject. This is one of many interventions I have made on the health issues that affect my constituency since being elected in 2010. I am sure the Minister will respond appropriately.
Like many other parts of the country, the Witham constituency and mid-Essex are experiencing significant demographic changes, with the proportions of people aged over 60 and over 80 increasing faster than the national average. Those demographic changes, and the population growth that is occurring, place huge new pressures and demands on our services, including our local health economy and the complex network of hospitals, health trusts, councils and providers that support it. One of the most effective ways we can improve our health economy and services is by investing in better primary and community care.
Since being elected, I have campaigned repeatedly for a new multi-purpose health centre in Witham town to address the growing demand in the town and our villages, and to provide more local services to increase the town’s health capacity. Whenever I hold debates on health services in Witham, I highlight the patient to GP ratio. While the national average number of patients per full-time equivalent GP is around 1,700, there are nearly 1,800 in mid-Essex and 1,900 in north-east Essex. However, the overall figure for the four GP surgeries in Witham town is a staggering 2,500, nearly 50% higher than the national average. That number has grown as patient numbers have increased and GP numbers have fallen, and it will worsen as some GPs approach retirement. As a consequence, residents in Witham struggle to get appointments. In fact, in my time as Member of Parliament, some GPs have closed their books and stopped taking on new patients.
Bringing the four GP surgeries in Witham under one roof would add much-needed capacity, integrate health services, grow and strengthen our local health economy, improve access to local services and reduce demand on hospitals. The case is compelling, and the campaign for such a centre is universally supported. Witham Town Council backs it, local politicians from all parties back it, local businesses back it, my residents absolutely back it, and Braintree District Council has backed it from day one. To its credit, the district council has put money aside from a capital receipt to support the development of the new centre. It understands the long-term benefits.
Until recently, it seemed all the plans for the health centre were on track, with GP surgeries in Witham and the clinical commissioning group supportive of it. In fact, the CCG took on a consultant to develop a business case for the centre over the past few years. Shockingly, despite all the lobbying, advocacy and business cases, it appears that either some GP surgeries are rowing back on this opportunity for Witham to join forces to deliver an outstanding health centre for my constituents, or the CCG has not been able to advance the plans.
Only last month, on 15 October, the CCG informed me that it was pleased to say that it had had a “positive response” from three of the GP surgeries. However, just last week, on 2 November, I was notified that during the latest round of discussions their reactions suddenly had been mixed. Douglas Grove surgery is still strongly supportive, but there is less enthusiasm and support from the other practices.
I will touch on many aspects of health, but the purpose of the debate really is to ask the Minister and his Department to go back to the CCG and, where they can, to GPs to ensure that we deliver a new centre for the residents of Witham town and the surrounding area. They want answers, and they deserve action and delivery.
I have always been here to support the right hon. Lady over the years, and I am pleased to be able to do so again tonight. She mentioned action, and I want to refer to that very quickly. Given the pressure that nurses and healthcare professionals are under in every trust area—including my own, by the way—does she agree that the Government must consider a complete overhaul of the way in which things are done in the NHS? We want to see action rather than words. We do not want to see reviews or reports. We want to see action. Is that not what it is all about?
The hon. Gentleman is absolutely right. Ultimately, we should be seeking to drive health outcomes. As I have said in the House again and again over the last eight years, we can achieve that through integration of our health services at a community level. Driving outcomes is the very purpose of the facility in Witham town. We should think about the integration of mental health services, ambulance services and all sorts of prescribing, including social prescribing, and about the future of social care and healthcare.
However, this is not just about Witham town. I represent many neighbouring villages. Tiptree, which is well known for its jams—I am sure that you have sampled some of them, Mr Deputy Speaker—has a large and growing population, but it also has just 3.28 full-time equivalent GPs to serve a population of more than 11,000. That is a patient-GP ratio of 3,400 to one, which is more than twice the national average, and it needs to be addressed. Branch surgeries have been lost in Birch and Tolleshunt D’Arcy in recent years, and there is a growing population in Stanway and Hatfield Peverel. All that places more strain on GPs, so the integration of services is vital. We are hoping to increase the GP base through a new partnership at Anglia Ruskin University, at whose new medical school the first wave of GPs will be trained.
One of those neighbouring villages, Silver End, is expanding provision but has a terrible history. I know that the Minister will be aware of Virgin Care Services, which has run the Silver End general practice since 2016. This year’s rating from the Care Quality Commission was “inadequate”. Members speak about money and funds. Interestingly enough, Virgin is paid £134.37 per patient, 60% more than the standard payment of £83.64 that other GPs receive. That is a staggering sum: it seems that Virgin is almost being rewarded for failure. Just two months ago it failed to refrigerate its flu vaccines, which meant that a batch had to be disposed of. That wasted taxpayers’ money, and also caused local problems with flu vaccinations at a critical time.
I want to touch on some wider issues affecting social care in the Essex County Council area. To its credit, the council has worked diligently to address social and winter pressures. I welcome the additional £5.9 million for the council from the £240 million that was announced last month, and, of course, the Budget funding as well, but, as the county council has said, we want to see a meaningful Green Paper when it comes to social care funding. A new Witham multi-purpose healthcare facility will make a positive difference, enabling us to integrate funds and care and drive better outcomes and performance.
That brings me to another company that is in the news. A CQC judgment on Allied Healthcare highlighted a considerable risk of service disruption to the delivery of domiciliary care services, which has caused much concern. Essex County Council is one of Allied Healthcare’s biggest clients, and has been working with the CQC and the company, but we want to be certain that the Department itself is aware of the situation and able to help to resolve it. We need clarity about some of the services that could be at risk.
There is also much more work to do in relation to social prescribing. Last week I held an advice and information fair in Witham, which focused largely on the older demographic in the constituency, but was also concerned with healthcare provision through charities and other voluntary organisations. Another issue that I think we should consider—and a new healthcare centre at Witham would help with this as well—is how patient commissioning and NHS referral systems can be improved.
My final point is about the delivery of mental health services. The Essex Partnership University NHS Foundation Trust has been in the news today because of a police investigation into the deaths of 25 patients who were under its care. The Department knows of a case involving one of my constituents, a mother who has been fighting for justice and accountability for years. Today we have learned that the police inquiry has concluded. What they have found might not have led to a charge of manslaughter, but there are serious problems that still need to be addressed.
There are so many health issues that obviously need to be addressed, but the purpose of this debate is to drive the change and produce the outcomes we want to see in Witham town in terms of the delivery of the new health centre. I trust that the Minister will be able to help us: that he will be able to help my constituents overcome the challenges we are now facing with the CCG and GPs in Witham town to deliver this new health service.
(6 years, 7 months ago)
Westminster HallWestminster Hall is an alternative Chamber for MPs to hold debates, named after the adjoining Westminster Hall.
Each debate is chaired by an MP from the Panel of Chairs, rather than the Speaker or Deputy Speaker. A Government Minister will give the final speech, and no votes may be called on the debate topic.
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My hon. Friend is absolutely right. I will come on to the ladder of opportunity, the moral obligation and responsibility, and the progression pay that the right hon. Member for Hornsey and Wood Green mentioned earlier. In fact, we have a good economy right now, but we are faced with a shortage of people in the key sectors that cover the health and wellbeing of our economy: construction, nursing, social care, engineering and a whole range of other sectors. Full-time employment and part-time and temporary employment are all incredibly vital to our labour market.
We have record levels of employment, but we should look beyond that to the next generation and ensure that, while they are at school, they are engaged and nurtured to think about the world of work. The Government have the Careers & Enterprise Company and other models of engagement, but that is simply not good enough in terms of overall coverage—engagement with schools and the requirement on our education establishments to open their doors to businesses, so that they may talk to young people about careers, and to bring into schools sectors that reflect the local economy.
I feel strongly about the role and significance of devolution. In my short apprenticeship as the Employment Minister in the Department for Work and Pensions, I oversaw some of the devolution deals around the Work programme. I worked with the combined authority in Manchester and on other devolution deals. Employment programmes and employability were a major factor in giving devolution to local authorities up and down the country. At the heart of that success is working with the private sector, not just the public sector, to ensure that the private sector and the needs of the local economy are fully reflected in devolution deals. Importantly, the combined authority and local authority models require an absolute understanding of what is going on in the local economy, where the skills shortages are and where future demand might come from. There is also a need to look at succession planning and how businesses can work with their workforce.
In Northern Ireland we have recognised it is important to address the issue of skills shortages and to go into secondary schools. Some people have suggested we should even go into primary schools, although I am not sure that is entirely appropriate. We have also addressed the skills shortage in engineering. We should encourage ladies and girls to look to engineering as a possible job for the future, because they can do it as well as we men.
Order. Interventions should be short and not made into speeches.