NHS Workforce

Debate between Steve Barclay and Chris Stephens

Tuesday 6th December 2022 Commons Chamber

[Steve Barclay]

No, of course not. The hon. Gentleman knows that is not the case. It is a bit like when he goes around the media to charge the Government with refusing to talk to the unions. Simply misrepresenting our position is not a fair reflection of Government policy.

The motion talks about workforce, and this Government have committed to increasing the number of international recruits in the NHS. The Leader of the Opposition seems to think we should not be encouraging that. That is the wider point to make. Of course, that sits alongside domestic recruitment, which is why, as I said a moment ago—again, the hon. Member for Ilford North has chosen to ignore this—we have had a 25% increase in medical undergraduate places, with five new medical colleges set up by the former Prime Minister, my right hon. Friend the Member for Maidenhead (Mrs May). That underscores this Government’s commitment to increasing the number of doctors in training.

[Chris Stephens (Glasgow South West) (SNP)]

The hon. Member for Bath (Wera Hobhouse) raised an important point about problems with the visa process, so will the Secretary of State outline what work he is doing with the Home Office to resolve some of these issues?

[Steve Barclay]

I discussed this issue with the Home Secretary this week: how we work together across Departments, not just on the visa system, but on other equities. For example, the amount of time spent by police on mental health is an issue of concern to not just the Home Office, but wider government. So there is scope across Departments to work more closely together and we are doing that, both on the issue of international recruitment, which is a key equity within the Department of Health and Social Care, and on mental health pressures on the police, which is an issue within the Home Office. That is how we are working more collaboratively across government, but we are clear that we are boosting the numbers in the short term while, in parallel, increasing the domestic supply of recruits, for example, with the boost in medical undergraduate places. We are also looking at what more we can do in areas such as apprenticeships: how we hire more nursing apprentices and boost supply through that as well.

Finally, the motion does not reflect the pay uplift that was awarded, where the Government accepted in full the recommendation of the independent NHS Pay Review Body. More than 1 million staff have seen an increase of at least £1,400 in their pay. Of course, that comes on top of the 3% rise last year, at a time when pay was frozen across the wider public sector.

Oral Answers to Questions

Debate between Steve Barclay and Chris Stephens

Thursday 31st March 2022 Commons Chamber

[Steve Barclay]

I absolutely concur that we are better together as the United Kingdom. The ability shown in the pandemic to act across the United Kingdom, including through the firepower of Her Majesty’s Treasury in respect of schemes such as furlough, has amply demonstrated that.

On the hon. Gentleman’s more specific point, one material thing that can be done is on the visibility of the pipeline of available contracts. There is around £250 billion-worth of public procurement and around £50 billion-worth of central Government public procurement, and I am extremely keen that SMEs in Northern Ireland are able to get visibility of that pipeline, so that we can tap into the talent and entrepreneurial spirit of which the hon. Gentleman speaks.

[Chris Stephens (Glasgow South West) (SNP)]

8. What progress his Department has made on reducing red tape since the UK’s departure from the EU.

Self-employed Persons: Financial Support

Debate between Steve Barclay and Chris Stephens

Tuesday 24th March 2020 Commons Chamber

[Steve Barclay]

My right hon. Friend wants us to get on with it. I refer him to the meetings and the considerable work being done to allow us to get on with it. As a former Chair of the Public Accounts Committee, he well knows that many policy ideas start with the simple but then the devil is in the detail of delivery. I recall many an interview that he has given to draw attention to simple schemes that were then less simple in their delivery. It is worth bearing in mind that a small number of self-employed people—a very small proportion—might be doing quite well in the current climate, while many others are suffering, but that is not what we are focusing on now. The question that we are seeking to address is how we target our measures at those who are most deserving, which is what the attention of the House is focused on, and we need to ensure that the scheme that is brought forward does likewise.

[Chris Stephens (Glasgow South West) (SNP)]

Years ago, I read in the newspapers that there was a red Ed in the House of Commons; I did not realise that it was the right hon. Member for Gainsborough (Sir Edward Leigh).

I, too, will try to strike a conciliatory tone in talking to the Chief Secretary to the Treasury. Obviously, there is very real concern. Like other hon. Members, I have been bombarded with emails from people who are self-employed. When this crisis is over, we should really sort out who is self-employed and who should be directly employed, but that is a debate for another time. Countries such as Norway, Denmark and Belgium have come up with schemes for the self-employed; is he looking at those international examples? Surely what works in those countries can work in the UK. There are 330,000 self-employed workers in Scotland, working in areas such as the creative industries, agriculture, forestry, fishing, construction, and as taxi drivers. Are the Government looking at increasing weekly sick pay from £94.25 to the equivalent of a week’s pay at the real living wage? Are they considering removing the lower earnings limit for qualification for sick pay to ensure that everyone can access it? Are they looking at ending the five-week wait for universal credit, so that the first payment is a grant—a real payment—and not a loan?

[Steve Barclay]

On the issue of advance payments and universal credit, the Chancellor has increased the standard allowance. That is not the total quantum that people will get; I referred earlier to those with children, housing needs or a disability, who would get more. We have also made changes to access, so that people can get payment quickly, from day one, without face-to-face meetings. Concerns about subsequent repayments have often been raised in the House, but clearly, the £20 a week increase in universal credit that has been announced eases some of the repayment issues; it means that there is more in the allowance with which to address the issue of repayments. There has been a significant increase in universal credit, in part to address those issues. There is some operational complexity around a shift to a grant system because of the way that the universal credit IT system has been set up. We have sought to address the concern to which the hon. Gentleman refers through the increase, and of course an advance can still be offered.

Changes have been made to facilitate statutory sick pay being paid from day one, and changes have been made in respect of employers with 250 or fewer employees; the Chancellor set out measures to support those businesses with those costs.

The hon. Gentleman made a point relating to what I said about simplicity in a previous answer. Let me clarify the point that I was making. The vast majority of people who are self-employed are suffering; we recognise that. We are looking at how we can design a scheme that addresses the operational challenge that Members have spoken about.

Let me give an example. Part of the merit of the scheme that the Chancellor set out on furloughing members of staff, which is, I think, for many people a new concept, is that it gave clarity about delivery of the scheme. In answer to the previous question and the issue that the hon. Gentleman raises, we are looking at what is operationally deliverable quickly; what recognises other challenges in the Department for Work and Pensions and elsewhere; and what will not result in support going to a small proportion of people who should not be getting this targeted action, and instead allow us to focus it on the much larger cadre of people who deserve that help.

Tax Avoidance and Evasion

Debate between Steve Barclay and Chris Stephens

Tuesday 25th February 2020 Commons Chamber

[Steve Barclay]

First, I pay tribute to the work the right hon. Lady did, particularly through her chairmanship of the Public Accounts Committee, on a cross-party basis to bring transparency to these issues. A key driver behind measures the Government have taken in recent years has been a desire for more international transparency, which is at the forefront of many of the concerns the House has had in the past.

Thanks to UK leadership, more than 100 jurisdictions, including—[Interruption.] I will come on to that. Within the right hon. Lady’s point, and within many of her questions, which I have sat and listened to many times, was a desire for transparency, so it is germane to her point to draw the House’s attention to the UK’s leadership in securing the commitment of more than 100 jurisdictions, including Switzerland and all the Crown dependencies and overseas territories with financial centres, to automatically exchanging financial account information under the common reporting standard. HMRC now automatically receives the details of offshore financial accounts held by UK taxpayers. As I understand it, when the PAC looked at many of these issues, that information was not available to HMRC.

We have also increased the penalties and consequences for those who devise, enable or use tax avoidance schemes. I draw the House’s attention, for example, to the disclosure of tax avoidance schemes regime, the general anti-abuse rule and the system of follower notices and accelerated payments, the last of which alone has brought in over £8.7 billion[Official Report, 3 March 2020, Vol. 672, c. 6MC.]. Since 2016, HMRC has had a dedicated fraud investigation service to ensure that no taxpayer can get away with tax fraud. I am sure that service will be keen to pick up on points raised by right hon. and hon. Members in this debate.

We are also seeking to ensure that more firms get their tax right first time, because the £35 billion tax gap is not simply one of evasion; as I say, it also includes a significant amount of error. Since last April, businesses have been using the making tax digital service for VAT, which has many benefits: it helps firms to get their tax right first time; it saves businesses time and inconvenience; it cuts the cost of government; and it makes it easier to tackle fraud, error, evasion and avoidance. The impact of Making Tax Digital is forecast to deliver an additional £1.2 billion to 2023-24. Clearly, this plays an important role in reducing that £10 billion element of the £35 billion overall tax gap.

We have also strengthened HMRC with the extra £2 billion invested since 2010 to tackle tax avoidance, evasion and other forms of non-compliance.

[Chris Stephens (Glasgow South West) (SNP)]

On HMRC’s resources, can the Chief Secretary to the Treasury therefore explain why its wealthy unit currently has 961 members of staff, which is a reduction in 80 posts from its 2018 figure? That would suggest that HMRC could have more resources piled into it to tackle this issue.

[Steve Barclay]

The hon. Member picks up on a point the shadow Chancellor made in his opening remarks about the total number of staff, but the key issue is how staff are deployed and what technology we are using. I was just referring to Making Tax Digital. If tax is being filed through the Making Tax Digital platform, the number of staff that HMRC uses will change; that profile will change. We now have about 25,000 staff dedicated to tackling tax avoidance, evasion and other forms of non-compliance, and the proof of the staffing levels is reflected in the fact that we have a near record-low tax gap—far lower than for many years under the previous Labour Administration.

Since 2010, our criminal investigations have prevented the loss of more than £15 billion and resulted in more than 5,400 individuals being criminally prosecuted and convicted. In 2018-19, HMRC investigations secured nearly 650 criminal convictions for tax and duty fraud, resulting in numerous custodial sentences. HMRC has used billions of pieces of data, combined with analytics, to identify where tax is most at risk of going unpaid and to make tailored, targeted and proportionate interventions. Technology and capabilities have moved on, therefore, but, as I am sure the Financial Secretary will mention later, what continues is the dedication of staff within HMRC, who share the House’s desire to close the tax gap and ensure that people do not evade their responsibilities.