Oral Answers to Questions

Debate between Steve Barclay and Justin Madders

Thursday 9th May 2024 Commons Chamber

[Justin Madders (Ellesmere Port and Neston) (Lab)]

1. What the locations are of successful applicants to the natural flood management programme.

[The Secretary of State for Environment, Food and Rural Affairs (Steve Barclay)]

Forty projects have been selected to proceed to the development stage of the £25 million natural flood management programme. They include a broad range of locations, from Alnmouth to St Austell.

[Justin Madders]

I am working with residents in the Chase Way and Kendal Drive area of Great Sutton, alongside Environment Agency representatives and members of the local authority, to try to find a solution to the flooding problems that we have there. There are lots of different pots of money available at different times, and sometimes it is difficult to understand what the realistic chances are of our succeeding in getting the funding that we need to bridge the gap that we have at the moment to get the works done. Will it be possible for me to meet with either the Secretary of State or some of his team to talk about what realistic funding options we have for the area?

[Steve Barclay]

I thank the hon. Member for his engagement, and I will arrange a meeting with the relevant member of the team. The information is on gov.uk. Two projects near his constituency—the Cheshire Wildlife Trust and the Mersey Rivers Trust—are involved in the programme. I welcome his engagement. It is a good scheme, and I will ensure that he gets that meeting.

Countess of Chester Hospital Inquiry

Debate between Steve Barclay and Justin Madders

Monday 4th September 2023 Commons Chamber

[Justin Madders (Ellesmere Port and Neston) (Lab)]

As the Secretary of State will be aware, my constituency is served by the Countess of Chester Hospital and many of my constituents work there and are being treated there. There is no doubting the impact this case has had on the whole community, as my hon. Friend the Member for City of Chester (Samantha Dixon) has mentioned. However, as a constituency MP, when I was briefed by the management at the time the issues first emerged, I can say a very different picture was painted from the one we see today. It has been a huge concern that management involved at the time have gone on to work in other parts of the NHS, seemingly with approval from NHS England. I hope the Secretary of State will look into that and that the Kark review recommendations will finally be implemented, because there are serious lessons to be learned from what went on with the senior management.

[Steve Barclay]

The hon. Gentleman raises an extremely important point. It is right that we focus on that and ensure that the concerns about the revolving door are addressed. On the decision taken by my predecessor, my understanding is that the recommendations accepted from Kark were viewed as effective in addressing that—obviously, the events to which this statement relates have happened since—but I have asked NHS England colleagues in the Department to look again at testing them further in the light of the evidence that has come through from the court case in particular.

Junior Doctors’ Strikes

Debate between Steve Barclay and Justin Madders

Thursday 30th March 2023 Commons Chamber

[Steve Barclay]

I would draw an important distinction between a militant group that appears to have taken over the junior doctors committee and the vast majority of junior doctors who do a hugely important job within the NHS. We recognise in Government that they have faced considerable pressures from the pandemic, and we stand ready to work constructively with them. There are, on the other hand, some within the BMA junior doctors committee who appear to have a more political agenda. Indeed, I refer hon. Members to the statements of members of that committee, who have said that they want to move the BMA to more traditional trade union activity and to pursue a more overt political agenda.

[Justin Madders (Ellesmere Port and Neston) (Lab)]

This is an urgent question, but I do not get a sense of urgency from the Secretary of State that he wants to resolve the dispute. I am afraid that standing at the Dispatch Box and traducing the junior doctors for their approach will not help to resolve this matter. I urge him to drop any preconditions on any future meetings, because the only way that this can be resolved is through negotiation. Will he do that now?

[Steve Barclay]

First, there is absolutely no traducing going on. In my last answer, I praised the junior doctors and recognised the fact that they have faced huge pressure from the pandemic, which is why we stand ready to work with them. Some on the BMA junior doctors committee have a different agenda, but we stand ready to work very constructively with that committee. The hon. Gentleman suggested that I drop the precondition. It is not I who set the precondition; it is the junior doctors committee that did so. I remind the House that it includes restoration to 2008 levels of all elements of pay, not just basic pay; parking fees and exam fees; and “radical” reform of the Review Body on Doctors’ and Dentists’ Remuneration. It is the junior doctors committee that set those preconditions, not the Government.

Oral Answers to Questions

Debate between Steve Barclay and Justin Madders

Tuesday 24th January 2023 Commons Chamber

[Justin Madders (Ellesmere Port and Neston) (Lab)]

T1. If he will make a statement on his departmental responsibilities.

[The Secretary of State for Health and Social Care (Steve Barclay)]

I am pleased to announce that we will be developing and publishing a major conditions strategy. Around 60% of disability-adjusted life years in England are accounted for by just six conditions: cancer, cardiovascular disease, chronic respiratory disease, dementia, musculoskeletal disease and mental health. An increasing number of us live with one or more of these conditions. Tackling them is a significant opportunity to improve the lives of millions of people and to support our goal to improve healthy life expectancy.

This work will bring together our existing commitments to develop plans for mental health, cancer, dementia and health disparities, and our new strategy will shift our focus on to integrated, whole-person care, with a focus on prevention, early detection and the use of innovative technology to improve patient outcomes. It will also improve how the NHS functions, relieving pressure on hospitals, promoting integration and putting us on a sustainable long-term footing.

We look forward to involving partners in the NHS, the charitable and voluntary sector and industry in developing this important work. Further detail about the strategy is included in my written statement published today. The statement also confirms that we will publish a suicide prevention plan this year, building on the important work of my predecessor, my right hon. Friend the Member for Bromsgrove (Sajid Javid), and I look forward to updating the House in due course.

[Justin Madders]

During the passage of the Health and Care Bill in 2021, safe staffing levels in the NHS came up, and the Government told us then that they

“do not believe that there is a single ratio or formula that could calculate what represents safe staffing.”––[Official Report, Health and Care Public Bill Committee, 27 October 2021; c. 773.]

Is the truth not that the Strikes (Minimum Service Levels) Bill is not about safe staffing levels, but about preventing nurses, doctors and paramedics from exercising their fundamental right to withdraw their labour, because they have lost all confidence in this Government?

[Steve Barclay]

The hon. Gentleman is right to say that it is a fundamental right that people are able to strike, and the legislation will balance that right, in the same way that other countries in Europe do, with minimum safe staffing levels. That is something that the French, the Italians and many other European countries have, and the Bill is simply bringing the NHS into line with other health systems.

NHS Winter Pressures

Debate between Steve Barclay and Justin Madders

Monday 9th January 2023 Commons Chamber

[Steve Barclay]

On the blue-light ability, I am very happy to take that away and look at it. As is often the case, these things are slightly more nuanced, as I discovered when we were looking at Ministry of Defence ambulance drivers and their interaction with blue lights. I am very happy to look at that.

The Under-Secretary of State for Health and Social Care, my hon. Friend the Member for Harborough (Neil O’Brien), is looking at community pharmacy and, in particular, how we better enable patients to get the right treatment in the right place. Given that community pharmacies are accessible and sometimes get higher numbers in more deprived communities, there are significant opportunities for us to do more with them, and I know that that is something the ministerial team is working on.

[Justin Madders (Ellesmere Port and Neston) (Lab)]

I listened with some incredulity to the Secretary of State’s explanation—that because the integrated care boards are only six months old they are still getting to grips with the link between health and social care. Who does he think was running health and social care before the ICBs were created? It was the very same people, who know exactly what the issues are; what they are lacking is a Government committed to dealing with the systemic issues facing both sectors.

As we have heard, one of those issues is workforce and social care. A quick internet search reveals that there are 200 social care vacancies within a 10-mile radius of Ellesmere Port; we have heard already that there are 165,000 social care vacancies nationwide. I have not heard anything from the Secretary of State today about what he is actually going to do to address those vacancies. In a year’s time, how many social care vacancies does he expect there to be across the country?

[Steve Barclay]

On the interaction between vacancies and workforce, NHS England is working on a workforce strategy, as has been said, and we will say more on that shortly.

In his wider point, the hon. Gentleman is ignoring examples such as the Jean Bishop Integrated Care Centre—the ability to bring health sector and social care staff to work together in a more integrated way. Yes, the integrated care boards were operational from July. That is a factual statement; I am slightly mystified about why he thinks that was in some way an unusual observation to make. It is just the factual position. The point is that when one looks at the issue, one sees opportunities, particularly around how the data are better integrated, to understand where the workforce pressures and bed capacity are.

One of the causes of delayed discharge is about the interfaces as well as what is domiciliary care, what is step down and what is residential. There are a number of issues. By bringing them together in more integrated way, integrated care boards will be one of the ways we improve the situation. Indeed, that is what the hon. Gentleman’s former colleague Patricia Hewitt is looking at through the Hewitt review.

Urgent and Emergency Care

Debate between Steve Barclay and Justin Madders

Monday 5th September 2022 Commons Chamber

[Steve Barclay]

Far from there being a lack of planning, the very essence of integration between social care and the NHS through the ICSs is that we recognise the importance of both aspects working much more closely together. That is why we are bringing forward initiatives such as the federated data platform.

Monkeypox is outside the scope of today’s statement, but I know the issue is of particular interest to the hon. Gentleman. He will know that, fortunately, we have not yet had any fatal cases in the UK and the rate of infection has been falling. We purchased the maximum number of vaccines that we could; I wrote to the relevant charities with the details. Although smaller doses are being delivered compared with the initial 50,000, we still have doses in the system. We expect a further 20,000 very shortly and a further 80,000 later this month. We have procured doses, we are getting them out and it is fortuitous that cases are falling, but we are obviously keeping the situation under close watch.

[Justin Madders (Ellesmere Port and Neston) (Lab)]

This summer I have heard some horror stories from constituents with life-threatening conditions about the dangerous delays they have faced. When one constituent raised the issue with the NHS, she was told by the senior consultant at the A&E department that the NHS has collapsed. If senior frontline clinicians are saying that in the summer, God help us when we get to winter. I really fear where we are going to be, because there is no doubt that my constituent is very lucky to be alive. We have heard a lot of figures today about the number of excess deaths this year. Will the Secretary of State give us his estimate of the number of people who have died unnecessarily because they have been stuck in an ambulance waiting to get into A&E, or because an ambulance has not turned up at all?

[Steve Barclay]

Again, despite that colourful language, we have more doctors, more nurses and more paramedics. We are training more and meeting more demand, and significant additional funding has been applied to ambulance trusts, call handling and other parts of the system, including primary care. Part of reducing the demand on the ambulance system is related to GP capacity, which is why—to take that as an example—an additional £1.5 billion of funding has gone in.

Lockdown: Economic Support

Debate between Steve Barclay and Justin Madders

Tuesday 3rd November 2020 Commons Chamber

[Steve Barclay]

As I said earlier, these are UK-wide schemes. We continue to listen and engage, but the schemes apply on a UK-wide basis. That has been the case throughout, and that continues to be the case now.

[Justin Madders (Ellesmere Port and Neston) (Lab)]

I am sure that we have all heard heartbreaking stories about people who have been unable to claim for self-employment support because they had not registered or submitted a tax return for 2018-19. It seems that those people are still excluded from any support. Some of them have been trading for 18 months now. They are clearly not fraudulent and they clearly deserve some support; why cannot they get some?

[Steve Barclay]

As we referred to earlier, the point is that the package of support includes the £9 billion of welfare measures and the support that is available through local authorities and targeted at their discretion. I have also set out that there are those within that excluded population, for example those who were employed, who may be able to qualify for the extension, but for the reasons that we have covered in a number of earlier replies, part of the challenge from the Public Accounts Committee has been ensuring that we have the right operational controls in place, and that has been one of the difficulties with the cohorts to which the hon. Gentleman refers.

Areas with Additional Public Health Restrictions: Economic Support

Debate between Steve Barclay and Justin Madders

Tuesday 6th October 2020 Commons Chamber

[Steve Barclay]

I gently take issue with the point about coaches not having support. One of the areas where coach firms have been able to benefit hugely from our response, and to work with the Government, has been in school transport. We were able to secure the additional capacity that we needed in part through the willingness of coach companies to adapt as part of our response. It is not the case that coach companies have been unable to get any business during the pandemic.

On more comprehensive measures, the hon. Member is right that the cinema industry has been hit hard. We were all concerned to see the announcement from Cineworld at the weekend. Together with Odeon and Vue that is 75% of the market, but as he knows it is not simply down to one issue. With cinemas, there is the supply of films—the delay of some of the blockbuster films has had an impact—and consumer confidence. Attendance is significantly down compared with last year, and there is also the impact of the non-pharmaceutical interventions. There is not one single factor, but we continue to work with the cinema industry in shaping our response.

[Justin Madders (Ellesmere Port and Neston) (Lab)]

Dominic Harrison, the director of public health for Blackburn and Darwen said that some of the more economically challenged boroughs are

“being placed into more restrictive control measures at an earlier point in their…case rate trajectory. This has the effect of exacerbating the economic inequality impacts of the virus in those areas.”

Why are some areas being treated differently from other areas, and can the Minister not see the need to have greater transparency and equity across the board?

[Steve Barclay]

The pace of those medically driven decisions is more, perhaps, a matter for my right hon. Friend the Secretary of State, who I know has been to the Chamber and answered such questions. I am willing to flag the hon. Gentleman’s concern about the transparency of that process.