(1 year, 8 months ago)
Commons ChamberThe Government have committed an initial £3.7 billion, which indicates our commitment to the new hospital programme. As I said, I will have more to say on that shortly.
Kettering General Hospital serves my constituency, and work has already started on building a new hospital—one of the Boris hospitals—so I do not know what all the fuss is about. The Government are getting on and doing the job. Is that correct?
It is. As my hon. Friend will know from another of my visits, which was with him to Kettering, the enabling works are progressing. That is in no small part a tribute to the work that he and neighbouring MPs have done to strongly make the case for Kettering. I know that he will continue to do so, and I look forward to working with him on that.
(1 year, 10 months ago)
Commons ChamberOn 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.
I am grateful to the Secretary of State for getting to grips with delayed discharges. As he will know, only a third of such discharges are in social care; most are down to the fact that there needs to be an NHS medical discharge.
I have some good news for the Secretary of State. The bad news is that Spinneyfields in my constituency, a 51-bed social care step-down facility, is going to be closed. If the Secretary of State spent a small proportion of the £250 million, the NHS could take over Spinneyfields and tomorrow 51 beds would be released at the acute hospitals in Northampton and Kettering. Will he agree to that now?
One of the things that my hon. Friend agrees with is that more decisions should be devolved rather than every decision being made in Westminster. Part of the reason for integrated care boards is so that they can look at where best to allocate their funds locally. He raises an extremely important point. He is right that around a quarter of delayed discharges are on the social care side—a fifth actually, in the NHS; there are a number of factors within that, which we will need to disaggregate.
On my hon. Friend’s point about local capacity, the Government are allocating the funding to his local ICB. I am sure he will have a conversation with his ICB on where the spare capacity can be best identified and rolled out at pace.
(1 year, 11 months ago)
Commons ChamberCan the Secretary of State give the House an undertaking that no NHS or social care facility will be decommissioned and used to house asylum seekers in Northamptonshire or the rest of the country?
I am not aware of any proposal on those lines. On my hon. Friend’s earlier point, as I said, I am happy to meet him to discuss the issue of step-down care and I am sure that there will be an opportunity to discuss any other concerns that he has at the same time.
(2 years, 5 months ago)
Commons ChamberThat is a very straightforward question to answer. It is the freedoms that we have from our exit from the European Union, on things like the £300 billion of procurement that we have just heard about, that allow us to put clauses in our legislation about social value, targeting procurement to better benefit small and medium-sized enterprises, particularly where that reduces food miles or allows social value around disability employment, an issue that was raised earlier. Those are the social value provisions in the procurement legislation that we are able to have as a consequence of our exit from the EU.
Will the Brexit Minister tell us which Departments are co-operating with him wholeheartedly and which are dragging their feet? Does he plan to report, perhaps quarterly, on the progress that each Department has made?
(4 years ago)
Commons ChamberUrgent Questions are proposed each morning by backbench MPs, and up to two may be selected each day by the Speaker. Chosen Urgent Questions are announced 30 minutes before Parliament sits each day.
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The hon. Gentleman is right to talk about the impact on businesses in Northern Ireland and part of that coming through its interconnectivity with the rest of the United Kingdom. As I said in an earlier answer, we will update the Northern Ireland Executive this week on the enhanced Barnett guarantee, but that unprecedented action taken to give an up-front guarantee will enable the Northern Ireland Executive to provide support to businesses. Of course, it will be for them to determine the exact scope of that business support.
I congratulate the Chief Secretary to the Treasury and the Government team on the support that they have given the British people during this pandemic. I understand that No. 10 has confirmed that the Treasury has done a full economic impact assessment; will the Chief Secretary confirm that and say when it will be published? It will be very helpful if it is published before tomorrow’s vote.
As Members would expect, all decisions are informed by economic analysis. In terms of an impact assessment, the Office for Budget Responsibility will update its forecasts on 25 November. It is right that we have an independent forecast, and that will be produced in a matter of weeks.