(5 years, 7 months ago)
Commons ChamberI am sure the whole House will wish to join me in offering our heartfelt condolences to the family and friends of Guardsman Mathew Talbot of the 1st Battalion Coldstream Guards, who sadly died in anti-poaching operations in Malawi.
I am also sure Members from across the House will want to join me in sending my very best wishes to Their Royal Highnesses the Duke and Duchess of Sussex on the birth of their son.
Monday marked the beginning of Ramadan—a time of peace, devotion and charity. I know Members from across the House will want to join me in saying to Muslims in the UK and across the world, “Ramadan kareem”. Later today, I will host a reception to celebrate Vaisakhi and the immense contribution that the Sikh community makes to this country.
This week marks 20 years since the 1999 Scottish Parliament and National Assembly for Wales elections. Two decades on, we remain committed to strengthening devolution within the United Kingdom. As we leave the European Union, we will bring new powers and responsibilities to Holyrood and Cardiff Bay.
This morning, I had meetings with ministerial colleagues and others. In addition to my duties in this House, I shall have further such meetings later today.
I agree with all the tributes paid by the Prime Minister.
Data from the TUC suggests that 780,000 people are on zero-hours contracts, and that two thirds of them would prefer guaranteed hours. A constituent of mine lives in privately rented accommodation and works two jobs on zero-hours contracts. After getting his third job on a zero-hours contract, his rent went up. He and his family survive, but only by using a local food bank. Will the Prime Minister end these burning injustices and ban zero-hours contracts?
The party that recognised the issue with zero-hours contracts was the Conservative party in government. The Labour party did nothing about them; it was the Conservatives that banned exclusive zero-hours contracts.
My hon. Friend raises a very important point. We recognised that we have been asking schools to do more and responded with the highest level of school funding on record, and we introduced the new national funding formula to make the distribution fairer, but of course it is still the case that local authorities are responsible for determining individual schools’ budgets from the overall sum they have received. They have a responsibility, and I am sure that hon. Members will look to their local authorities to make sure that where schools should be receiving extra money, the local authorities are passing it on. But I will also ask those at the Department for Education, who will have heard my hon. Friend’s question, to write to her in more detail about it.
I join the Prime Minister in sending condolences to the family and friends of Guardsman Mathew Talbot, who died while on anti-poaching activities. It is a reminder of the diverse work that the armed forces do, and we thank them for it and for the help they are giving to the people of Malawi. I join her also in welcoming the birth of the baby to the Duke and Duchess of Sussex, and, along with all of us, in recognising and enjoying Ramadan and Vaisakhi at this time. It is important to show the diversity of this country and celebrate all religious festivals.
I hope the whole House will also join me in congratulating a great football team: Manchester City, on winning the women’s FA cup. In view of Liverpool’s amazing performance last night, perhaps the Prime Minister could take some tips from Jürgen Klopp on how to get a good result in Europe.
Our national health service is our country’s greatest social achievement. Its staff show amazing dedication, but this Government’s failures are taking their toll. An NHS staff survey found that 40% of staff had reported suffering work-related stress in the past year alone. Can the Government explain why staff are being so severely let down by this Government?
First, may I say to the right hon. Gentleman that when we look at the Liverpool win over Barcelona last night, we see that it shows that when everybody says, “It’s all over and your European opposition have got you beat. The clock’s ticking down, it’s time to concede defeat”, actually we can still secure success if everyone comes together.
The right hon. Gentleman asks about staffing in the NHS. For too long Governments have failed to produce the proper workforce planning to give our staff in the NHS the care they deserve. It is this Government, with their long-term plan, who are ensuring that we give that care to staff. NHS staff work hard, caring for patients, and this Government will care for NHS staff. It is only because we are able to give the NHS its biggest cash boost in its history and to give it that long-term plan that we will deliver for NHS staff.
Under the last Labour Government, NHS investment rose by 6% a year, but under this Government it has barely reached 1.5%. Five thousand nurses and midwives from European Union countries have left the NHS in the past two years, and there are 100,000 staff vacancies across the NHS in England alone. The Royal College of Radiologists recently said the shortage of cancer doctors “puts care at risk”. What is the Prime Minister doing to remedy this dangerous situation?
What have seen this year? We have seen the numbers of doctors and nurses in the NHS at their highest level in its 70-year history. As I say, our NHS staff work hard 24/7 and their dedication is second to none. I am proud of our NHS. The right hon. Gentleman talks down our NHS. Let us just remember this: at the last general election, the Labour party promised to give the NHS less money than the Conservative Government are giving it. The Labour party in government would crash the economy, which would mean less money available for the NHS. And who is the only party in government that has cut funding to the NHS? It is the Labour party.
Nobody on this side of the House ever talks down the NHS—it is Labour’s greatest achievement. The principle of healthcare free at the point of need as a human right was a Labour achievement, and every Tory MP voted against it.
Today is World Ovarian Cancer Day. As for all cancers, the early diagnosis of ovarian cancer is essential. In February, almost a quarter of patients waited more than two months to start cancer treatment following a GP referral—the worst performance on record. Will the Prime Minister apologise to the thousands of cancer patients who are enduring weeks of unbelievable stress and worry while they wait to start the treatment that, to have a better chance of survival, they should be able to start quickly after they have been referred?
We recognise the importance of the early diagnosis and treatment of ovarian cancer, of other cancers and of other conditions as well, which is why a key part of the 10-year plan—the long-term plan for the NHS that is being put forward under this Government—is about early diagnosis. We recognise the importance of that. The right hon. Gentleman might like to reflect on the fact that there is a part of the United Kingdom in which the urgent cancer treatment target has not been met since June 2008. Where is that? In Wales, under Labour.
Under the NHS in Wales, more people are surviving cancer than ever before. We should welcome the work that has been done.
The Royal College of Radiologists said,
“our workforce projections are increasingly bleak”,
and almost half of all women with ovarian cancer reported having to visit the GP three times before they were referred for a test. Today, we learned that GP numbers are experiencing their first sustained fall for 50 years. GPs often play the vital role in the early identification of cancers and other serious problems. Does the Prime Minister think it is acceptable that one third of people who need an urgent GP appointment on the day that they ask for one are being turned away because of the shortage of GPs?
We recognise that GPs are a vital part of the NHS, and there are actually more GPs in the NHS today than there were in 2015. We have made it easier for people to access their GPs by ensuring that GP surgeries are open for more days of the week. We are incentivising GP trainees to work in hard-to-recruit areas and making it easier and quicker for qualified doctors to return to the NHS. Under our NHS long-term plan, we will see—for the first time in its 70-year history—the proportion of funding for primary medical and community care increasing as a percentage of the NHS budget. That is because it is this Government who recognise the importance of primary care in our national health service, and it is this Government whose careful management of the economy means there is money available to put into our national health service.
Mr Speaker, if you go to any A&E department in the country, you will find that staff are under enormous pressure precisely because there is a shortage of GPs available to see people in the first place. At the same time as he promotes private GP services, the Conservative Secretary of State for Health and Social Care is overseeing the biggest drop in NHS GPs for 50 years. One in 10 GPs are now seeing twice as many patients as is safe for them to see—that is the pressure they are under. The NHS has failed to meet its A&E waiting time target for nearly four years. In March this year, more than one in five patients waited more than four hours to be seen. Will the Prime Minister, on behalf of the Government, apologise to the tens of thousands of people waiting for too long in deep distress just to get seen at an A&E department, because of the pressure A&Es are under?
We recognise the importance of these targets in the NHS. That is why one of the elements of the 10-year long-term plan in the NHS—funded by the biggest cash boost in the NHS’s history, which was given by this Conservative Government because of their good management of the economy—is to ensure that we are improving those targets. Perhaps the right hon. Gentleman would like to stand up and apologise for the fact that the A&E waiting-time target has not been met not for four years, but for over a decade under a Labour Government in Wales.
The reality is that, under a Tory Government, spending and investment in the NHS is less than it was under Labour, and, even with the Prime Minister’s funding announcements, that remains the case. The complacent attitude and platitudes hide the reality that, under the Tories, our health service is going through the longest funding squeeze in history: 20,000 jobs in mental health units are unfilled; public satisfaction with GP services is the worst on record; cancer treatment delays are the worst on record; A&E waiting times are the worst on record; and, tragically, infant mortality is rising. Will the Prime Minister admit that the Government have failed the health service, failed NHS staff, and, therefore failed the patients who rely on the NHS?
There are more people alive today because our cancer treatment has improved than would have been the case in 2010. At the previous election, someone said that an extra £7 billion for the NHS would
“give our NHS the resources it needs to deliver the best possible care for patients.”
I wonder who that was. It was none other than the Leader of the Opposition. Are this Government giving the NHS £7 billion? No! Are they giving it twice that—£14 billion? No! They are giving the NHS £20 billion. I am proud of this Government’s record and the Conservative party’s record on the NHS. It is the Conservative party that is giving the NHS its biggest cash boost in its history. It is the Conservative party that is giving it a sustainable 10-year long-term plan to ensure that it is there for people in the future. Under the Conservative party, we have seen more nurses and more doctors in our national health service dedicated to caring for patients. That is only possible because it is the Conservative Government who manage our economy and manage our public finances. A Labour party in government would crash our economy, meaning less money for the NHS, less money for its staff and less care for its patients.
My hon. Friend has raised an important issue and I thank her for doing so. I recognise the importance of this for many parents. Currently, parents can use the shared parental leave and pay scheme to take up to six months off work together, or to stagger their leave and pay so that one of them is always at home with their child in the first year. We are evaluating the shared parental leave and pay scheme. We want to see how we can improve the system for parents. The Department for Business, Energy and Industrial Strategy hopes to publish findings on this issue later this year.
I also congratulate the Duke and Duchess of Wessex—[Interruption.] Sussex. We have had 113 days since the Prime Minister’s deal was rejected by Parliament—[Interruption.]
It has been 113 days since the Prime Minister’s deal was rejected by Parliament. A month of Tory talks with Labour, and we are still no further forward. The clock is ticking down and yet the Prime Minister is silent. When exactly will this House have an update from the Prime Minister?
I had hoped that the right hon. Gentleman would join me in congratulating the Earl and Countess of Dumbarton on the birth of their child.
We are indeed talking with the Labour party. The public gave this House a very clear message last week—that they want us to get on and deliver Brexit. It is absolutely right that we do so, and we are working on an agreement that can command a majority of this House. If the right hon. Gentleman is so keen for us to get on with delivering Brexit, why did he not vote for the deal in the first place?
Scotland does not want a Labour-Tory Brexit stitch-up. Scotland voted to remain, and once again—with no Scottish representation in the talks—our nation is being ignored. Does the Prime Minister think that this is good enough for a supposed Union of equals? She must confirm today that any deal will be put back to the people for a final say.
I have had talks with the right hon. Gentleman in the past on the issue of the Brexit deal. I have also discussed the matter with the First Minister of Scotland, and it has been made clear that any discussions on these matters should be with the First Minister. On the question of a second referendum, I remain absolutely of the view, as I have always been—I am not going to change my answer to him—that we should be delivering on the result of the first referendum that took place.
My hon. Friend is absolutely right to congratulate AFC Fylde, who I believe are known as the Coasters, on their recent success. We wish them the best for the play-off final at Wembley. AFC Fylde is a very good example of how clubs can engage with their local communities. We want to see these partnerships taking place, as they lead to excellent work in communities. We are currently investing more money than ever in community football programmes and facilities, and we fully intend the funding levels in this area to continue. We have regular meetings with the FA and Premier League to encourage this activity at a local level, but my hon. Friend is right to congratulate AFC Fylde not only on their success on the pitch, but on the changes that they are making to lives in their community through the work they are doing there.
I commend the hon. Lady for her work on the APPG. We are working on providing the Green Paper on social care. She complains that it has been delayed for a matter of months, but may I remind her that the last Labour Government had 13 years to deliver a sustainable social care system, and they did absolutely nothing?
I thank my right hon. and learned Friend for the work that the all-party parliamentary group for British bioethanol is doing on this issue. E10 would help to reduce carbon dioxide emissions, but it is not approved for use in all petrol vehicles. Any decision to introduce the new grade of petrol must balance the needs of consumers with the emissions reductions it could help to deliver. We will be publishing our next steps on E10 petrol later in the year. I am sure that the Department for Transport will study with interest the findings of the APPG’s inquiry into the issue.
I answered the question about a second referendum earlier and my view has not changed in the few minutes since I did so. I believe that we should deliver on the first referendum. But can I challenge the right hon. Lady on what she said? It is not right that outside the European Union those children have no future. This country has a bright future outside the European Union, and that is the message she should be giving to her constituents.
My right hon. Friend has raised an important issue, because obviously the Palace of Westminster is recognised all over the world as a symbol of democracy, and the decision that was taken by Parliament to approve the restoration and renewal programme was a huge step towards its protection. As he says, we will be introducing the Bill today, and I am pleased that we are able to do that. The decision to move to Richmond House was of course a matter for Parliament. I understand that although Richmond House will be substantially redeveloped, the proposals will retain Richmond Terrace and the Whitehall façade. I am sure that, as he indicated at the end of his question, he will agree with me that it is imperative that Parliament keeps the total bill as low as possible.
Obviously the hon. Gentleman has set out a very specific case and I will ensure that the Department looks at that case. It is—[Interruption.] I will ensure that the Department looks carefully at the case that he has set out. It is an important issue. The Department for Work and Pensions has been doing work to ensure that appeals can be heard in a timely fashion to give people that confidence and reassurance.
In the light of last week’s debate in this place and the advice of the Committee on Climate Change, could the Prime Minister indicate whether the Government will be legislating for net zero emissions by 2050?
I commend my hon. Friend, who is a regular and consistent champion on these issues of environment and climate change. We are looking at the result of the review that was undertaken by the independent committee in relation to our targets for the future. We have, as I am sure she would agree, a good record in our decarbonisation and changes to emissions that we have been undertaking over recent years. We will look very carefully at the report and make a formal response to it in due course.
We recognise the concerns about the level of knife crime. That is why I will be chairing the first serious violence taskforce this afternoon, following the summit we held a few weeks ago, bringing all parts of Government together to ensure that we are putting all efforts into dealing with this issue. Diverse elements need to be addressed, and we need to ensure that we turn young people away from violence. That is being done in various ways across the country, and Government are clear about the need for us to work with local authorities and others across the board to deal with this very difficult issue.
I know the Prime Minister will welcome the news that Asia Bibi, who was persecuted for her faith, is on her way to Canada, which has offered her sanctuary. I think everyone wants to know the Prime Minister’s answer to this question: why did Canada offer sanctuary to Asia Bibi, but the United Kingdom did not? Will future such cases of religious freedom be looked at differently by the United Kingdom?
I join my hon. Friend in welcoming the reports that Asia Bibi has been able to travel freely and can now make decisions about her future. Our concern was always her safety and security. We were in close contact with the Government of Pakistan and a range of international partners who were considering the offers that would be available to Asia Bibi. Canada made this offer, and we felt it was right and appropriate that we supported that offer. That is important. We have a proud record of welcoming people here who have been persecuted because of their faith, and we will continue that record, but in individual cases like this, it is important for international partners to work together with the key aim constantly of ensuring that the safety, security and best interests of the individual are put first and foremost.
As the hon. Lady knows, we are making around £1 billion extra available for police this year, which includes a significant amount of extra money available for the Metropolitan police. Extra money is also being put into violence reduction units in hotspots around the country, including London, to ensure that we deal with the issue of serious violence, which the Government take very seriously and will be dealing with in a number of ways across Departments.
My right hon. Friend the Prime Minister has tried her best. Nobody could fault or doubt her commitment and sense of duty, but she has failed. She has failed to deliver on her promises. We have lost 1,300 hard-working councillors, and sadly the public no longer trust her to run the Brexit negotiations. Is it not time to step aside and let someone new lead our party, our country and the negotiations?
First, may I say to my hon. Friend that I am sorry that we saw so many good Conservative councillors lose their seats last week, often through no fault of their own? I have been a councillor; I know the hard work and dedication that it takes. I have also been a councillor who has stood in an election against a difficult national background under a Conservative Government, so I know what that feels like as well. I thank all those councillors for their hard work, and I congratulate those Conservative councillors who won their seats for the first time across the country. May I also say to my hon. Friend—[Interruption.] No, wait for it. Actually, this is not an issue about me, and it is not an issue about her. If it were an issue about me and how I vote, we would already have left the European Union.
At the risk of starting a trend, we have had Liverpool, AFC Fylde and now Sheffield United, and I am happy to congratulate it in the way the hon. Gentleman suggests.
On the issue of education, as I have said, more money is available. We are making more money available in every area for every school. That is what this Government are doing. In his own area, he sees several thousand more children in good and outstanding schools; that is important. The Labour party may talk constantly about the money going into schools, but what matters is the quality of education that children receive. More children in his area in good and outstanding schools, the disadvantage attainment gap narrowed and more disadvantaged young people going to university—that is a good record. It is a record this Government can be proud of.
May I, too, congratulate the Duke and Duchess of Sussex? As a former member of the Coldstream Guards, may I pass on my sympathy to the family of Guardsman Mathew Talbot, who has recently been killed?
May I congratulate the new Secretary of State for Defence on her appointment? It is a highly privileged position to be in, and she will be responsible for sending our brave men and women into dangerous positions. To do that, she must gain their respect and get to know them. Does my right hon. Friend agree that that is, in itself, a full-time job?
First, may I take the opportunity my hon. Friend has given me to commend the former Secretary of State for Defence for his commitment to the armed forces—the men and women of our armed forces?
My hon. Friend is absolutely right that, obviously, as Secretary of State for Defence my right hon. Friend will be needing to get to know the men and women of our armed forces. I have to say that I think my right hon. Friend, as a former Minister in the Ministry of Defence and a Royal Naval reservist, starts from a very good position to do that. May I also say to my hon. Friend, on the implication of his question, that there is a lot to be done in our armed forces on the questions of equality? I think my right hon. Friend is absolutely the right person to be dealing with that issue, as well as ensuring that she is speaking up for and promoting the best interests of the brave men and women of all our armed forces.
The hon. Lady makes out as though I am the only person across this House who thinks we should not have a second referendum. In fact, this House has consistently rejected a second referendum.
Given the 2017 law requiring everyone in China to co-operate with that communist country’s intelligence services, would it not be naive to the point of negligence to allow Huawei further to penetrate our critical national infrastructure, and should we not be grateful to all those Ministers, present and former, who have opposed this reckless recommendation?
We are taking a robust risk-based approach that is right for our UK market and network and that addresses the UK national security needs. The UK is not considering any options that would put our national security communications at risk, either within the UK or with our closest allies. No one takes national security more seriously than I do, and I say to my right hon. Friend that I think my record speaks for itself.
It is under this Government that we see the lowest gender pay gap. It is this Government that introduced the race disparity audit, which is, finally, properly shining a light on public services and what is happening for people from different communities. On the issue that the hon. Lady raises about jobs in the digital sector, the industrial strategy deals with AI and digital as one of its grand challenges. The industrial strategy is exactly about ensuring that the economy works for everyone and that the sorts of jobs that she is talking about are available for people across this country.
I was pleased to welcome the Prime Minister to North East Lincolnshire last Friday evening to mark success in the local elections. It is good to know that the Cleethorpes constituency now has two Conservative-controlled unitary authorities. The Prime Minister will recall that the new council leader, Philip Jackson, and I mentioned to her the Greater Grimsby town deal. I know that she will want to push that forward as part of the industrial strategy, which she has just mentioned. Will she agree to facilitate meetings for me and the new council leader to push it forward?
I take this further opportunity to congratulate the new leader of North East Lincolnshire, his new councillors and the whole Conservative council group on taking control of North East Lincolnshire last week, and indeed to congratulate my hon. Friend on his work in campaigning to secure that excellent result. He is absolutely right; he and the council leader made that point about the town deal, and I will facilitate meetings between my hon. Friend, the council leader and the Ministers responsible.
I call on the House to celebrate 20 years of devolution, and I look forward to the nation of Wales taking our proper place among the nations of Europe.
Today, 32-year-old Imam Şiş of Newport is on his 143rd day of indefinite hunger strike, and the condition of his health is now critical. He is one of many Kurds on hunger strike around the world, including four others in the UK, protesting the treatment of Kurdish leader Abdullah Öcalan, who is imprisoned in Turkey and whose human rights are clearly breached by the Turkish Government. The hon. Member for Newport East (Jessica Morden) and I, along with 48 other MPs and Welsh Assembly Members, have today written to the Foreign Secretary asking him to apply pressure on Turkey to uphold the human rights of the Kurds. I am confident that the Prime Minister respects the urgency and gravity of the situation. Will she please commit to intervening?
The right hon. Lady has raised an important issue. We absolutely expect Turkey to undertake any legal processes against prisoners fairly, transparently and with full respect for the rule of law. That includes ensuring access to appropriate medical treatment. The British ambassador in Ankara has discussed the wider issue of hunger strikes with the Turkish authorities, but we will continue to encourage the Turkish state to uphold the human rights of hunger striking detainees, including access to medical treatment. As the right hon. Lady says, she and others have written to the Foreign Secretary, and I will ensure that the Foreign Secretary addresses the issue urgently.
Our GPs are a very special group of public servants, and it is good news that we have recruited them in record numbers over the last two years. Will the Prime Minister do everything she can to make sure that we look after their job satisfaction, and specifically to help them with the pensions penalty that some of them face in their mid-50s, which is driving some of them out of the profession?
I thank my hon. Friend for his comments about GPs. They are indeed a vital part of our NHS—they are the bedrock of our NHS—and that is why, as I indicated earlier in response to the Leader of the Opposition, I think it is so important that the long-term plan includes extra investment in primary and community care. The new, historic five-year contract for general practice announced in January was developed in partnership with the BMA, and it will provide greater certainty for GPs to plan ahead.
Another way in which we can help GPs is by providing funding, which we will see, towards up to 20,000 extra staff in GP practices, helping to free up doctors to spend more time with the patients who need them. As my hon. Friend has indicated, we are committed to recruiting more GPs—an extra 5,000—as soon as possible, and to ensuring that they can maintain their careers and continue to provide services to their patients as they do, day in and day out.
Medomsley detention centre in my constituency was a living hell for the boys and young men sent there from across the UK in the ’70s and ’80s. Rape and torture were commonplace. So far, 1,800 men have bravely come forward to say they were affected. Some of those young men reported that abuse decades before the first person was convicted for some of the crimes committed. Nearly a year ago I met the Home Secretary, along with a victim of abuse at Medomsley, to make the case for a public inquiry. Many of the victims are not covered by the inquiry into child sexual abuse because of their age. We need to know what happened at Medomsley. We need justice for survivors and we need to make sure it never happens again. Will the Prime Minister please say that we will have an independent public inquiry into the abuse at Medomsley detention centre?
I take very seriously the issue the hon. Lady raises and what happened at Medomsley detention centre. The independent inquiry into child abuse is looking into historical cases of abuse in state institutions. It is doing so on a step-by-step basis in the areas it is looking at. I am surprised at the statement she made that the Medomsley detention centre cases were not able to be covered by that inquiry and I will certainly look at that issue.
Along with Scottish colleagues, I was pleased to welcome the Prime Minister to Aberdeen on Friday. The Prime Minister will be aware that the SNP Scottish Government want to postpone devolved VAT powers and delay social security powers, and have U-turned on the air departure tax. Does the Prime Minister agree that it is time for new leadership in Scotland? It is time for Ruth Davidson in Bute House.
I absolutely agree with my hon. Friend. What do we see from the SNP Government in Scotland? We gave them powers over welfare payments, which they asked for—not used. It was an SNP manifesto commitment to cut air passenger duty. They have the power. They are not going to use it. But what are they using? They have used their power to change taxes, so that people doing a job in Scotland are being charged more tax than those doing the same job south of the border. When given the chance to help people, they reject it. When given the chance to take more money out of people’s pockets, they take it. It is certainly time for Ruth Davidson in Bute House.
(6 years, 10 months ago)
Commons ChamberI am sure that Members throughout the House will wish to join me in marking Holocaust Memorial Day this Saturday and in remembering all those who endured such appalling suffering in the holocaust.
This morning, I had meetings with ministerial colleagues and others. In addition to my duties in this House, I shall have further such meetings later today. Later, I will travel to Switzerland to attend the World Economic Forum and—who knows?—I might even bump into the shadow Chancellor while I am there.
Mr Speaker, as you and my right hon. Friend the Prime Minister will know, last week saw the successful launch of the Year of Engineering campaign, which is aimed at changing the perception of engineering and inspiring the next generation of engineers. I know that the Prime Minister is personally committed to the campaign, so may I invite her to join me and 80,000 young people at this year’s Big Bang fair, to reinforce the message that engineering is a great career that is open to everyone, regardless of their background, ethnicity and gender?
My hon. Friend makes an important point. The issue of engineering, and particularly the need for more women to see engineering as a career, is something that I have promoted for many years now. Engineers are vital to our economy, which is why we want to see everyone, whatever their background—this is about not only gender but background and ethnicity—having a chance to build a good career in engineering. The Year of Engineering gives us a great opportunity to work together with business to do exactly that. If my diary allows, I would be happy to attend the fair to which my hon. Friend referred.
I join the Prime Minister in commemorating Holocaust Memorial Day. Many Members will be signing the book of remembrance and attending the event tomorrow. We have to teach all generations that the descent into Nazism and the holocaust must never, ever be repeated anywhere on this planet.
Does the Prime Minister agree with the Foreign Secretary that the national health service needs an extra £5 billion?
As I recall, the right hon. Gentleman was in the Chamber for the autumn Budget speech delivered by my right hon. Friend the Chancellor of the Exchequer, in which he announced that we will be putting £6 billion more into the national health service.
The only problem with that is that it was £2.8 billion, spread like thin gruel over two years. Two weeks ago, the Prime Minister told the House that
“it is indeed the case that the NHS was better prepared this winter than ever before.”—[Official Report, 10 January 2018; Vol. 634, c. 315.]
Sixty-eight senior A&E doctors have written to the Prime Minister about what they describe as
“very serious concerns we have for the safety of our patients.”
They say that patients being treated in corridors are “dying prematurely”. Who should the public believe—the Prime Minister or A&E doctors?
It is right that the NHS was better prepared for this winter than it ever has been before. We saw 3,000 more beds being brought into use over the winter period; we saw the use of the 111 call system leading to a significant reduction in the number of call-outs and the number of people having to go into hospital; and we saw the changes made in accident and emergency, with GP streamlining, helping to ensure that people who did not need to go into hospital did not go into hospital. Overall, we saw 2.8 million more people last year visiting accident and emergency than did so in 2010. Our NHS is indeed providing for patients. There are winter pressures; we were prepared for those winter pressures. We will ensure, as we have done every year under this Conservative Government, that the NHS receives more funding.
Since 2010, we have lost 14,000 NHS beds. The King’s Fund, the Health Foundation and the Nuffield Trust all agree that the NHS needs another £4 billion. In December, the month just gone, NHS England recorded its worst ever A&E performances, with more patients than ever waiting more than four hours. Now the UK Statistics Authority says that the numbers may be worse because the figures have been fiddled. Can the Prime Minister tell the House when figures calculated in line with previous years will be published?
I have to say to the right hon. Gentleman that the NHS is open in publishing a whole variety of figures in relation to its targets. We are putting more money into the NHS, year in and year out, and we are continuing to do that. If he wants to talk about figures and about targets being missed, yes, the latest figures show that, in England, 497 people were waiting more than 12 hours, but the latest figures also show that, under the Labour Government in Wales, 3,741 people were waiting more than 12 hours.
The Prime Minister is responsible for the underfunding of the Welsh Government and the needs of Wales. Despite that, the overall Welsh Labour Government health budget has grown by 5% in 2016-17. It is Labour Wales that has a problem of underfunding from a Conservative Government based in Westminster. So far this winter, 100,000 patients have been forced to wait more than 30 minutes in the back of an ambulance in NHS England, for which she is responsible, yet still she refuses to give the NHS the money that it needs. Can she tell us how many more patients will face life-threatening waits in the back of ambulances this winter?
I say to the right hon. Gentleman that of course we want to ensure that people are not waiting in those ambulances, but the only answer that he ever comes up with is on the question of money. The question—[Interruption.] No, the question is this: why are there some hospitals where the percentage of patients waiting more than 30 minutes is zero and other hospitals where the percentage of patients waiting more than 30 minutes is considerably higher? If he wants to talk about funding, perhaps we should look at what the Labour party promised at the last general election last year. [Interruption.] It is all very well shadow Ministers shouting about the comparison of money. The point is that, at the last election, the Institute for Fiscal Studies said this:
“Labour and the Conservatives are pretty much on the same page…there’s not much to choose between them in terms of the money they’ll put into the NHS.”
A Labour Government would not be underfunding the NHS. A Labour Government would not be privatising the NHS. A Labour Government would not be underfunding social care. A Labour Government would be committed to an NHS free at the point of use as a human right.
According to a whistleblower, as many as—[Interruption.] Hang on, hang on. According to a whistleblower, as many as 80 patients were harmed or died following significant ambulance delays over a three-week period this winter. This is a very serious situation, and the Prime Minister must be aware of it. What investigation is the Department of Health carrying out into these deeply alarming reports?
When we hear reports of that sort, of course they are very alarming. That is why the Department of Health makes sure that investigations take place. That may be undertaken by the Department of Health or by the particular trust involved—the ambulance trust or the hospital. These issues are properly investigated, because we do not want to see this happening; we do want to see people being properly cared for. If there are lessons to be learned, then they will be learned, because our support for our NHS is about providing it with the funding, the doctors, the nurses, the treatments and the capabilities that it needs in order to be able to deliver for patients. That is why we are backing the NHS with more funding. It is why we are ensuring that it gets the best treatments; survival rates for cancer are higher than they have ever been before. It is why we are ensuring that we have better joined-up services across the NHS and social care so that people who do not need to go into hospital are able to be cared for at home. And it is why we are ensuring that we are reducing waste in the NHS so that taxpayers’ money is spent as effectively as may be on patient care. That is a plan for the NHS, but it is a plan that puts patients first.
The Prime Minister must be aware of ambulances backed up in hospital car parks, with nurses treating patients in the back of ambulances. Ambulance drivers and paramedics desperate to get on to deal with the next patient cannot leave because the patient they are dealing with at that moment cannot get into the A&E department. It has been reported that a man froze to death waiting 16 hours for an ambulance. Last week, a gentleman called Chris wrote to me, saying:
“My friend’s 93 year old father waited 4 hours for an ambulance after a fall.”
These are not isolated cases; they are common parlance all over the country. It needs money, it needs support, and it needs it now.
The Prime Minister is frankly in denial about the state of the NHS. Even the absent Foreign Secretary recognises it, but the Prime Minister is not listening. People using the NHS can see from their own experience that it is being starved of resources. People are dying unnecessarily in the back of ambulances and in hospital corridors. GP numbers are down, nurses are leaving, the NHS is in crisis—[Interruption.] Tory MPs might not like it, but I ask this question of the Prime Minister: when is she going to face up to the reality and take action to save the NHS from death by a thousand cuts?
There is only one part of the NHS that has seen a cut in its funding—the NHS in Wales under a Labour Government. This is a Government backing the NHS plan, putting more money into the NHS, recruiting more doctors and nurses, and seeing new treatments come on board which ensure that people are getting the best treatment that they need, because this is a Government who recognise the priorities of the British people: to ensure that our NHS remains a world-class healthcare system—indeed, the best healthcare system in the world—to build the homes that people need, and to make sure that our kids are in good schools. This is a Government who are building a country that works for everyone, and a country in which people can look to the future with optimism and hope.
May I congratulate my hon. Friend on a very good council by-election result in Hulton, where the Conservatives took a seat from the Labour party?
My hon. Friend raises an important issue about strengthening our electoral process and enhancing the confidence people have in our democratic processes. We are shortly going to be running pilot schemes in five local authorities to identify the best way to implement voter ID and nationality checks. Tower Hamlets, Slough and Peterborough are going to be piloting measures to improve the integrity of the postal and proxy vote process. Our democracy matters, but it is important that people can have true confidence in it.
May I wish you a happy Burns day for tomorrow, Mr Speaker?
May I associate myself with the remarks of the Prime Minister about Holocaust Memorial Day? We should never forget the horrible tragedies and the price that people had to pay. However, we should also remember the genocide that has happened in many territories since that time as well, and we all must work to eradicate that scourge from our society.
Earlier this week, the Royal Bank of Scotland chief executive officer, Ross McEwan, admitted—in a leaked memo—that closing 22 local branches would be “painful” for customers. Thirteen towns in Scotland are to lose their last bank. Prime Minister, I will give you one other opportunity: as the majority shareholder, will you meet RBS and make the case to keep the bank branches open?
The right hon. Gentleman has asked me this question on a number of occasions, and I have made the point in response to every one of those questions—and the answer is not going to change today—that these are commercial decisions for the banks involved. We do have a duty as a Government: we look at how the market is working for people, and that is why we established the access to banking standard that commits banks to carry out a certain number of steps before closing a branch. It is also why we welcome the fact that the Post Office has reached an agreement with the banks that will allow more customers than ever before to use post office services, so about 99% of personal customers are able to carry out their day-to-day banking at a post office as a result of that new agreement. That is the Government making sure that people are covered by the services they need.
I would simply say to the Prime Minister that we own RBS: it is time that you took your own responsibilities. By closing these branches and replacing some with mobile banking vans, which do not provide disability access, the Royal Bank of Scotland appears to be in breach of the UK Equality Act 2010. Wheelchair user Sandra Borthwick has described her experience of banking outside as “degrading”. Does the Prime Minister agree that RBS has a legal responsibility to offer equality of services to disabled customers, and will she hold RBS to account on this issue?
I say to the right hon. Gentleman that, of course, we all want to see that all customers are able to access the services that they need—that is, both customers who are disabled and customers who live in remote areas. As I have said to him, this is a commercial decision that has been taken by the Royal Bank of Scotland. Banks are closing branches—other banks are closing branches—because what they see is actually less use being made of those branches. As the right hon. Gentleman has been talking about matters financial, I am sorry that he was not able to stand up and welcome the fact that today’s trade figures for Scotland show that their biggest export market remains the rest of the United Kingdom.
My right hon. Friend is right in drawing attention to the impact of infrastructure when it is developed in various parts of the UK. On the specific point of the lower Thames crossing, I know that is going to unlock opportunities and economic growth for the region and the country, and will offer better connections, new connections and better journeys. It is, of course, part of the biggest investment in England’s road network in a generation.
As my right hon. Friend knows, Highways England has announced the preferred route; it did that last year. I recognise this has raised some concerns in affected constituencies, but may I assure him and other Members that there are going to be further opportunities, for both those who support these proposals and those who do not, to give their views and to have their say? But he is absolutely right: new infrastructure developments such as this can make a huge impact not only on jobs during the development of that infrastructure, but on the economy, locally and nationally.
I have said this on many occasions and I am very happy to repeat it: leaving the European Union means that we will be leaving the single market. We will no longer be members of the single market or the customs union. We want to be able to sign and implement trade deals with other parts of the world, as part of an independent trade policy. We are looking forward to the negotiations for a bespoke deal—a comprehensive free trade agreement—between the UK and the European Union for the future. We will be looking for as tariff-free and frictionless a trade agreement as possible.
My hon. Friend has raised a very important subject. In July the Government initiated the national security capability review, in support of the ongoing implementation of the 2015 national security strategy and strategic defence and security review, to ensure that we do indeed have the capabilities, and the investment in those capabilities, that we need in our national security, and that that investment and those capabilities are as effective and joined up as possible.
I agreed the high-level findings of the review with ministerial colleagues at the National Security Council, and I have directed that the work should be finalised, with a view to publishing a report in late spring. It has been a significant piece of work and it will help to ensure that we have the right capabilities. As part of that, we recognise that more work is needed on defence and on modernising defence. We want to ensure that the defence budget is being spent intelligently and efficiently, and that we are investing in the capabilities we need to keep our nation safe. My right hon. Friend the Defence Secretary will update the House in due course.
This is an important issue and obviously we need to look at it. Although, as the hon. Lady will know, crimes traditionally measured by the independent crime survey have dropped by well over one third since 2010, we need to consider the root causes of violence—particularly among young people, and especially knife crimes. The nature of crime is changing; it is important that we remain adaptable and resilient, but we need to understand that. I am sure that my right hon. Friend the Home Secretary will be happy to meet the hon. Lady to talk about youth violence and the causes of youth violence.
I share my hon. Friend’s concerns about this event and the tragedy that happened. First, we should recognise that all those who deliver our ambulance services work hard and regularly go above and beyond the call of duty to ensure our safety, but concerns have been raised about the provision of services in the East of England Ambulance Service trust, including, obviously, this very, very worrying, tragic case.
As I said earlier in response to the Leader of the Opposition, we take these cases very seriously—any claims that patient safety has been put at risk are taken seriously. The Department of Health and Social Care has received assurances that these reports are being investigated by the trust, in conjunction with its commissioners, as a serious incident. This is also an issue that my hon. Friend the Minister of State for Health has discussed with the chief executives of NHS England and NHS Improvement.
The hon. Lady raises an important matter. Over the past six or seven years a significant number of homes have met the decent homes standard, but the conditions in which people live is an important concern, and I will ask the Leader of the House to look at the issue that she has raised about her Bill.
Cumbria is celebrated internationally for its lakes and mountains, and it is known for nuclear excellence. This afternoon, Parliament hosts “A Taste of Cumbria”, showcasing our fine food and drink. May I extend a warm invitation to you, Mr Speaker, and to the Prime Minister, to pop along and join us to sample some of our finest fare?
I am afraid that my diary does not permit me to attend “A Taste of Cumbria” this afternoon, but if I can drop my hon. Friend a hint, I understand that there was a taste of Lincolnshire event recently, and my hon. Friend the Member for Louth and Horncastle (Victoria Atkins) sent me some Lincolnshire products after the events. I am not hinting at anything, but—
The whole House was saddened to hear of Baroness Jowell’s diagnosis, but I am sure it was encouraged by the positive approach that she has taken. My right hon. Friend the Home Secretary says that Baroness Jowell’s speech this morning was very moving. I am sure that everyone across the whole House sends her their very best wishes.
Cancer treatment is a priority for the Government, and we want to make sure that the best treatments are provided. We will consider investing in anything that improves that. We have accepted 96 recommendations in the NHS cancer strategy, but we need constantly to look at this. My right hon. Friend the Health Secretary is happy to meet the hon. Member for Croydon Central (Sarah Jones) and Baroness Jowell.
Tessa Jowell has been an outstanding public servant. I hope that the House understands if I say that in my 20 years here I have never met a more courteous or gracious Member of Parliament.
I am only just beginning, Mr Speaker.
The Prime Minister will know of the devastation, debt and despair caused by fixed-odds betting terminals, which are now widespread—a far cry from the charm of the bingo hall, the pools coupon or the style of the sport of kings. Given the fact that there is a review, will she meet me and others to discuss how the maximum bet on those terminals can be reduced, and will she take the chance simultaneously to plan a crackdown on online gambling sites that target young children? The stakes are too high to gamble with our children’s futures.
We are clear that the fixed odds betting terminals stakes will be cut to make sure that we have a safe and sustainable industry where vulnerable people and children are protected. As I suspect my right hon. Friend knows, the consultation that the Department for Digital, Culture, Media and Sport launched on this closed yesterday, so a final decision will be made in due course. He will know, with regard to the specific point about children—this is important—that there are in place controls to prevent children and young people from accessing online gambling. The Gambling Commission has asked the Responsible Gambling Strategy Board to examine the wider relationship between children and gambling. I think it is important, as we take these decisions, that we all recognise the potential threats and dangers, but that we ensure that we have the best information possible in order to be able to act.
I send my condolences—I am sure the whole House does—to Amber’s family on this terrible thing that has happened. Look, the smear test is hugely important. Sadly, what we see, even for those women who qualify today to have the smear test, is that too many women do not take it up. I know that it is not a comfortable thing to do, because I have it, as others do, but it is so important for women’s health. I first want to encourage women to actually have the smear test. Secondly, the hon. Lady raised an issue about the availability of that test. I will ask my right hon. Friend the Secretary of State for Health to look at this issue. It is a question that has been raised before for those who are under the age of 25. Of course, action has been taken in terms of the vaccine that has been introduced for teenagers. There have been some questions about that—I have had people in my constituency raising questions about it. We need to address this issue in every way possible, so we will look at the question of the age qualification for the smear test. My overall message is, please, those who are called for a smear test, go and have it.
Will my right hon. Friend join me in congratulating Bexley rugby club on its 60th anniversary and agree with me that the pursuit of sport is good for health and wellbeing?
I am happy to endorse what my right hon. Friend says about sport, and indeed to join him in congratulating Bexley rugby club on this significant anniversary. I am sure that over all those years it has given many young people and others an introduction to the joy of sport and the way that sport can be both good for the community and for society, and for the individuals, so I am happy to endorse his claim.
As the hon. Lady will know, we made changes to the operation of universal credit, which were announced in the Budget, including changes that mean that the availability of advance payments has increased and that the size of those advance payments has increased. But I am sure, if she would like to write in with the details of the case, that we can look at it and make sure that it is properly considered.
The latest figures from the Office for National Statistics show that the Government are making further progress in reducing the deficit. Does my right hon. Friend agree that it would be reckless to change course now in favour of a policy of renationalisation, which would burden taxpayers such as those in Erewash with an estimated bill of over £170 billion?
My hon. Friend raises an important point. It has not been easy reducing the deficit in the way we have. We had to deal with the biggest deficit in our peacetime history, which was left to us by the Labour party, but by decisions the Government—[Interruption.] Yes, yes. Labour might not like hearing that, but it is what happened. It is by the hard work of the British people and by decisions the Government have taken that we have been able to reduce the deficit. Adding to it an extra £170 billion to meet the ideological desires of the Leader of the Opposition would saddle people up and down this country with higher debt, and ordinary people would pay the price.
The DWP does not give details of individuals with whom it deals, and that is absolutely right; what it does is ensure we have a welfare system that provides support to those who need it and increasingly encourages those who can to get into the workplace, because we continue to believe that work is the best route out of poverty.
In a December press release, the Bank of England described the UK’s financial system as both “a national asset” and “a global public good”. Does my right hon. Friend think it unreasonable that the UK financial services sector, which pays billions of pounds in taxes, wants to hear the Government’s ambition to ensure that the City of London remains a global pre-eminent financial centre, in the same way they set out their ambition for other sectors last summer?
I have said in this Chamber and outside that we retain the ambition of ensuring the City of London remains a global financial centre, and that is indeed what we are working on. I was very pleased to welcome a number of senior representatives from the financial services sector to No. 10 Downing Street only a few weeks ago and to sit down and talk to them about how to do exactly that. London’s place as a financial centre for the world is not just a benefit to the UK; it is a benefit to the global financial system and to the EU.
I believe that there is very strong cross-party support for the western rail link for Heathrow. The hon. Gentleman has expressed his support, and my right hon. Friend the Member for Newbury (Richard Benyon) has also been supporting it. It would reduce journey times for passengers in the south-west and could support the Thames valley economy as well. I myself, as a Thames valley MP, have looked into it previously. Development funding has been committed for the project and the Department for Transport will provide further detail on the timing in due course.
I congratulate the Prime Minister and the parties in Northern Ireland on the resumption today of talks at Stormont. What more can be done to ensure that the Executive are restored and the nightmare of direct rule avoided?
My hon. Friend is absolutely right. The people of Northern Ireland need strong devolved government and political leadership, and cannot continue to have their public services suffer from the lack of an Executive and Ministers to make key policy and budget decisions. We are determined to re-establish a fully functioning, inclusive devolved Administration that works for everyone in Northern Ireland. We believe that a basis for a deal exists, and that is why, as he has said, today my right hon. Friend the Northern Ireland Secretary has started a set of political talks to restore the Executive. I believe that this is very important, and I would strongly encourage all parties to come together and focus on the job of restoring devolved government in Northern Ireland.
I applaud all those who have given their time voluntarily and raised money through their activities across the board. The hon. Lady has given a specific example of the work of people in Newcastle. I commend people who raise money for causes, but, as she knows, I cannot discuss an individual case at the Dispatch Box. I think it important for us to have a system that works properly and fairly, and I am sure that if she wishes to raise the individual case with the Secretary of State for Work and Pensions, it will be looked into.
The Prime Minister will know that the welcome introduction of the national minimum wage has created an as yet unresolved difficulty for the care sector, specifically relating to 24-hour care for those with significant learning difficulties. The issue is connected with sleep-in shifts and money owed to Her Majesty’s Revenue and Customs. Will she agree to meet me, and a number of concerned colleagues, so that we can discuss how we can best find a way out of the impasse?
My hon. Friend has raised an important issue that is of concern to a number of organisations and Members of Parliament, and I should be happy to meet her to discuss it. The Cabinet Office has been working with the relevant Department—now called the Department of Health and Social Care—to try to resolve it, and measures have been taken to defer the implementation of certain aspects. However, we continue to work on it, and are happy to look into it further.
No one has been charged over Poppi Worthington’s death, although the 13-month-old was probably anally penetrated in the hours before her death at home. Poppi was not known to social services, despite a staggeringly troubled family history. Will the Prime Minister respond to our cross-party calls for a public inquiry, so that we can learn lessons from this and make children safer throughout the country?
Everyone in the country who is aware of the horrific abuse that was carried out has been shocked and appalled by it, and, obviously, by the tragic circumstances of Poppi’s death. I am sure that all Members will join me in offering condolences.
I understand that the Crown Prosecution Service has announced that it is considering the coroner’s decision in liaison with the Cumbria constabulary. I think it right for us to allow that process to continue and to await the outcome before deciding whether any further action is needed. However, I assure the hon. Gentleman that I—along with, I think, all other Members—am well apprised of the significance of the issue and how appalling this tragedy was, and of the need for us to ensure not only that there is justice but that lessons are learnt.