Health and Care Bill

Debate between Baroness May of Maidenhead and Philippa Whitford

Report stage
Tuesday 23rd November 2021 Commons Chamber

[Mrs Theresa May (Maidenhead) (Con)]

I rise to speak in support of amendments 93 to 98, whose purpose is very simple.

The Health and Social Care Act 2012 established parity of esteem between physical and mental health in their treatment in the national health service. The Bill is silent on the issue. I know that Ministers have given assurances, in a variety of ways, that it is not the Government’s intention to move away from that parity of esteem, but if that is the case, the answer is simple: accept the amendments. The Government do not even have to write them; they have been written for them. There would then be absolutely no doubt about the continued commitment to ensuring parity of esteem between physical and mental health.

Mental health was clearly in the long-term plan for the national health service that I was pleased to see introduced. It was there because of the need to accept, as Members across the House do, that for too long mental health has not been given the attention that it deserves. People who were suffering with mental health problems were not getting the services that they need.

It will take time to ensure that we can provide for all, but sadly the issue has been exacerbated by the pandemic. In March 2021, there were 26% more referrals for mental health services than in March 2019, before the pandemic. The Centre for Mental Health reckons that 10 million additional people will need mental health care as a result of the pandemic. I am particularly concerned about the impact on young people; I am sure that Members across the House are seeing young people in their constituencies whose mental health may have been suffering anyway, but has suffered even more as a result of the pandemic.

More people now require mental health services. The Government talk a lot about dealing with the backlog that is a result of the pandemic, but it is only ever spoken about with reference to surgery or operations. The great danger is that in their focus on dealing with that backlog, which we all accept is necessary, the Government will push the issue of mental health services to one side.

The amendments stand in the name of my hon. Friend the Member for Broxbourne (Sir Charles Walker), in my name and in the names of Members across the House—there is cross-party concern. I say to the Minister once again: it is very simple. If the Government wish to maintain parity of esteem between physical and mental health and ensure that people with mental health problems are given the services and care that they need, they must put uncertainty to one side, accept the amendments and make it clear that physical and mental health will be treated with parity of esteem in our national health service.

[Dr Whitford]

I rise to speak to my amendment 82, which is on legislative consent if the Bill is used in the devolved aspects of healthcare in future. The bulk of healthcare—certainly its delivery through the Scottish NHS—is devolved. Having been on the Bill Committee, I was surprised that in the original version of the Bill there was not one mention in that context of the word “consultation”, let alone the word “consent”.

I do welcome amendments 118 and 121. I recognise that the Minister is trying to work constructively with the devolved Governments, but health is devolved. I am sorry, but after the United Kingdom Internal Market Act 2020, because of how the funds to replace EU funding post Brexit are being used to cut the devolved Governments out of decision making, there is a real fear among the public in Scotland that their health services could be changed in future. I ask anyone who supports devolution in principle to support amendment 82.

European Council

Debate between Baroness May of Maidenhead and Philippa Whitford

Monday 17th December 2018 Commons Chamber

[Dr Philippa Whitford (Central Ayrshire) (SNP)]

In light of the impact of the loss of EU citizens in the NHS, a 90% drop in nurses coming here and a trebling of the number of EU nurses leaving, the Prime Minister has sought in recent months to make it clear to EU citizens that they are welcome and they are secure. However, in her response to the hon. Member for South Leicestershire (Alberto Costa) she implied that they would be secure only if her deal passes. Can she clarify that, because she has just scared more than 3 million people?

[The Prime Minister]

I know the hon. Lady has a very personal interest in this issue. The withdrawal agreement sets out the agreement that has been reached between the United Kingdom and the European Union on EU citizens in the UK and UK citizens in the EU. As a Government, we have been clear that we will protect the interests of European Union citizens in the UK if there is a no-deal situation, but of course I cannot at this stage guarantee what would be the situation for UK citizens in the EU 27. That is a matter for those countries and the EU to set forward. The reciprocal arrangement that guarantees both sides is what is in the withdrawal agreement.

Exiting the European Union

Debate between Baroness May of Maidenhead and Philippa Whitford

Monday 10th December 2018 Commons Chamber

[The Prime Minister]

Because, as I have pointed out, there is a specific reason why people have raised concerns about the negotiation. It is about the issue of the temporary nature or otherwise of the backstop, and that is what we are going back to the European Union to discuss.

[Dr Philippa Whitford (Central Ayrshire) (SNP)]

At the beginning of this process, the Prime Minister said she would reach out right across the UK to the devolved nations, across the divide, and agree a negotiating position before going to Europe, but she did not. She has made all the decisions herself and painted herself into a corner with her red lines, and what we have in front of us is a blind Brexit. We will not be putting this behind us for years because those 26 pages are just blather—it is nothing. It is clear from the fact that the Prime Minister will not allow MPs to vote and will not allow the people to vote that she has no faith in this deal herself. Is that not closer to the case?

[The Prime Minister]

No, it is not, and it is not the case that MPs are not going to be allowed to vote. There will be a vote in this House—[Hon. Members: “When?”] There will be a vote in this House, but we will be negotiating on the issue of the backstop.

Leaving the EU

Debate between Baroness May of Maidenhead and Philippa Whitford

Monday 26th November 2018 Commons Chamber

[The Prime Minister]

The point is a very simple one. Now is the time for this country to come back together again. It is time for us to recognise that, in delivering on leaving the European Union, as people voted for in 2016, we are meeting the instruction we were given by the people in that referendum and we are doing it in this deal in a way that protects jobs, livelihoods, our security and our United Kingdom. Now is the time for the country to come back together, to get behind this deal and to ensure that we can build a better future for all.

[Dr Philippa Whitford (Central Ayrshire) (SNP)]

Last week, the Prime Minister managed to insult and upset over 3 million European citizens who live and work in this country. Over 150,000 of them, like my German husband who has been a GP here for over 30 years, felt absolutely thrown away after spending decades here looking after us when we are ill. Will the Prime Minister perhaps take this opportunity to apologise for her thoughtless and insulting comments?

[The Prime Minister]

I should not have used that language in that speech. The point I was making is a simple one. Right from the very beginning, I have said that citizens’ rights is a key issue that I want to see addressed in the withdrawal agreement. That was one of the things we put at the top as one of our priorities, and we have delivered it for people in the withdrawal agreement.

Most people here in the United Kingdom want to see people coming to this country with skills and wanting to make a contribution—the hon. Lady’s husband has made a contribution as a GP here in this country—and they want people to be judged, as we will, on their skills and on their contribution to our economy, rather than simply on where they come from.

Leaving the EU

Debate between Baroness May of Maidenhead and Philippa Whitford

Monday 9th July 2018 Commons Chamber

[The Prime Minister]

We have always been clear that we will keep Parliament informed. One of the things I said at Lancaster House was that we would provide information generally as and when it was possible to do so. My hon. Friend said, I think, “if” we leave the European Union on 29 March 2019. Let me just confirm that we will be leaving on 29 March 2019.

[Dr Philippa Whitford (Central Ayrshire) (SNP)]

It may be possible that European leaders welcome this plan simply because it is the first thing to make it on to paper. The Prime Minister talks about sticking to a common rulebook for goods but not services, but is it not the case that goods and services are often combined, particularly in the aerospace industry, which is important in my constituency?

[The Prime Minister]

This is not the first time that the Government have put something down on paper in relation to proposals for the future, but we have evolved the position since the Mansion House speech that I made about this. The industrial goods rulebook—we have used that term—is recognised and has been stable over quite a number of years, as has been pointed out by Conservative Members. Businesses, including the aerospace industry, were very clear that it was that rulebook that they wanted to continue to operate by, and that that would protect jobs. That is why we have taken this step.

Oral Answers to Questions

Debate between Baroness May of Maidenhead and Philippa Whitford

Wednesday 18th April 2018 Commons Chamber

[The Prime Minister]

My hon. Friend has raised an important point, and he is absolutely right to do so. Home ownership is a dream, and, sadly, too many young people today feel that they will not be able to achieve that dream. We have been having success—last year more homes were built than in any but one of the last 30 years—but we need to ensure that we are helping people into home ownership and seeing more homes being built. I should be happy to meet my hon. Friend and others to discuss this matter.

[Dr Philippa Whitford (Central Ayrshire) (SNP)]

Q2. I welcome the Prime Minister’s consultation on domestic abuse and, in particular, the recognition of financial abuse. However, the Government insist on paying universal credit into just one household account, which makes women more financially vulnerable. Eighty-five per cent. of abuse survivors say that they would not have dared to request split payments as a special measure, because it would have worsened abuse. Will the Prime Minister listen to the calls from women’s charities and make split payments of universal credit the norm?

[The Prime Minister]

I understand that it is, in fact, possible for special arrangements to be made for split payments. Domestic abuse—domestic violence—is a terrible abuse, a terrible crime that we must deal with, but I understand that it is possible for those arrangements to be made.

Syria

Debate between Baroness May of Maidenhead and Philippa Whitford

Monday 16th April 2018 Commons Chamber

[Dr Philippa Whitford (Central Ayrshire) (SNP)]

The Prime Minister referred to casualties with foam in their mouths, with burning eyes and in respiratory distress, and to an associated chlorine-like odour. Those symptoms are more in keeping with Assad’s repeated use over the last five years of the respiratory corrosive chlorine gas than with the paralytic neurotoxin sarin, which seemed to be the main target of the military action. Given that chlorine is commonly available, how, without an overarching plan to end the war, does the Prime Minister hope to limit the production and dropping of chlorine gas by the regime on its own civilians?

[The Prime Minister]

This is about chemical weapons, and about continuing action against chemical weapons. The hon. Lady is right: some of that action will have been in relation to the capacity and capability of sarin, which, of course, has been used by the Assad regime. The regime’s willingness to use a variety of types of chemical weapon is what underpins this, and our need to act to degrade that capability and deter its willingness to use such weapons in future.

Oral Answers to Questions

Debate between Baroness May of Maidenhead and Philippa Whitford

Wednesday 7th March 2018 Commons Chamber

[The Prime Minister]

I join my hon. Friend in commending all those who are raising awareness of brain cancer and who are working hard and tirelessly both on research and to raise funding. It is a devastating disease, and I was pleased to meet the noble Baroness Jowell to hear her experience of the national health service. She and the Secretary of State for Health and Social Care then held a roundtable of brain cancer experts.

We have announced that an estimated £20 million will be invested through the National Institute for Health Research over the next five years in helping to fund essential brain cancer research. In addition, Cancer Research UK will be investing £25 million in research on brain tumours over the same period, helping to support two new specialised centres.

[Dr Philippa Whitford (Central Ayrshire) (SNP)]

Q14. The increasing provision of healthcare within NHS England by private providers continues to cause the fragmentation and undermining of patient services. The Prime Minister has thus far refused to exclude such services from a US trade deal. Can she tell us how the Scottish Government will be included in the negotiations so that they can protect our Scottish NHS from being bartered away to get a deal?

[The Prime Minister]

The hon. Lady is a little late, because I was asked a question about a US trade deal and the national health service by the right hon. Member for Twickenham (Sir Vince Cable) in this House on Monday, and I made it very clear that we retain the principles of the national health service and that we are not going to allow the national health service to be undermined by any trade deals we do.

European Council

Debate between Baroness May of Maidenhead and Philippa Whitford

Monday 23rd October 2017 Commons Chamber

[Mr Speaker]

I call Dr Philippa Whitford. [Interruption.] She looks surprised. It will not breach a precedent if the hon. Lady does not wish to contribute. She is not obliged to do so, but I assumed that she would wish to contribute, and she is welcome to do so. Let us hear the hon. Lady.

[Dr Philippa Whitford (Central Ayrshire) (SNP)]

We have heard about the possibility of a no deal Brexit. What about the threat that that would pose, through leaving the single aviation market, to this country’s entire aviation industry?

[The Prime Minister]

We are aware of the necessity of looking very closely at and negotiating deals in relation to aviation, because we want people still to be able to fly, as they can today. But, once again, the hon. Lady is focusing on a no deal scenario, when the efforts of Government are being put into getting a good deal.

Grenfell Tower

Debate between Baroness May of Maidenhead and Philippa Whitford

Thursday 22nd June 2017 Commons Chamber

[The Prime Minister]

My hon. Friend raises an important matter. We must ensure that organisations that have a responsibility to the public do indeed listen to the public. With regard to any future disasters that should take place, I am considering the concept of an independent public advocate—somebody who can ensure that answers are given. They should ensure that people get not just the support that they need, but the answers that they need.

[Dr Philippa Whitford (Central Ayrshire) (SNP)]

Obviously, many have paid tribute to the fire and rescue workers who put their lives in danger and who may still be feeling the trauma from that. As a surgeon of more than 30 years, I wish to highlight the fact that NHS staff will also be traumatised, because there is nothing more horrific than dealing with the victims of burns. In the autumn statement of 2015, the former Chancellor identified £800 million to be taken from the new housing bonus scheme to make up the shortfall in social care. Will the current Chancellor now reverse that?

London Attack

Debate between Baroness May of Maidenhead and Philippa Whitford

Thursday 23rd March 2017 Commons Chamber

[The Prime Minister]

I thank my hon. Friend for not just the compassion but the passion with which he has spoken about an individual he knew, and he bears witness to the tremendous public service that Keith Palmer had given this country in so many ways, having served in our armed forces and then come to this place and made the ultimate sacrifice here, at the heart of our democracy. I can assure my hon. Friend that the issue he has raised will, of course, be considered in due course.

[Dr Philippa Whitford (Central Ayrshire) (SNP)]

Yesterday, we saw absolutely the best of security, policing and the emergency services. We also saw the camaraderie that got people through the lockdown, when we had staff stuck in offices all over the estate. I make a small plea that people will take the bravery and determination of yesterday, but that they will also remember to talk among themselves and support their staff; and that instead of burying any feelings of fear from yesterday, they will let that out, so that there is absolutely no scar remnant within this place as we go forward.

[The Prime Minister]

The hon. Lady makes a very important point. It is all too easy for us to come to this Chamber to show our gratitude, rightly, for the bravery shown by those who protect us, but to forget that for all the staff who were caught up in this, it could have lasting impacts. I understand that there are moves afoot to ensure that, as I said in my statement, Members can access help and support for themselves and their staff, should they wish to do that. But, actually, just allowing people to talk about what happened is often the best remedy.

Oral Answers to Questions

Debate between Baroness May of Maidenhead and Philippa Whitford

Wednesday 25th January 2017 Commons Chamber

[The Prime Minister]

I recognise the issues that my hon. Friend has raised, and I can assure him that our commitment in relation to the northern parts of England, including Yorkshire, is absolutely clear. We want to back business growth right across the north, and we are backing the northern powerhouse to help the great cities and towns of the north to pool their strengths and take on the world. Yorkshire local enterprise partnerships have received an additional £156 million in Government funding this week, and we are spending a record £13 billion on transport across the north. As a result, there are more people in work in Yorkshire and the Humber than ever before, and the employment rate is at a record high. That is good news for people in the region and good news for our economy as a whole.

[Dr Philippa Whitford (Central Ayrshire) (SNP)]

Q5. The European Medicines Agency provides a single drug licensing system for 500 million people and results in the UK having drugs licensed six to 12 months ahead of countries like Canada and Australia. Yesterday, the Health Secretary stated that the UK will not be in the EMA, so can the Prime Minister confirm this and explain how she will prevent delayed drug access for UK patients?

[The Prime Minister]

There are a number of organisations that we are part of as members of the European Union. As part of the work that we are doing to look at the United Kingdom’s future after we leave the European Union, we are looking at the arrangements we can put in place in relation to those issues. The pharmaceutical industry in this country is a very important part of our economy, and the ability of people to access these new drugs is also important. I assure the hon. Lady that we are looking seriously at this and will ensure that we have the arrangements that we need.